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Synergism between SLC6A14 blockade and gemcitabine in pancreactic cancer: a 1H-NMR-based metabolomic study in pancreatic cancer cells.

Abstract
Gemcitabine is the first-line chemotherapy for pancreatic cancer. To overcome the often-acquired gemcitabine resistance, other drugs are used in combination with gemcitabine. It is well-known that cancer cells reprogram cellular metabolism, coupled with the up-regulation of selective nutrient transporters to feed into the altered metabolic pathways. Our previous studies have demonstrated that the amino acid transporter SLC6A14 is markedly up-regulated in pancreatic cancer and that it is a viable therapeutic target. α-Methyltryptophan (α-MT) is a blocker of SLC6A14 and is effective against pancreatic cancer in vitro and in vivo. In the present study, we tested the hypothesis that α-MT could synergize with gemcitabine in the treatment of pancreatic cancer. We investigated the effects of combination of α-MT and gemcitabine on proliferation, migration, and apoptosis in a human pancreatic cancer cell line, and examined the underlying mechanisms using 1H-NMR-based metabolomic analysis. These studies examined the intracellular metabolite profile and the extracellular metabolite profile separately. Combination of α-MT with gemcitabine elicited marked changes in a wide variety of metabolic pathways, particularly amino acid metabolism with notable alterations in pathways involving tryptophan, branched-chain amino acids, ketone bodies, and membrane phospholipids. The metabolomic profiles of untreated control cells and cells treated with gemcitabine or α-MT were distinctly separable, and the combination regimen showed a certain extent of overlap with the individual α-MT and gemcitabine groups. This represents the first study detailing the metabolomic basis of the anticancer efficacy of gemcitabine, α-MT and their combination.
AuthorsAimin Cai, Hailun Zheng, Zhiwei Chen, Xinlu Lin, Chen Li, Qing Yao, Yangzom D Bhutia, Vadivel Ganapathy, Ruijie Chen, Longfa Kou
JournalThe Biochemical journal (Biochem J) Vol. 477 Issue 10 Pg. 1923-1937 (05 29 2020) ISSN: 1470-8728 [Electronic] England
PMID32379301 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2020 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.
Chemical References
  • Amino Acid Transport Systems
  • Amino Acids
  • Antineoplastic Agents
  • SLC6A14 protein, human
  • Deoxycytidine
  • alpha-methyltryptophan
  • Tryptophan
  • Gemcitabine
Topics
  • Amino Acid Transport Systems (antagonists & inhibitors, metabolism)
  • Amino Acids (drug effects, metabolism)
  • Antineoplastic Agents
  • Antineoplastic Combined Chemotherapy Protocols
  • Apoptosis (drug effects)
  • Cell Line, Tumor
  • Cell Movement (drug effects)
  • Cell Proliferation (drug effects)
  • Deoxycytidine (analogs & derivatives, therapeutic use)
  • Drug Synergism
  • Humans
  • Metabolomics
  • Pancreatic Neoplasms (drug therapy, pathology)
  • Tryptophan (analogs & derivatives, metabolism, therapeutic use)
  • Gemcitabine

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