Synergic chemoprevention with dietary carbohydrate restriction and supplementation of AMPK-activating phytochemicals: the role of SIRT1

作者: Jong Doo Lee , Min-Ah Choi , Simon Weonsang Ro , Woo Ick Yang , Arthur E.H. Cho

DOI: 10.1097/CEJ.0000000000000141

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摘要: Calorie restriction or a low-carbohydrate diet (LCD) can increase life span in normal cells while inhibiting carcinogenesis. Various phytochemicals also have calorie restriction-mimetic anticancer properties. We investigated whether an isocaloric carbohydrate-restriction and AMP-activated protein kinase (AMPK)-activating induce synergic tumor suppression. used mixture of AMPK-activating phytochemical extracts including curcumin, quercetin, catechins, resveratrol. Survival analysis was carried out B16F10 melanoma model fed control (62.14% kcal carbohydrate, 24.65% kcal 13.2% kcal fat), with multiple (MP), LCD (16.5, 55.2, 28.3% kcal, respectively), (LCDmp), moderate-carbohydrate (MCD, 31.9, 62.4, 5.7% kcal, MCD (MCDmp). Compared the group, MP, LCD, intervention did not produce survival benefit, but LCDmp (22.80±1.58 vs. 28.00±1.64 days, P=0.040) MCDmp (23.80±1.08 30.13±2.29 P=0.008) increased median time significantly. Suppression IGF-1R/PI3K/Akt/mTOR signaling, activation AMPK/SIRT1/LKB1pathway, NF-κB suppression were critical tumor-suppression mechanisms. In addition, SIRT1 suppressed proliferation A375SM under low-glucose condition. Alterations histone methylation within Pten FoxO3a observed after intervention. transgenic liver cancer developed by hydrodynamic transfection HrasG12V shp53, interventions induced significant cancer-prevention effects. Microarray showed that PPARα decreased IL-6 hepatocytes conclusion, natural agents synergistic acts as suppressor

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