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Metabolic and mind shifts: from glucose to glutamine and acetate addictions in cancer.

AbstractPURPOSE OF REVIEW:
Glutamine and acetate were recently identified as alternatives to glucose for fueling the tricarboxylic acid (TCA) cycle in cancer cells, particularly in the context of hypoxia.
RECENT FINDINGS:
Molecular mechanisms orchestrating glutamine and acetate metabolism were elicited through the combination of C tracer analysis and genetic silencing, or pharmacological modulation of key metabolic enzymes including those converting glutamate into α-ketoglutarate (αKG) (and beyond) and acetate into acetyl-coenzyme A (CoA).
SUMMARY:
Oxidative decarboxylation and reductive carboxylation of αKG represent two options for the glutamine metabolism. The canonical forward mode of the TCA cycle fuelled by glutamine may benefit from the decarboxylation of malate into pyruvate for fueling pyruvate dehydrogenase and generating acetyl-CoA to offer a self-sustainable TCA cycle. Under hypoxia and mutations in the TCA cycle, the reductive carboxylation of glutamine-derived αKG into citrate mainly supports lipogenesis via the ATP citrate lyase that cleaves citrate into oxaloacetate and acetyl-CoA. Still, a largely unsuspected source of acetyl-CoA was shown to derive from the direct ligation of acetate to CoA by acetyl-CoA synthetases. Altogether, these findings identify critical metabolic nodes in the glutamine and acetate metabolism as new determinants of tumor metabolic plasticity that may facilitate the design of synthetic lethal treatments.
AuthorsCyril Corbet, Olivier Feron
JournalCurrent opinion in clinical nutrition and metabolic care (Curr Opin Clin Nutr Metab Care) Vol. 18 Issue 4 Pg. 346-53 (Jul 2015) ISSN: 1473-6519 [Electronic] England
PMID26001655 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
Chemical References
  • Acetates
  • Citrates
  • Ketoglutaric Acids
  • Glutamine
  • Acetyl Coenzyme A
  • Glucose
Topics
  • Acetates (metabolism)
  • Acetyl Coenzyme A (metabolism)
  • Cell Line, Tumor
  • Citrates (metabolism)
  • Citric Acid Cycle (drug effects)
  • Glucose (metabolism)
  • Glutamine (metabolism)
  • Humans
  • Hypoxia (blood)
  • Ketoglutaric Acids (metabolism)
  • Lipogenesis (drug effects)
  • Neoplasms (metabolism)

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