Lipid synthesis seems to drive proliferation in Men1 mouse adrenals and human adrenocortical cell lines

Adam Edholm1, Su-Chen Li1, Xia Chu1

  • 1Department of Medical Sciences, Uppsala University, Uppsala, Sweden.

Endocrine-Related Cancer
|February 6, 2026
PubMed

Insights

Inhibiting fatty acid synthase (FASN) and ATP-citrate lyase (ACLY) shows promise for treating adrenocortical carcinoma (ACC). Targeting these lipid synthesis enzymes reduced tumor cell proliferation and improved survival outcomes in ACC patients.

Area of Science:

  • Oncology
  • Biochemistry
  • Molecular Biology

Background:

  • Adrenocortical carcinoma (ACC) is a rare and aggressive cancer with limited therapeutic options.
  • The molecular mechanisms driving ACC development are not well understood.
  • Identifying novel therapeutic targets is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the role of lipid biosynthesis pathways in adrenocortical tumorigenesis.
  • To identify potential therapeutic targets for ACC.
  • To evaluate the efficacy of inhibiting fatty acid synthase (FASN) and ATP-citrate lyase (ACLY) in ACC models.

Main Methods:

  • Proteomic profiling of mouse adrenal tissues to identify differentially regulated proteins.
  • In vitro studies using H295R ACC cells treated with FASN and ACLY inhibitors.
  • Lipidomic analysis to assess the impact of enzyme inhibition on lipid biosynthesis.
  • Analysis of The Cancer Genome Atlas (TCGA) data to correlate gene expression with patient survival.

Main Results:

  • Proteomic analysis revealed differential regulation of 52 proteins, including FASN and ACLY, in early-stage ACC development.
  • Inhibition of FASN and ACLY demonstrated a dose-dependent antiproliferative effect on ACC cells.
  • ACLY and FASN inhibition significantly reduced key lipid metabolites, confirming their role in lipid biosynthesis.
  • High expression of ACLY or FASN correlated with significantly poorer survival outcomes in ACC patients.

Conclusions:

  • Fatty acid synthase (FASN) and ATP-citrate lyase (ACLY) are key enzymes in lipid biosynthesis and are implicated in adrenocortical carcinoma (ACC) pathogenesis.
  • Inhibiting FASN and ACLY represents a potential therapeutic strategy for ACC.
  • Targeting lipid synthesis pathways warrants further investigation for the treatment of human ACC.

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