The effects of glycemic index on prostate cancer progression in a xenograft mouse model

Gloria Cecilia Galván1, Everardo Macias2, Sergio Sanders1

  • 1Department of Urology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Abstract

Insights

A low glycemic index (GI) diet did not slow prostate cancer (PC) growth or improve survival in mice compared to a high GI diet. Modifying carbohydrate quality alone may not be sufficient to inhibit PC progression.

Area of Science:

  • Oncology
  • Metabolic Research
  • Nutritional Science

Background:

  • Previous studies indicated low-carbohydrate diets inhibit prostate cancer (PC) growth and enhance survival in mice by affecting the insulin/IGF-1 axis.
  • This study investigated if altering carbohydrate quality to a lower glycemic index (GI), without changing the quantity, offers similar benefits to carbohydrate reduction.

Purpose of the Study:

  • To determine if a low-GI diet, compared to a high-GI diet, impacts prostate cancer growth, survival, and related metabolic pathways in a mouse model.
  • To assess the effects of dietary carbohydrate quality on body composition, organ weights, and key metabolic markers including insulin and IGF-1.

Main Methods:

  • Male SCID mice bearing LAPC-4 human PC xenografts were fed either a low-GI (Hylon-VII) or high-GI (sucrose) Western diet (48% carbohydrate kcal).
  • Tumor volume, body weight, body composition, and survival were monitored. Blood glucose, insulin, IGF-1, and IGFBP3 levels were measured at study termination.
  • Tumor gene expression was analyzed via RNA-sequencing in mice and compared to human prostate cancer data.

Main Results:

  • No significant differences were observed in tumor volume, proliferation, or overall survival between the low-GI and high-GI diet groups.
  • The low-GI group exhibited significantly lower body fat (30%) and smaller livers, despite similar body weight.
  • While trends suggested lower glucose, insulin, IGF-1, and a lower IGF-1:IGFBP3 ratio in the low-GI group, these did not reach statistical significance. Gene expression analysis revealed patterns in low-GI tumors resembling benign prostate tissue.

Conclusions:

  • In this mouse xenograft model, a low-GI diet did not impede prostate cancer progression or survival compared to a high-GI diet.
  • The findings suggest that improving carbohydrate quality alone, within a high-carbohydrate diet, may not be sufficient to inhibit the insulin/IGF-1 pathway and slow PC growth.

Related Concept Videos