May 13, 2024

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This type of diet can trigger cancer cells to self-destruct

This type of diet can trigger cancer cells to self-destruct



 

 

This type of diet can trigger cancer cells to self-destruct.

Ferroptosis is a novel form of programmed cell death that is iron-dependent and distinct from apoptosis, necrosis, and autophagy.

It is caused by the accumulation of iron-dependent lipid peroxides and was first proposed by Professor Brent R. Stockwell from Columbia University in 2012.

 

The main mechanism of ferroptosis involves the catalysis of highly expressed unsaturated fatty acids on the cell membrane by divalent iron or lipoxygenase, leading to lipid peroxidation and subsequent induction of cell death.

Additionally, it is characterized by the downregulation of the core enzyme GPX4, a key regulator in the antioxidant system (glutathione system).

 


The main mechanisms of death are:

 

GPX4 inactivation based on GSH depletion:

As mentioned previously, the GPX4 enzyme is the only GPX (glutathione peroxidase) used for liposomal peroxide reduction in cells. The role of GPX4 is reflected in that GPX4 can convert the peroxygen bond of lipid peroxidation into hydroxyl and lose its peroxide activity. 
GPX4-based enzymatic activity, the main targets are: System Xc-system (responsible for transporting cysteine, the raw material for GSH synthesis, into the cell), glutamic acid-cysteine ​​ligase, glutathione s-transfer Enzyme, ND dehydrogenase, (cysteine) consumption, etc.

GPX4 inactivation:

As mentioned in 1, in addition to the indirect action of GSH that activates the GPX4 enzyme, it can also directly eliminate GPX4. Such as GPX4 inhibitors, squalene synthase, HMG-CoA reductase.

Iron ion input and iron ion reduction:

import iron ions into cells, and ensure that iron ions exist in a large amount in the form of divalent iron, which can initiate liposome peroxidation through Fenton reaction.

 

Glutathione plays a crucial role in the process of ferroptosis, as it is an antioxidant in the human body that inhibits the activity of glutathione peroxidase 4 (GPX-4), thereby suppressing lipid peroxidation and inhibiting the process of iron-dependent cell death.

Glutathione is directly synthesized from the sulfur-containing amino acid cysteine; therefore, restricting the intake of cysteine and methionine through diet (cysteine and methionine deprivation, CMD) can limit the generation of glutathione in the body and promote iron-dependent cell death in cancer cells, effectively controlling tumor growth.

 

A recent study published in Nature Communications focused on glioblastoma, a malignant tumor originating in the brain.

The research demonstrated that controlling tumor growth can be achieved by restricting the intake of cysteine and methionine, as treatment resistance and oxidative stress in this tumor type are closely associated with the metabolism and oxidative stress of glutathione.

 

 

 


 

CMD induces ferroptosis in glioma cells

This type of diet can trigger cancer cells to self-destruct.







Ferroptosis is an iron-dependent, new type of programmed cell death that is different from apoptosis, necrosis, and autophagy.
It is caused by the accumulation of iron-dependent lipid peroxides.
Proposed in 2012 by Professor Brent R. Stockwell of Columbia University. 
The main mechanism of ferroptosis is that, under the action of ferrous iron or ester oxygenase, it catalyzes the highly expressed unsaturated fatty acids on the cell membrane to cause lipid peroxidation, thereby inducing cell death; in addition, it also manifests as an antioxidant system ( Glutathione system) regulation core enzyme GPX4 decreased.
The research was first conducted on glioma cells cultured in vitro. The drug RSL3 is an inhibitor of glutathione peroxidase 4 (GPX-4). The study found that RSL3 showed dose-dependent sensitivity to the activity of 5 types of glioma cell lines.
The higher the dose of RSL3, the more glioma The lower the activity of tumor cells (above figure a), the addition of ferroptosis inhibitor FER-1 can inhibit the effect of RSL3 and restore and maintain the activity of tumor cells (above b+c earthy yellow), while RSL3 combined with deprivation of cysteine ​​and methionine ( CMD) can enhance the effect of RSL3 (above b blue + c black). 
Therefore, in vitro studies have shown that glutathione peroxidase 4 (GPX-4) can inhibit the activity of glioma cells, and its mechanism of action works through ferroptosis, while cysteine ​​and methionine deprivation (CMD) can inhibit the activity of glioma cells. Enhance the inhibitory effect of RSL3 on tumor cells.

 

Changes of CMD on metabolic function in glioma mice

Through the analysis of more than 1,000 metabolites of 2 types of glioma mice MG1 and MG3 treated with CMD for 24 hours, it was found that cysteine/methionine metabolism, glycine-serine-proline metabolism, taurine/ Hypotaurine metabolism, alanine/aspartate/glutamate metabolism, and selenium compound metabolism were significantly affected by CMD (p<0.05); metabolite surveys showed reductions in both oxidized and reduced glutathione (p<0.05).
When the mice with MG3 brain tumor cells were treated with CMD for 48 hours, it was found that CMD significantly reduced the concentrations of hypotaurine and methionine, and the reduction of glutamate was observed at 24 hours, and the redox glutamate was observed at 48 hours.
Glutathione, glutamate, and hypotaurine/taurine decreased, while related amino acids and metabolites increased significantly.

 


The effect of CMD on the survival rate of glioma mice

This type of diet can trigger cancer cells to self-destruct.







Ferroptosis is an iron-dependent, new type of programmed cell death that is different from apoptosis, necrosis, and autophagy.
It is caused by the accumulation of iron-dependent lipid peroxides.
Proposed in 2012 by Professor Brent R. Stockwell of Columbia University. 
The main mechanism of ferroptosis is that, under the action of ferrous iron or ester oxygenase, it catalyzes the highly expressed unsaturated fatty acids on the cell membrane to cause lipid peroxidation, thereby inducing cell death; in addition, it also manifests as an antioxidant system ( Glutathione system) regulation core enzyme GPX4 decreased.

 

Animal experiments on mice were first divided into two groups. Seven days after the injection of MG3 glioma cells, the mice were fed with the control diet (0.43% w/w methionine, 0.40% w/w cystine) and CMD respectively.

Diet (0.15% w/w methionine, 0% w/w cystine), the results of the study found that although the diet of CMD had a significant effect on the weight loss of mice, the survival rate (OS) of CMD mice was significantly better than in the control group (above b).

The synergy of CMD diet with RSL3 treatment was next tested by dividing mice into 4 groups: control diet (0.43% w/w methionine, 0.40% w/w cystine) ± RSL3 treatment and CMD diet (0.15% w/w /w methionine, 0% w/w cystine)±RSL3 treatment, the study found that the CMD+RSL3 treatment group had the longest survival time and was significantly better than the control group, followed by the RSL3 treatment group, followed by the CMD diet, and the control group The diet group had the worst survival (c and d above panel).

 

Continued analysis of changes in the lipidome, metabolome, and proteome of the experimental mice, including acetylmethionine, adenosylhomocysteine, cysteine, oxidized glutathione, and formazan after the CMD diet Concentrations of several metabolites including thionine were reduced in the tumor volume.

Methionine showed a downward trend on the 2nd day, and decreased significantly on the 4th day, while oxidized glutathione showed a decrease on the 2nd day of CMD, but this difference narrowed on the 4th day, which suggested Compensatory mechanisms may exist in mice.

Metabolite analysis of the CMD diet or the control diet showed decreased levels of hypotaurine and oxidized/total glutathione, as well as decreased levels of cysteine. Quantitative metabolite pathway analysis revealed significant alterations (p < 0.10) in taurine/hypotaurine metabolism, glutathione metabolism, arginine metabolism, tricarboxylic acid cycle, and fatty acid elongation/degradation.

Proteomic analysis found that other genes/proteomes were enriched in the CMD group compared with the control group and affected immunosuppression.

 

In vitro medium and mouse experiments confirmed that restriction of cysteine ​​and methionine intake (cysteine ​​and methionine deprivation CMD) exerted anti-tumor effect through ferroptosis mechanism, and CMD affected the activity of glioma and Prolonging the survival of glioma mice, this diet can also enhance the anti-tumor effect of GPX-4 inhibitors.

However, the CMD diet suppressed immunity and had a significant effect on weight loss in mice, so its safety needs to be further explored.

 

 

references:
Upadhyayula PS, Higgins DM, Mela A, Banu M, Dovas A, Zandkarimi F, Patel P, Mahajan A, Humala N, Nguyen TTT, Chaudhary KR, Liao L, Argenziano M, Sudhakar T, Sperring CP, Shapiro BL, Ahmed ER , Kinslow C, Ye LF, Siegelin MD, Cheng S, Soni R, Bruce JN, Stockwell BR, Canoll P. Dietary restriction of cysteine ​​and methionine sensitizes gliomas to ferroptosis and induces alterations in energy metabolism. Nat Commun. 2023 Mar 2;14(1):1187. doi: 10.1038/s41467-023-36630-w. PMID: 36864031; PMCID: PMC9981683.

This type of diet can trigger cancer cells to self-destruct.

(source:internet, reference only)


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