Catabolism of exogenous lactate reveals it as a legitimate metabolic substrate in breast cancer

Lactate accumulation in tumors has been associated with metastases and poor overall survival in cancer patients. Lactate promotes angiogenesis and metastasis, providing rationale for understanding how it is processed by cells. The concentration of lactate in tumors is a balance between the amount pr...

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Veröffentlicht in:PloS one 2013-09, Vol.8 (9), p.e75154
Hauptverfasser: Kennedy, Kelly M, Scarbrough, Peter M, Ribeiro, Anthony, Richardson, Rachel, Yuan, Hong, Sonveaux, Pierre, Landon, Chelsea D, Chi, Jen-Tsan, Pizzo, Salvatore, Schroeder, Thies, Dewhirst, Mark W
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container_issue 9
container_start_page e75154
container_title PloS one
container_volume 8
creator Kennedy, Kelly M
Scarbrough, Peter M
Ribeiro, Anthony
Richardson, Rachel
Yuan, Hong
Sonveaux, Pierre
Landon, Chelsea D
Chi, Jen-Tsan
Pizzo, Salvatore
Schroeder, Thies
Dewhirst, Mark W
description Lactate accumulation in tumors has been associated with metastases and poor overall survival in cancer patients. Lactate promotes angiogenesis and metastasis, providing rationale for understanding how it is processed by cells. The concentration of lactate in tumors is a balance between the amount produced, amount carried away by vasculature and if/how it is catabolized by aerobic tumor or stromal cells. We examined lactate metabolism in human normal and breast tumor cell lines and rat breast cancer: 1. at relevant concentrations, 2. under aerobic vs. hypoxic conditions, 3. under conditions of normo vs. hypoglucosis. We also compared the avidity of tumors for lactate vs. glucose and identified key lactate catabolites to reveal how breast cancer cells process it. Lactate was non-toxic at clinically relevant concentrations. It was taken up and catabolized to alanine and glutamate by all cell lines. Kinetic uptake rates of lactate in vivo surpassed that of glucose in R3230Ac mammary carcinomas. The uptake appeared specific to aerobic tumor regions, consistent with the proposed "metabolic symbiont" model; here lactate produced by hypoxic cells is used by aerobic cells. We investigated whether treatment with alpha-cyano-4-hydroxycinnamate (CHC), a MCT1 inhibitor, would kill cells in the presence of high lactate. Both 0.1 mM and 5 mM CHC prevented lactate uptake in R3230Ac cells at lactate concentrations at ≤ 20 mM but not at 40 mM. 0.1 mM CHC was well-tolerated by R3230Ac and MCF7 cells, but 5 mM CHC killed both cell lines ± lactate, indicating off-target effects. This study showed that breast cancer cells tolerate and use lactate at clinically relevant concentrations in vitro (± glucose) and in vivo. We provided additional support for the metabolic symbiont model and discovered that breast cells prevailingly take up and catabolize lactate, providing rationale for future studies on manipulation of lactate catabolism pathways for therapy.
doi_str_mv 10.1371/journal.pone.0075154
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Lactate promotes angiogenesis and metastasis, providing rationale for understanding how it is processed by cells. The concentration of lactate in tumors is a balance between the amount produced, amount carried away by vasculature and if/how it is catabolized by aerobic tumor or stromal cells. We examined lactate metabolism in human normal and breast tumor cell lines and rat breast cancer: 1. at relevant concentrations, 2. under aerobic vs. hypoxic conditions, 3. under conditions of normo vs. hypoglucosis. We also compared the avidity of tumors for lactate vs. glucose and identified key lactate catabolites to reveal how breast cancer cells process it. Lactate was non-toxic at clinically relevant concentrations. It was taken up and catabolized to alanine and glutamate by all cell lines. Kinetic uptake rates of lactate in vivo surpassed that of glucose in R3230Ac mammary carcinomas. The uptake appeared specific to aerobic tumor regions, consistent with the proposed "metabolic symbiont" model; here lactate produced by hypoxic cells is used by aerobic cells. We investigated whether treatment with alpha-cyano-4-hydroxycinnamate (CHC), a MCT1 inhibitor, would kill cells in the presence of high lactate. Both 0.1 mM and 5 mM CHC prevented lactate uptake in R3230Ac cells at lactate concentrations at ≤ 20 mM but not at 40 mM. 0.1 mM CHC was well-tolerated by R3230Ac and MCF7 cells, but 5 mM CHC killed both cell lines ± lactate, indicating off-target effects. This study showed that breast cancer cells tolerate and use lactate at clinically relevant concentrations in vitro (± glucose) and in vivo. We provided additional support for the metabolic symbiont model and discovered that breast cells prevailingly take up and catabolize lactate, providing rationale for future studies on manipulation of lactate catabolism pathways for therapy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24069390</pmid><doi>10.1371/journal.pone.0075154</doi><tpages>e75154</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2013-09, Vol.8 (9), p.e75154
issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1432136254
source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Aged
Alanine
Alanine - biosynthesis
Alzheimer's disease
Angiogenesis
Animals
Avidity
Biocompatibility
Biotechnology
Breast cancer
Breast Neoplasms - metabolism
Breast Neoplasms - pathology
Cancer
Catabolism
Catabolites
Cell cycle
Cell death
Cell Death - drug effects
Cell Hypoxia
Cell Line, Tumor
Comparative analysis
Coumaric Acids - pharmacology
Dextrose
Disease Models, Animal
Feasibility studies
Female
Fibroblasts
Gene expression
Glucose
Glucose - metabolism
Glutamate
Glutamic Acid - biosynthesis
Humans
Hypoxia
Kinetics
Lactic acid
Lactic Acid - metabolism
Mammary gland
Medical prognosis
Metabolic Networks and Pathways - drug effects
Metabolism
Metabolomics
Metastases
Metastasis
Middle Aged
Neoplasm Staging
Oncology
Oxidative stress
Pathology
Prostate
Rats
Respiration
Stromal cells
Substrates
Tumor cell lines
Tumors
title Catabolism of exogenous lactate reveals it as a legitimate metabolic substrate in breast cancer
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