Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy

To enable rapid proliferation, colorectal tumor cells up-regulate epidermal growth factor receptor (EGFR) signaling and aerobic glycolysis, resulting in substantial lactate release into the tumor microenvironment and impaired anti-tumor immune responses. We hypothesized that a nutritional interventi...

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Autores principales: Kerstin Skibbe, Ann-Kathrin Brethack, Annika Sünderhauf, Mohab Ragab, Annika Raschdorf, Maren Hicken, Heidi Schlichting, Joyce Preira, Jennifer Brandt, Darko Castven, Bandik Föh, René Pagel, Jens U. Marquardt, Christian Sina, Stefanie Derer
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/5cd64188174e4c99bfdca3d7276a666f
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spelling oai:doaj.org-article:5cd64188174e4c99bfdca3d7276a666f2021-11-25T17:04:24ZColorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy10.3390/cancers132258172072-6694https://doaj.org/article/5cd64188174e4c99bfdca3d7276a666f2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5817https://doaj.org/toc/2072-6694To enable rapid proliferation, colorectal tumor cells up-regulate epidermal growth factor receptor (EGFR) signaling and aerobic glycolysis, resulting in substantial lactate release into the tumor microenvironment and impaired anti-tumor immune responses. We hypothesized that a nutritional intervention designed to reduce aerobic glycolysis may boost the EGFR-directed antibody (Ab)-based therapy of pre-existing colitis-driven colorectal carcinoma (CRC). CRC development was induced by azoxymethane (AOM) and dextran sodium sulfate (DSS) administration to C57BL/6 mice. AOM/DSS-treated mice were fed a glucose-free, high-protein diet (GFHPD) or an isoenergetic control diet (CD) in the presence or absence of an <i>i.p.</i> injection of an anti-EGFR mIgG2a or respective controls. AOM/DSS-treated mice on a GFHPD displayed a reduced systemic glucose metabolism associated with reduced oxidative phosphorylation (OXPHOS) complex IV expression and diminished tumor loads. Comparable but not additive to an anti-EGFR-Ab therapy, the GFHPD was accompanied by enhanced tumoral goblet cell differentiation and decreased colonic PD-L1 and splenic CD3ε, as well as PD-1 immune checkpoint expression. In vitro, glucose-free, high-amino acid culture conditions reduced proliferation but improved goblet cell differentiation of murine and human CRC cell lines MC-38 and HT29-MTX in combination with down-regulation of PD-L1 expression. We here found GFHPD to systemically dampen glycolysis activity, thereby reducing CRC progression with a similar efficacy to EGFR-directed antibody therapy.Kerstin SkibbeAnn-Kathrin BrethackAnnika SünderhaufMohab RagabAnnika RaschdorfMaren HickenHeidi SchlichtingJoyce PreiraJennifer BrandtDarko CastvenBandik FöhRené PagelJens U. MarquardtChristian SinaStefanie DererMDPI AGarticleEGFRcolorectal canceramino acid metabolismPD-L1PD-1AOM/DSSNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5817, p 5817 (2021)
institution DOAJ
collection DOAJ
language EN
topic EGFR
colorectal cancer
amino acid metabolism
PD-L1
PD-1
AOM/DSS
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle EGFR
colorectal cancer
amino acid metabolism
PD-L1
PD-1
AOM/DSS
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Kerstin Skibbe
Ann-Kathrin Brethack
Annika Sünderhauf
Mohab Ragab
Annika Raschdorf
Maren Hicken
Heidi Schlichting
Joyce Preira
Jennifer Brandt
Darko Castven
Bandik Föh
René Pagel
Jens U. Marquardt
Christian Sina
Stefanie Derer
Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
description To enable rapid proliferation, colorectal tumor cells up-regulate epidermal growth factor receptor (EGFR) signaling and aerobic glycolysis, resulting in substantial lactate release into the tumor microenvironment and impaired anti-tumor immune responses. We hypothesized that a nutritional intervention designed to reduce aerobic glycolysis may boost the EGFR-directed antibody (Ab)-based therapy of pre-existing colitis-driven colorectal carcinoma (CRC). CRC development was induced by azoxymethane (AOM) and dextran sodium sulfate (DSS) administration to C57BL/6 mice. AOM/DSS-treated mice were fed a glucose-free, high-protein diet (GFHPD) or an isoenergetic control diet (CD) in the presence or absence of an <i>i.p.</i> injection of an anti-EGFR mIgG2a or respective controls. AOM/DSS-treated mice on a GFHPD displayed a reduced systemic glucose metabolism associated with reduced oxidative phosphorylation (OXPHOS) complex IV expression and diminished tumor loads. Comparable but not additive to an anti-EGFR-Ab therapy, the GFHPD was accompanied by enhanced tumoral goblet cell differentiation and decreased colonic PD-L1 and splenic CD3ε, as well as PD-1 immune checkpoint expression. In vitro, glucose-free, high-amino acid culture conditions reduced proliferation but improved goblet cell differentiation of murine and human CRC cell lines MC-38 and HT29-MTX in combination with down-regulation of PD-L1 expression. We here found GFHPD to systemically dampen glycolysis activity, thereby reducing CRC progression with a similar efficacy to EGFR-directed antibody therapy.
format article
author Kerstin Skibbe
Ann-Kathrin Brethack
Annika Sünderhauf
Mohab Ragab
Annika Raschdorf
Maren Hicken
Heidi Schlichting
Joyce Preira
Jennifer Brandt
Darko Castven
Bandik Föh
René Pagel
Jens U. Marquardt
Christian Sina
Stefanie Derer
author_facet Kerstin Skibbe
Ann-Kathrin Brethack
Annika Sünderhauf
Mohab Ragab
Annika Raschdorf
Maren Hicken
Heidi Schlichting
Joyce Preira
Jennifer Brandt
Darko Castven
Bandik Föh
René Pagel
Jens U. Marquardt
Christian Sina
Stefanie Derer
author_sort Kerstin Skibbe
title Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
title_short Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
title_full Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
title_fullStr Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
title_full_unstemmed Colorectal Cancer Progression Is Potently Reduced by a Glucose-Free, High-Protein Diet: Comparison to Anti-EGFR Therapy
title_sort colorectal cancer progression is potently reduced by a glucose-free, high-protein diet: comparison to anti-egfr therapy
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/5cd64188174e4c99bfdca3d7276a666f
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