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Publication : Identifying strategies to target the metabolic flexibility of tumours.

First Author  Méndez-Lucas A Year  2020
Journal  Nat Metab Volume  2
Issue  4 Pages  335-350
PubMed ID  32694609 Mgi Jnum  J:294996
Mgi Id  MGI:6458170 Doi  10.1038/s42255-020-0195-8
Citation  Mendez-Lucas A, et al. (2020) Identifying strategies to target the metabolic flexibility of tumours. Nat Metab 2(4):335-350
abstractText  Plasticity of cancer metabolism can be a major obstacle to efficient targeting of tumour-specific metabolic vulnerabilities. Here, we identify the compensatory mechanisms following the inhibition of major pathways of central carbon metabolism in c-MYC-induced liver tumours. We find that, while inhibition of both glutaminase isoforms (Gls1 and Gls2) in tumours considerably delays tumourigenesis, glutamine catabolism continues, owing to the action of amidotransferases. Synergistic inhibition of both glutaminases and compensatory amidotransferases is required to block glutamine catabolism and proliferation of mouse and human tumour cells in vitro and in vivo. Gls1 deletion is also compensated for by glycolysis. Thus, co-inhibition of Gls1 and hexokinase 2 significantly affects Krebs cycle activity and tumour formation. Finally, the inhibition of biosynthesis of either serine (Psat1-KO) or fatty acid (Fasn-KO) is compensated for by uptake of circulating nutrients, and dietary restriction of both serine and glycine or fatty acids synergistically suppresses tumourigenesis. These results highlight the high flexibility of tumour metabolism and demonstrate that either pharmacological or dietary targeting of metabolic compensatory mechanisms can improve therapeutic outcomes.
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