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Glucose--a sweet way to die: metabolic switching modulates tumor cell death
Marion MacFarlane1, Gemma L Robinson, Kelvin Cain
1MRC Toxicology Unit, University of Leicester, Leicester, UK. mm21@le.ac.uk
Abstract:
TRAIL, a putative anticancer cytokine, induces extrinsic cell death by activating the caspase cascade directly (Type I cells) via the death-inducing signaling complex (DISC) or indirectly (Type II cells) by caspase-8 cleavage of Bid and activation of the mitochondrial cell death pathway. Cancer cells are characterized by their dependence on aerobic glycolysis, which, although inefficient in terms of ATP production, facilitates tumor metabolism. Our studies show that TRAIL-induced cell death is significantly affected by the metabolic status of the cell. Inhibiting glycolysis with 2-deoxyglucose potentiates TRAIL-induced cell death, whereas glucose deprivation can paradoxically inhibit apoptosis. These conflicting responses to glycolysis inhibition are modulated by the balance between the Akt and AMPK pathways and their subsequent downstream regulation of mTORC1. This results in marked changes in protein translation, in which the equilibrium between anti- and pro-apoptotic Bcl-2 family member proteins is decided by their individual degradation rates. This regulates the mitochondrial cell death pathway and alters its sensitivity not only to TRAIL, but to ABT-737, a Bcl-2 inhibitor. Taken together, our studies show that the sensitivity of cancer cells to apoptosis can be modulated by targeting their unique metabolism in order to enhance sensitivity to apoptotic agents.
Insights
Targeting cancer cell metabolism enhances apoptosis sensitivity. Inhibiting glycolysis boosts TRAIL-induced cell death, while glucose deprivation has complex effects, modulated by Akt/AMPK/mTORC1 signaling and protein degradation.
Area of Science:
- Cancer Biology
- Cell Death Pathways
- Metabolic Regulation
Background:
- Tumor cells rely on aerobic glycolysis for metabolism.
- Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) induces apoptosis via caspase cascades.
- TRAIL can trigger extrinsic apoptosis directly (Type I) or indirectly via mitochondria (Type II).
Purpose of the Study:
- To investigate how cellular metabolic status influences TRAIL-induced apoptosis.
- To elucidate the signaling pathways mediating metabolic effects on apoptosis.
- To explore therapeutic strategies combining metabolic targeting with apoptosis inducers.
Main Methods:
- Analysis of TRAIL-induced apoptosis in cancer cells under varying metabolic conditions (glycolysis inhibition, glucose deprivation).
- Investigation of key signaling pathways including Akt, AMPK, and mTORC1.
- Assessment of protein translation and degradation rates of Bcl-2 family proteins.
Main Results:
- Glycolysis inhibition with 2-deoxyglucose potentiates TRAIL-induced apoptosis.
- Glucose deprivation paradoxically inhibits apoptosis, modulated by Akt/AMPK/mTORC1 balance.
- Metabolic status alters protein translation and degradation, affecting Bcl-2 family protein equilibrium and mitochondrial pathway sensitivity.
Conclusions:
- Cancer cell metabolism significantly impacts sensitivity to TRAIL-induced apoptosis.
- Targeting cancer cell metabolism can enhance apoptosis, offering a novel therapeutic strategy.
- Combined metabolic and apoptotic therapies may improve cancer treatment outcomes.
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