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CANCER METABOLISM
Presented By- Md Taufique Alam
Molecular medicine
17mslsmm15
METABOLIC DIFFERENCES BETWEEN
NORMAL AND CANCER CELLS
Normal cells do not metabolize glucose to lactate
when oxygen is available. Only when the oxygen is
absent or limiting do normal cells resort to anaerobic
glycolysis or metabolism of glucose to lactic acid.
cancer cells metabolize glucose to lactate even in the
presence of oxygen (aerobic glycolysis). The idea that
cancer cells exhibit an altered metabolism was given
by Otto Warburg.
Fig-1-Metabolic differences in normal and cancer cells and tissues.
Source-www.sciencedirect.com
WARBURG EFFECT
cancer cells under aerobic (well-oxygenated) conditions to metabolize
glucose to lactate (aerobic glycolysis) is known as the Warburg effect .
Warburg made the seminal observation that tumor slices consume glucose
and secrete lactate at a higher rate than normal tissues, even in the presence
of air (aerobic conditions) Normal cells rely on mitochondrial OXPHOS to
produce ATP. Under aerobic conditions, normal cells and tissues metabolize
glucose to carbon dioxide (CO2) and water (H2O) through OXPHOS and
convert glucose to lactate (glycolysis) under hypoxic (poorly oxygenated)
conditions. However, tumor tissues metabolize glucose to lactate even under
aerobic conditions.
Most cancer cells depend on glycolysis, even in the presence of plenty of
oxygen, to generate a considerably lesser amount of ATP with a decreased
use of the OXPHOS mechanism
WARBURG EFFECT
Usually, cancer cells
are highly glycolytic
(glucose addiction)
and have a “sweet
tooth” in that they
avidly take up more
glucose than do
normal cells from
outside.
Otto Heinrich Warburg (; 8 October 1883 –
1 August 1970)
In 1931 was awarded the Nobel Prize in
Physiology for his "discovery of the nature
and mode of action of the respiratory
enzyme
Pyruvate is the critical
metabolite of the glycolytic
pathway and is responsible
for the formation of lactic
acid catalyzed by lactate
dehydrogenase (LDH) in
cancer cells. Alternatively,
pyruvate can enter into
the Krebs cycle.
GLYCOLYSIS
TRICARBOXYLIC ACID CYCLE
Pyruvate generated from the glycolytic
pathway is oxidized by the
enzyme pyruvate dehydrogenase (PDH) to
the acetyl-CoA which combines with
an oxaloacetate molecule to form citric
acid.
Important regulators of the TCA cycle
that are formed from citric acid are alpha-
ketoglutarate formed
from isocitrate, succinate from succinyl-
CoA, fumarate and malonate, and
ultimately oxaloacetate that combines
with acetyl-CoA to keep the TCA cycle
going.
GLUTAMINOLYSIS
Cancer cells also take up and metabolize glutamine To
sustain the functioning of the TCA uninterruptedly,
metabolites can be fed into this cycle.
V-Ki-ras2 Kirsten rat sarcoma (KRAS), the viral oncogene
stimulates cancer cell growth through enhanced formation
of alpha-ketoglutarate via the TCA cycle and Increased the
activity of the enzyme, glutamate pyruvate transaminase,
was observed in cancer Thus, glutamine/glutamate
metabolism provides an attractive therapeutic target.
ROLE OF MITOCHONDRIA IN CANCER METABOLISM
• Warburg hypothesized that cancer cell mitochondria are
dysfunctional, thus forcing the cells depends upon
exclusively on glycolysis for energy.
• The functional role of mitochondria in tumor cells became
clearer when cancer cells treated with mitochondria-
targeted compounds showed repressed respiration,
decreased cell proliferation, and ATP formation.
• Mitochondrial hyperpolarization is a common feature of
many tumor cell lines.
REVERSE WARBURG EFFECT
The glycolytic product, lactic acid, secreted by cancer cells
or fibroblasts is also used by neighboring cancer cells to
make citric acid and sustain cancer progression. The “reverse
Warburg effect” is a new term for “parasitic” cancer metabolism
It was proposed that cancer cells act as metabolic parasites in
that they obtain nutrients from host cells by inducing catabolic
processes. One such process is aerobic glycolysis in host cells.
INHIBITING GLYCOLYSIS AS A POTENTIAL ANTI
TUMOR STRATEGY
• Glucose is one of the most abundant sources of energy in cancer
cells.
• During the breakdown of one molecule of glucose in the
presence of oxygen, six molecules of carbon dioxide and water
are released in addition to energy in the form of ATPs. Nearly
34–38 ATP molecules are produced during glycolysis (four
ATPs), the Krebs cycle (two ATPs), and mitochondrial respiration
(34 ATPs).
• If targeting glycolytic and mitochondrial metabolism is a
strategic approach to slow or inhibit the growth of cancer cells.
INHIBITING GLUCOSE UPTAKE
• glucose uptake into cancer cells is the rate-limiting step
in glycolysis targeting GLUTs(a family of membrane-bound
proteins called GLUTs) by blocking their glucose transport
channel with small molecules should be a viable mechanism of
nutrient deprivation in tumors.
• Currently, there exist several GLUT inhibitors, including
cytochalasin B and selected tyrosine kinase inhibitors.
• Some of these compounds are relatively less toxic to normal
cells, showing promise in tumor treatment.
TARGETING PYRUVATE OXIDATION
• Pyruvate is viewed as a “hub” metabolite (being at the interface
of glycolysis and mitochondrial metabolism) in cell metabolism
and especially plays a central role in regulating
metabolic reprogramming in cancer cells
• Dichloroacetate (DCA), a drug that has shown promising
chemotherapeutic effect in preclinical tumor xenograft studies
and in humans with glioblastoma (an aggressive form of brain
tumor), presumably inhibits PDK, thereby shifting the glucose
metabolism from a glycolytic to oxidative pathway. Thus, DCA
activates PDH by inhibiting PDK, causing increased
mitochondrial metabolism.
CONCLUDING REMARKS AND FUTURE PERSPECTIVES
• Several clinical trials for testing DCA as an anticancer agent are ongoing..
• Glycolysis in cancer cells is substantially elevated, antiglycolytic targeting
using 2-DG( 2-deoxyglucose one of the first antiglycolytic antitumor
strategies is the use) as a mono-therapeutic agent in clinical trials has not
been successful. This reflects the metabolic plasticity of cancer cells and their
tendency to escape glucose dependency to other metabolic
pathways through metabolic reprogramming.
• Recent research implicates that mitochondrial metabolism is vital for tumor
growth Targeting mitochondrial metabolism is an emerging area of research
in cancer biology. Cancer cell mitochondrial membrane potential is much
more negative than normal cell mitochondria. Consequently, cationic drugs
can be more selectively targeted to cancer cells.
THANK U

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Cancer metabolism its theruputics

  • 1. CANCER METABOLISM Presented By- Md Taufique Alam Molecular medicine 17mslsmm15
  • 2. METABOLIC DIFFERENCES BETWEEN NORMAL AND CANCER CELLS Normal cells do not metabolize glucose to lactate when oxygen is available. Only when the oxygen is absent or limiting do normal cells resort to anaerobic glycolysis or metabolism of glucose to lactic acid. cancer cells metabolize glucose to lactate even in the presence of oxygen (aerobic glycolysis). The idea that cancer cells exhibit an altered metabolism was given by Otto Warburg.
  • 3. Fig-1-Metabolic differences in normal and cancer cells and tissues. Source-www.sciencedirect.com
  • 4. WARBURG EFFECT cancer cells under aerobic (well-oxygenated) conditions to metabolize glucose to lactate (aerobic glycolysis) is known as the Warburg effect . Warburg made the seminal observation that tumor slices consume glucose and secrete lactate at a higher rate than normal tissues, even in the presence of air (aerobic conditions) Normal cells rely on mitochondrial OXPHOS to produce ATP. Under aerobic conditions, normal cells and tissues metabolize glucose to carbon dioxide (CO2) and water (H2O) through OXPHOS and convert glucose to lactate (glycolysis) under hypoxic (poorly oxygenated) conditions. However, tumor tissues metabolize glucose to lactate even under aerobic conditions. Most cancer cells depend on glycolysis, even in the presence of plenty of oxygen, to generate a considerably lesser amount of ATP with a decreased use of the OXPHOS mechanism
  • 5. WARBURG EFFECT Usually, cancer cells are highly glycolytic (glucose addiction) and have a “sweet tooth” in that they avidly take up more glucose than do normal cells from outside. Otto Heinrich Warburg (; 8 October 1883 – 1 August 1970) In 1931 was awarded the Nobel Prize in Physiology for his "discovery of the nature and mode of action of the respiratory enzyme
  • 6. Pyruvate is the critical metabolite of the glycolytic pathway and is responsible for the formation of lactic acid catalyzed by lactate dehydrogenase (LDH) in cancer cells. Alternatively, pyruvate can enter into the Krebs cycle. GLYCOLYSIS
  • 7. TRICARBOXYLIC ACID CYCLE Pyruvate generated from the glycolytic pathway is oxidized by the enzyme pyruvate dehydrogenase (PDH) to the acetyl-CoA which combines with an oxaloacetate molecule to form citric acid. Important regulators of the TCA cycle that are formed from citric acid are alpha- ketoglutarate formed from isocitrate, succinate from succinyl- CoA, fumarate and malonate, and ultimately oxaloacetate that combines with acetyl-CoA to keep the TCA cycle going.
  • 8. GLUTAMINOLYSIS Cancer cells also take up and metabolize glutamine To sustain the functioning of the TCA uninterruptedly, metabolites can be fed into this cycle. V-Ki-ras2 Kirsten rat sarcoma (KRAS), the viral oncogene stimulates cancer cell growth through enhanced formation of alpha-ketoglutarate via the TCA cycle and Increased the activity of the enzyme, glutamate pyruvate transaminase, was observed in cancer Thus, glutamine/glutamate metabolism provides an attractive therapeutic target.
  • 9. ROLE OF MITOCHONDRIA IN CANCER METABOLISM • Warburg hypothesized that cancer cell mitochondria are dysfunctional, thus forcing the cells depends upon exclusively on glycolysis for energy. • The functional role of mitochondria in tumor cells became clearer when cancer cells treated with mitochondria- targeted compounds showed repressed respiration, decreased cell proliferation, and ATP formation. • Mitochondrial hyperpolarization is a common feature of many tumor cell lines.
  • 10. REVERSE WARBURG EFFECT The glycolytic product, lactic acid, secreted by cancer cells or fibroblasts is also used by neighboring cancer cells to make citric acid and sustain cancer progression. The “reverse Warburg effect” is a new term for “parasitic” cancer metabolism It was proposed that cancer cells act as metabolic parasites in that they obtain nutrients from host cells by inducing catabolic processes. One such process is aerobic glycolysis in host cells.
  • 11. INHIBITING GLYCOLYSIS AS A POTENTIAL ANTI TUMOR STRATEGY • Glucose is one of the most abundant sources of energy in cancer cells. • During the breakdown of one molecule of glucose in the presence of oxygen, six molecules of carbon dioxide and water are released in addition to energy in the form of ATPs. Nearly 34–38 ATP molecules are produced during glycolysis (four ATPs), the Krebs cycle (two ATPs), and mitochondrial respiration (34 ATPs). • If targeting glycolytic and mitochondrial metabolism is a strategic approach to slow or inhibit the growth of cancer cells.
  • 12. INHIBITING GLUCOSE UPTAKE • glucose uptake into cancer cells is the rate-limiting step in glycolysis targeting GLUTs(a family of membrane-bound proteins called GLUTs) by blocking their glucose transport channel with small molecules should be a viable mechanism of nutrient deprivation in tumors. • Currently, there exist several GLUT inhibitors, including cytochalasin B and selected tyrosine kinase inhibitors. • Some of these compounds are relatively less toxic to normal cells, showing promise in tumor treatment.
  • 13. TARGETING PYRUVATE OXIDATION • Pyruvate is viewed as a “hub” metabolite (being at the interface of glycolysis and mitochondrial metabolism) in cell metabolism and especially plays a central role in regulating metabolic reprogramming in cancer cells • Dichloroacetate (DCA), a drug that has shown promising chemotherapeutic effect in preclinical tumor xenograft studies and in humans with glioblastoma (an aggressive form of brain tumor), presumably inhibits PDK, thereby shifting the glucose metabolism from a glycolytic to oxidative pathway. Thus, DCA activates PDH by inhibiting PDK, causing increased mitochondrial metabolism.
  • 14. CONCLUDING REMARKS AND FUTURE PERSPECTIVES • Several clinical trials for testing DCA as an anticancer agent are ongoing.. • Glycolysis in cancer cells is substantially elevated, antiglycolytic targeting using 2-DG( 2-deoxyglucose one of the first antiglycolytic antitumor strategies is the use) as a mono-therapeutic agent in clinical trials has not been successful. This reflects the metabolic plasticity of cancer cells and their tendency to escape glucose dependency to other metabolic pathways through metabolic reprogramming. • Recent research implicates that mitochondrial metabolism is vital for tumor growth Targeting mitochondrial metabolism is an emerging area of research in cancer biology. Cancer cell mitochondrial membrane potential is much more negative than normal cell mitochondria. Consequently, cationic drugs can be more selectively targeted to cancer cells.

Editor's Notes

  1. Presented By- Md Taufique Alam Molecular medicine 17mslsmm15
  2. 1931 was awarded the Nobel Prize in Physiology for his "discovery of the nature and mode of action of the respiratory enzyme
  3. GLYCOLYSIS