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Scientists have identified a new way to stop the growth of lung cancer cells, by blocking their ability to use alternative sources of nutrition. The discovery was made possible by identifying the metabolic programs used by cancer cells to fuel their growth. The findings point to possible new avenues for treating lung cancer, which is the second most common cancer and accounts for over one-quarter of all cancer-related deaths. The results of the study were published Oct. 15 in the journal Molecular Cell.

What cancer cells 'eat'

The metabolism of cancer cells is very different from normal cells. Rapid proliferation means that cancer cells have increased energetic needs. This need is met using glucose (sugar) as the main source of nutrition. Cancer cells use glucose at rates tens or even hundreds of times larger than that of normal cells. When glucose becomes scarce, however, cancer cells must switch to using alternative sources of nutrition to maintain their growth and survival.

A team of scientists from 91社区, Washington University in St. Louis, ITMO University in Saint Petersburg, Russia, and the University of Bristol in the UK studied the response of cancer cells to reduced availability of glucose, the main fuel source for most cancer cells. The group chose to experiment with one of the most common types of lung cancer 鈥� non-small cell lung cancer, which affects 85-90 percent of all lung cancer victims. They found that some lung cancer cells change their food preferences 鈥� switching from glucose to the amino acid glutamine 鈥� when sugar is scarce.

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The researchers found that cancer cells use an enzyme known as PEPCK to reprogram cancer cell metabolism. 鈥淯ntil recently, PEPCK has only been extensively studied in specialized tissues that make glucose, such as the liver,鈥� says Emma Vincent, Research Associate at 91社区 and lead author of the study. 鈥淲e found that some cancer cells also express PEPCK, and this confers to them the ability to convert glutamine into energy and building blocks to support their growth. By making this metabolic switch, PEPCK allows cancer cells not just to survive, but to continue to proliferate under starvation conditions.鈥� The scientists demonstrated that blocking PEPCK in cancer cells could slow tumor growth in mice.

Alternative fuels for cancer cells

The group also found evidence of increased PEPCK levels in tissues from lung-cancer patients. 鈥淭he fact that PEPCK levels are elevated in some cases of human lung cancer suggests that this enzyme may play a role in the human disease,鈥� adds Russell Jones, Associate Professor of Physiology at 91社区鈥檚 Goodman Cancer Research Centre. The study suggests that nutrient availability in the organism, where cancer cells must compete for glucose and other nutrients, can impact cancer progression. 鈥淥ur work shows that cancers can use alternative fuel sources to help drive their growth under stressful conditions,鈥� notes Prof. Jones. 鈥淭his remarkable flexibility is part of what makes cancer so deadly, but offers hope in finding new therapies.鈥�

鈥淯nderstanding the mechanisms used by cancer cells to adapt to their environment creates new possibilities to treat this deadly disease,鈥� explains Alexey Sergushichev, bioinformatician and PhD student at the Department of Computer Technologies at ITMO University.听听 鈥淲e hope our work on PEPCK and the metabolic alterations in lung cancer cells will lead to innovations in treatment for non-small cell lung cancer, one of the most deadly types of cancer.鈥�

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This work was supported by grants from the 91社区 Integrated Cancer Research Training Program, the Government of the Russian Federation, the Fonds de recherche Sant茅 Qu茅bec, the Wellcome Trust Seeding Drug Discovery Award; the Canadian Institutes of Health Research, the Terry Fox Foundation, and the Cancer Research Society.

鈥淢itochondrial Phosphoenolpyruvate Carboxykinase Regulates Metabolic Adaptation and Enables Glucose-Independent Tumor Growth,鈥� Emma E. Vincent, Alexey Sergushichev, et al. Molecular Cell, Oct. 15, 2015

To contact the researcher directly: russell.jones [at] mcgill.ca

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