An amino acid-defined diet impairs tumour growth in mice by promoting endoplasmic reticulum stress and mTOR inhibition.
Study Goal
The researchers aimed to determine whether a dietary approach enriched in free essential amino acids (EAAs) could reverse metabolic inflexibility in tumors and serve as an adjuvant therapy for cancer.
Results Summary
The SFA-EAA diet reduced tumor growth in mice, promoted ER stress, and inhibited mTOR activity in tumors. In vitro, the EAA mixture (EAAm) induced apoptosis in cancer cells without affecting non-cancer cells, by increasing BCAA oxidation and activating the GCN2-ATF4 stress pathway.
Population
Xenografted mice and diverse cancer/non-cancer cell lines.
Effective Dosage
Not specified.
Duration
Not specified.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
SFA-EAA diet | decrease | tumour growth | xenografted mice | - | reduced | #1 |
SFA-EAA diet | increase | endoplasmic reticulum (ER) stress | tumours | - | promoted | #2 |
SFA-EAA diet | decrease | mechanistic/mammalian target of rapamycin (mTOR) activity | tumours | - | inhibited | #3 |
EAAm | increase | apoptotic cell death | cancer cells | - | activated | #4 |
EAAm | no change | survival and proliferation | non-cancer cells | - | without affecting | #5 |
EAAm | increase | branched-chain amino acid (BCAA) oxidation | cancer cells | - | increased | #6 |
EAAm | decrease | glycolysis | cancer cells | - | decreased | #7 |
EAAm | decrease | ATP levels | cancer cells | - | decreased | #8 |
EAAm | decrease | redox potential | cancer cells | - | decreased | #9 |
EAAm | decrease | intracellular content of selective non-essential amino acids (NEAA) | cancer cells | - | decreased | #10 |
EAAm-induced NEAA starvation | increase | GCN2-ATF4 stress pathway | cancer cells | - | activated | #11 |
EAAm-induced NEAA starvation | increase | ER stress | cancer cells | - | leading to | #12 |
EAAm-induced NEAA starvation | decrease | mTOR inactivation | cancer cells | - | leading to | #13 |
EAAm-induced NEAA starvation | increase | apoptosis | cancer cells | - | leading to | #14 |
CAAm | no change | activated apoptotic cell death | cancer cells | - | not | #15 |
OBJECTIVE: Profound metabolic alterations characterize cancer development and, beyond glucose addiction, amino acid (AA) dependency is now recognized as a hallmark of tumour growth. Therefore, targeting the metabolic addiction of tumours by reprogramming their substrate utilization is an attractive therapeutic strategy. We hypothesized that a dietary approach targeted to stimulate oxidative metabolism could reverse the metabolic inflexibility of tumours and represent a proper adjuvant therapy. METHODS: We measured tumour development in xenografted mice fed with a designer, casein-deprived diet enriched in free essential amino acids (EAAs; SFA-EAA diet), or two control isocaloric, isolipidic, and isonitrogenous diets, identical to the SFA-EAA diet except for casein presence (SFA diet), or casein replacement by the free AA mixture designed on the AA profile of casein (SFA-CAA diet). Moreover, we investigated the metabolic, biochemical, and molecular effects of two mixtures that reproduce the AA composition of the SFA-EAA diet (i.e., EAAm) and SFA-CAA diet (i.e., CAAm) in diverse cancer and non-cancer cells. RESULTS: The SFA-EAA diet reduced tumour growth in vivo, promoted endoplasmic reticulum (ER) stress, and inhibited mechanistic/mammalian target of rapamycin (mTOR) activity in the tumours. Accordingly, in culture, the EAAm, but not the CAAm, activated apoptotic cell death in cancer cells without affecting the survival and proliferation of non-cancer cells. The EAAm increased branched-chain amino acid (BCAA) oxidation and decreased glycolysis, ATP levels, redox potential, and intracellular content of selective non-essential amino acids (NEAA) in cancer cells. The EAAm-induced NEAA starvation activated the GCN2-ATF4 stress pathway, leading to ER stress, mTOR inactivation, and apoptosis in cancer cells, unlike non-cancer cells. CONCLUSION: Together, these results confirm the efficacy of specific EAA mixtures in promoting cancer cells' death and suggest that manipulation of dietary EAA content and profile could be a valuable support to the standard chemotherapy for specific cancers.