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

Cancers
November 19, 2021
Kerstin Skibbe et al. (15 authors)
Journal ArticleHuman StudyAnimal StudyMolecular Study
Study Details

Study Goal

The researchers aimed to determine whether a glucose-free, high-protein diet (GFHPD) could reduce aerobic glycolysis and enhance the efficacy of anti-EGFR antibody therapy in colitis-driven colorectal carcinoma (CRC).

Results Summary

The GFHPD reduced systemic glucose metabolism, tumor loads, and immune checkpoint expression while improving goblet cell differentiation, showing comparable efficacy to anti-EGFR antibody therapy. In vitro, glucose-free, high-amino acid conditions reduced CRC cell proliferation and PD-L1 expression.

Population

C57BL/6 mice with AOM/DSS-induced colorectal carcinoma.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
glucose-free, high-protein diet (GFHPD)
decrease
systemic glucose metabolism
AOM/DSS-treated mice
-
displayed a reduced
#1
glucose-free, high-protein diet (GFHPD)
decrease
oxidative phosphorylation (OXPHOS) complex IV expression
AOM/DSS-treated mice
-
reduced
#2
glucose-free, high-protein diet (GFHPD)
decrease
tumor loads
AOM/DSS-treated mice
-
diminished
#3
glucose-free, high-protein diet (GFHPD)
increase
tumoral goblet cell differentiation
AOM/DSS-treated mice
-
was accompanied by enhanced
#4
glucose-free, high-protein diet (GFHPD)
decrease
colonic PD-L1
AOM/DSS-treated mice
-
decreased
#5
glucose-free, high-protein diet (GFHPD)
decrease
splenic CD3ε
AOM/DSS-treated mice
-
decreased
#6
glucose-free, high-protein diet (GFHPD)
decrease
PD-1 immune checkpoint expression
AOM/DSS-treated mice
-
decreased
#7
glucose-free, high-amino acid culture conditions
decrease
proliferation
murine and human CRC cell lines MC-38 and HT29-MTX
-
reduced
#8
glucose-free, high-amino acid culture conditions
increase
goblet cell differentiation
murine and human CRC cell lines MC-38 and HT29-MTX
-
improved
#9
glucose-free, high-amino acid culture conditions
decrease
PD-L1 expression
murine and human CRC cell lines MC-38 and HT29-MTX
-
down-regulation of
#10
GFHPD
decrease
glycolysis activity
-
-
to systemically dampen
#11
GFHPD
decrease
CRC progression
-
-
reducing
#12
Abstract

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.p. 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.

Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality78/10
Citation Metrics
Total Citations4
Citations/Year1.0
Relative Citation Ratio0.35
NIH Percentile18.9%
Research Impact Scores
APT Score0.05
Weight Score1.14
Normalized Score0.70
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