Shivanand Pudakalakatti1, Mark Titus2, Imad Shureiqi3, Xiangsheng Zuo4, and Pratip Bhattacharya1
1Cancer Systems Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, United States, 2Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States, 3University of Michigan, Ann Arbor, MI, United States, 4Gastrointestinal Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States
Synopsis
Keywords: Digestive, Hyperpolarized MR (Non-Gas), 13C Pyruvate, Metabolomics
Peroxisome proliferator-activated
receptor delta (PPARD) is a ligand-dependent nuclear transcription factor that
regulates a multiplicity of pathophysiological processes vital to cell
metabolism. Recent discovery of PPARD overexpressed in villin-positive gastric
progenitor cells, demonstrated spontaneous development of large, invasive gastric tumors as the mice aged. These unique animal models allowed us to
address the knowledge gap of PPARD-regulated downstream metabolic changes and
determine the significance of changes in gastric tumorigenesis by
hyperpolarized MRI, NMR spectroscopy and LC-MS. Unlike many cancer
systems, we found these gastric cancer tumors are not
primarily dependent on aerobic glycolysis but on fatty
acid oxidation for energy.
Background
Peroxisome proliferator-activated receptor delta (PPARD) is a nuclear
receptor known to play an essential role in regulation of cell metabolism, cell
proliferation, inflammation, and tumorigenesis in normal and cancer cells.
Recent discovery of PPARD overexpressed in villin-positive gastric progenitor
cells, demonstrated spontaneous development of large, invasive gastric tumors
as the mice aged. However, the role of PPARD in regulation of downstream
metabolism in normal gastric and tumor cells is elusive. The aim of this study
is to apply Magnetic Resonance (MR) and mass spectrometry-based analytical
techniques to understand PPARD-regulated downstream metabolic changes and
significance of those changes to gastric tumorigenesis in mice. Methods
Hyperpolarized
1-13C pyruvate MR spectroscopy (in vivo), Nuclear Magnetic
Resonance (NMR) spectroscopy and Liquid Chromatography-Mass Spectrometry
(LC-MS) (ex vivo) were employed for metabolic profiling to determine the
PPARD-regulated metabolite changes in different time points of PPARD
overexpressing mice during the development of gastric cancer (GC) and compared with the corresponding
wild-type (WT) mice.Results
NMR-spectroscopy based metabolomics screening results showed increased
levels of inosine monophosphate (p = 0.0054), uracil (p = 0.0205), phenylalanine
(p = 0.017), glycine (p = 0.014), and isocitrate (p = 0.029) and lower levels
of inosine (p = 0.0188) in 55-week-old PPARD mice than in 55-week-old wild-type
mice (Figure 1). PPARD mice as aged from 10 weeks to 35 weeks and 55
weeks, the significant changes in levels of the metabolites inosine
monophosphate (p = 0.0054), adenosine monophosphate (p = 0.009), UDP-glucose (p
= 0.0006), and oxypurinol (p = 0.039) were observed. Hyperpolarized 1-13C
pyruvate to lactate flux measurement in live 10 weeks-old PPARD mice with no
gastric tumors and 35 weeks-old PPARD mice with gastric tumors did not show any
significant difference in nLac (ratio of lactate to total pyruvate+lactate)
value indicating this PPARD-induced spontaneous gastric tumor development does
not require glycolysis as the main source of fuel to tumorigenesis in GC (Figure
2). On the other hand, LC-MS analysis of the fatty acid levels showed a concomitant
decrease in linoleic acid, palmitic acid, oleic acid and steric acid in
55-week-old PPARD mice compared to 10-week-old PPARD mice, supporting fatty
acid oxidation as a bioenergy source for PPARD overexpressing gastric tumors (Figure
3). Conclusions
NMR spectroscopy and LC-MS data revealed significant changes in
PPARD-regulated downstream metabolites in preclinical mouse models. Unlike many
cancer systems, we found this PPARD overexpressing gastric cancer tumors are
not primarily dependent on aerobic glycolysis. Instead, our data demonstrated that
fatty acid oxidation is the dominant bioenergy source in these tumors. PPARD
and PPARD-mediated metabolite changes might be the potential targets for
developing interventions for gastric cancer chemoprevention and chemotherapies.Acknowledgements
This research was funded in part by a grant from NCI PREVENT;
Cancer Prevention Research Institute of Texas (RP220270),
Duncan Family Institute for Cancer Prevention and Risk Assessment Seed Funding;
by grants from the US National Cancer Institute (U01 CA214263, U54 CA151668 and
R21 CA185536, R01 CA218004; and 1P50 CA221707-01). This work also was supported
by the National Institutes of Health/NCI Cancer Center Support Grant under
award number P30 CA016672.References
1. Torre, L.A.; Bray, F.; Siegel, R.L.;
Ferlay, J.; Lortet-Tieulent, J.; Jemal, A. Global cancer statistics, 2012. CA
Cancer J. Clin. 2015, 65, 87–108.
2. Zuo, X.; Deguchi, Y.; Xu, W.; Liu, Y.;
Li, H.S.; Wei, D.; Tian, R.; Chen, W.; Xu, M.; Yang, Y.; et al. PPARD and
Interferon Gamma Promote Transformation of Gastric Progenitor Cells and
Tumorigenesis in Mice. Gastroenterology 2019, 157, 163–178.
3. Pudakalakatti, S.; Zuo, X.; Titus, M.;
Shureiqi, I.; Bhattacharya, P. Identifying the Metabolic Signatures of
PPARD-Overexpressing Gastric Tumors. Int. J. Mol. Sci. 2022, 23(3), 1645