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Palmitate paves the way to lung metastasis
Alina M Winkelkotte1, Almut Schulze1
1Division of Tumor Metabolism and Microenvironment, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany.
Trends in Cancer
|March 23, 2023
Summary
Primary breast tumors and high-fat diets promote lung metastasis by inducing palmitate secretion from alveolar type 2 cells. Blocking key enzymes involved in palmitate utilization in cancer cells significantly reduced metastasis.
Area of Science:
- Oncology
- Metabolism
- Cell Biology
Background:
- Primary tumors and metabolic changes, such as high-fat diets, can influence the tumor microenvironment.
- The formation of a premetastatic niche is crucial for cancer metastasis.
- Alveolar type 2 (AT2) cells play a role in lung homeostasis and may be influenced by systemic factors.
Purpose of the Study:
- To investigate the role of alveolar type 2 (AT2) cells in promoting lung metastasis.
- To identify the mechanisms by which primary tumors and high-fat diets facilitate metastasis.
- To explore potential therapeutic targets for reducing cancer spread.
Main Methods:
- Analyzing palmitate secretion from AT2 cells in response to primary tumors and high-fat diet.
- Investigating the utilization of palmitate by cancer cells, focusing on carnitine palmitoyltransferase 1a (CPT1a) and lysine acetyltransferase 2a (KAT2a).
- Assessing the impact of blocking CPT1a and KAT2a on NF-κB/p65 acetylation and metastasis formation in mouse models.
Main Results:
- Primary breast tumors and high-fat diets induce palmitate secretion from AT2 cells.
- Palmitate is utilized by cancer cells through CPT1a and KAT2a to acetylate NF-κB/p65.
- Inhibition of CPT1a and KAT2a significantly reduced lung metastasis in both lean and high-fat diet mice.
Conclusions:
- AT2 cell-derived palmitate contributes to the formation of a premetastatic niche, promoting lung metastasis.
- The metabolic pathway involving palmitate, CPT1a, KAT2a, and NF-κB/p65 acetylation is critical for metastasis.
- Targeting these enzymes offers a potential strategy to prevent or reduce cancer spread.

