학술논문

Ketogenic HMG‐CoA lyase and its product β‐hydroxybutyrate promote pancreatic cancer progression
Document Type
article
Source
The EMBO Journal. 41(9)
Subject
Biochemistry and Cell Biology
Biomedical and Clinical Sciences
Oncology and Carcinogenesis
Biological Sciences
Rare Diseases
Cancer
Nutrition
Digestive Diseases
Pancreatic Cancer
Aetiology
2.1 Biological and endogenous factors
3-Hydroxybutyric Acid
Animals
Ketone Bodies
Mice
Oxo-Acid-Lyases
Pancreas
Pancreatic Neoplasms
HMGCL
ketone bodies
metastasis
pancreatic cancer
β-hydroxybutyrate
Information and Computing Sciences
Medical and Health Sciences
Developmental Biology
Biological sciences
Biomedical and clinical sciences
Language
Abstract
Pancreatic ductal adenocarcinoma (PDA) tumor cells are deprived of oxygen and nutrients and therefore must adapt their metabolism to ensure proliferation. In some physiological states, cells rely on ketone bodies to satisfy their metabolic needs, especially during nutrient stress. Here, we show that PDA cells can activate ketone body metabolism and that β-hydroxybutyrate (βOHB) is an alternative cell-intrinsic or systemic fuel that can promote PDA growth and progression. PDA cells activate enzymes required for ketogenesis, utilizing various nutrients as carbon sources for ketone body formation. By assessing metabolic gene expression from spontaneously arising PDA tumors in mice, we find HMG-CoA lyase (HMGCL), involved in ketogenesis, to be among the most deregulated metabolic enzymes in PDA compared to normal pancreas. In vitro depletion of HMGCL impedes migration, tumor cell invasiveness, and anchorage-independent tumor sphere compaction. Moreover, disrupting HMGCL drastically decreases PDA tumor growth in vivo, while βOHB stimulates metastatic dissemination to the liver. These findings suggest that βOHB increases PDA aggressiveness and identify HMGCL and ketogenesis as metabolic targets for limiting PDA progression.