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2017 ; 352
(1
): 20-33
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Tumor stroma interaction is mediated by monocarboxylate metabolism
#MMPMID28132882
Patel BB
; Ackerstaff E
; Serganova IS
; Kerrigan JE
; Blasberg RG
; Koutcher JA
; Banerjee D
Exp Cell Res
2017[Mar]; 352
(1
): 20-33
PMID28132882
show ga
Human breast tumors contain significant amounts of stromal cells. There exists
strong evidence that these stromal cells support cancer development and
progression by altering various pathways (e.g. downregulation of tumor suppressor
genes or autocrine signaling loops). Here, we suggest that stromal
carcinoma-associated fibroblasts (CAFs), shown to be generated from bone
marrow-derived mesenchymal stem cells, may (i) recycle tumor-derived lactate for
their own energetic requirements, thereby sparing glucose for neighboring
glycolytic tumor cells, and (ii) subsequently secrete surplus energetically and
biosynthetically valuable metabolites of lactate oxidation, such as pyruvate, to
support tumor growth. Lactate, taken up by stromal CAFs, is converted to
pyruvate, which is then utilized by CAFs for energy needs as well as excreted and
shared with tumor cells. We have interrogated lactate oxidation in CAFs to
determine what metabolites may be secreted, and how they may affect the
metabolism and growth of MDA-MB-231 breast cancer cells. We found that CAFs
secrete pyruvate as a metabolite of lactate oxidation. Further, we show that
pyruvate is converted to lactate to promote glycolysis in MDA-MB-231 cells and
helps to control elevated ROS levels in these tumor cells. Finally, we found that
inhibiting or interfering with ROS management, using the naturally occurring
flavonoid phloretin (found in apple tree leaves), adds to the cytotoxicity of the
conventional chemotherapeutic agent doxorubicin. Our work demonstrates that a
lactate-pyruvate, reciprocally-supportive metabolic relationship may be operative
within the tumor microenvironment (TME) to support tumor growth, and may be a
useful drug target.