Metabolic management of brain cancer.

作者: Thomas N Seyfried , Michael A Kiebish , Jeremy Marsh , Laura M Shelton , Leanne C Huysentruyt

DOI: 10.1016/J.BBABIO.2010.08.009

关键词: Energy sourceGlycolysisAngiogenesisMetabolic control analysisBioinformaticsGliomaKetogenic dietCalorie restrictionEndocrinologyKetone bodiesBiologyInternal medicine

摘要: Malignant brain tumors are a significant health problem in children and adults. Conventional therapeutic approaches have been largely unsuccessful providing long-term management. As primarily metabolic disease, malignant cancer can be managed through changes environment. In contrast to normal neurons glia, which readily transition ketone bodies (β-hydroxybutyrate) for energy under reduced glucose, strongly dependent on glycolysis energy. The from glucose as major source is an evolutionary conserved adaptation food deprivation that permits the survival of cells during extreme shifts nutritional Only those with flexible genome mitochondria effectively one state another. Mutations restrict genomic flexibility thus making tumor more vulnerable stress than cells. We propose alternative approach management exploits at expense genetically defective metabolically challenged This supported recent studies mice humans treated calorie restriction ketogenic diet. Issues implementation use protocols presented cancer.

参考文章(284)
George F. Cahill, Richard L. Veech, Ketoacids? Good medicine? Transactions of the American Clinical and Climatological Association. ,vol. 114, pp. 149- 163 ,(2003)
Folkman J, The role of angiogenesis in tumor growth. Seminars in Cancer Biology. ,vol. 3, pp. 65- 71 ,(1992)
Bernd Romeike, Christian Ra Regenbrecht, Christian Ewald, Rolf Kalff, Michael Brodhun, Rupert Reichart, Ulrike Mueller, Susane Frank, Hartwig Kosmehl, Susane A Kuhn, Metastatic glioblastoma cells use common pathways via blood and lymphatic vessels. Neurologia I Neurochirurgia Polska. ,vol. 43, pp. 183- ,(2009)
Mary C. McKenna, Gerald A. Dienel, Ursula Sonnewald, Helle S. Waagepetersen, Arne Schousboe, Energy Metabolism of the Brain Basic Neurochemistry (Eighth Edition)#R##N#Principles of Molecular, Cellular, and Medical Neurobiology. pp. 200- 231 ,(2012) , 10.1016/B978-0-12-374947-5.00011-0
Thomas N. Seyfried, Michael A. Kiebish, Purna Mukherjee, Targeting Energy Metabolism in Brain Cancer with Restricted Diets Springer, New York, NY. pp. 341- 363 ,(2010) , 10.1007/978-1-4419-0410-2_17
Tisdale Mj, Role of acetoacetyl-CoA synthetase in acetoacetate utilization by tumor cells. Cancer biochemistry biophysics. ,vol. 7, pp. 101- 107 ,(1984)
Peter L. Pedersen, Tumor mitochondria and the bioenergetics of cancer cells. Progress in Experimental Tumor Research. ,vol. 22, pp. 190- 274 ,(1978) , 10.1159/000401202
W. M. Kirsch, D. Schulz, J. Van Buskirk, P. Nakane, Anaerobic energy metabolism in brain tumors. Progress in Experimental Tumor Research. ,vol. 17, pp. 163- 191 ,(1972) , 10.1159/000393673
Ewa Izycka-Swieszewska, Robert Rzepko, Mirosław Stempniewicz, Jolanta Borowska-Lehman, Magdalena Sidorowicz, Angiogenesis in glioblastoma--analysis of intensity and relations to chosen clinical data. Folia Neuropathologica. ,vol. 41, pp. 15- 21 ,(2003)