Intermittent Fasting induced ketogenesis inhibits mouse epithelial ovarian tumors by promoting anti-tumor T cell

Mary Priyanka Udumula1, Harshit Singh1, Rashid Faraz2

  • 1Department of Women's Health Services, Henry Ford Hospital and Henry Ford Cancer Institute, Detroit, MI.

Insights

Intermittent fasting (IF) effectively combats epithelial ovarian cancer (EOC) in mice by enhancing anti-tumor immunity and creating a less hospitable tumor environment. This fasting approach, along with its metabolite BHB, shows promise for EOC treatment.

Area of Science:

  • Oncology
  • Immunology
  • Metabolism

Background:

  • Epithelial ovarian cancer (EOC) is a highly lethal gynecologic malignancy with limited targeted therapeutic options.
  • Metabolic interventions like fasting have shown potential in enhancing anti-cancer treatments by modulating systemic metabolism and immunity.

Approach:

  • Investigated the impact of 16-hour intermittent fasting (IF) on mouse EOC progression, focusing on IF-driven anti-tumor immune responses.
  • Analyzed metabolic and immune profiles to understand the mechanisms underlying IF's effects.
  • Compared the efficacy of IF with its bioactive metabolite, beta-hydroxybutyrate (BHB).

Key Points:

  • Intermittent fasting (IF) reduced tumor-promoting metabolic factors and cytokines, creating a tumor-antagonizing environment.
  • IF significantly increased CD4+ and CD8+ T cells, enhancing anti-tumor Th1 and cytotoxic responses by improving T cell metabolic fitness.
  • The metabolite beta-hydroxybutyrate (BHB) generated by IF showed potential but was less effective than IF itself in improving survival and immune response.

Conclusions:

  • Intermittent fasting (IF) demonstrates significant potential in ameliorating epithelial ovarian cancer (EOC) progression.
  • IF enhances anti-tumor immunity and T cell responses, offering a viable therapeutic strategy.
  • The metabolite BHB may partially mediate IF's benefits, but IF itself provides superior anti-cancer effects.

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