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Publication : Ketogenic HMG-CoA lyase and its product β-hydroxybutyrate promote pancreatic cancer progression.

First Author  Gouirand V Year  2022
Journal  EMBO J Volume  41
Issue  9 Pages  e110466
PubMed ID  35307861 Mgi Jnum  J:332833
Mgi Id  MGI:7430879 Doi  10.15252/embj.2021110466
Citation  Gouirand V, et al. (2022) Ketogenic HMG-CoA lyase and its product beta-hydroxybutyrate promote pancreatic cancer progression. EMBO J 41(9):e110466
abstractText  Pancreatic ductal adenocarcinoma (PDA) tumor cells are deprived of oxygen and nutrients and therefore must adapt their metabolism to ensure proliferation. In some physiological states, cells rely on ketone bodies to satisfy their metabolic needs, especially during nutrient stress. Here, we show that PDA cells can activate ketone body metabolism and that beta-hydroxybutyrate (betaOHB) is an alternative cell-intrinsic or systemic fuel that can promote PDA growth and progression. PDA cells activate enzymes required for ketogenesis, utilizing various nutrients as carbon sources for ketone body formation. By assessing metabolic gene expression from spontaneously arising PDA tumors in mice, we find HMG-CoA lyase (HMGCL), involved in ketogenesis, to be among the most deregulated metabolic enzymes in PDA compared to normal pancreas. In vitro depletion of HMGCL impedes migration, tumor cell invasiveness, and anchorage-independent tumor sphere compaction. Moreover, disrupting HMGCL drastically decreases PDA tumor growth in vivo, while betaOHB stimulates metastatic dissemination to the liver. These findings suggest that betaOHB increases PDA aggressiveness and identify HMGCL and ketogenesis as metabolic targets for limiting PDA progression.
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