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Fasting and ketogenic food plan reveal new vulnerability of pancreatic tumors to present most cancers drug


In a current examine revealed in Nature, researchers study the position of fasting and ketogenesis in regulating protein synthesis and its potential implications for most cancers remedy.

Fasting and ketogenic food plan reveal new vulnerability of pancreatic tumors to present most cancers drug Examine: Remodelling of the translatome controls food plan and its impression on tumorigenesis. Picture Credit score: Vink Fan / Shuttersotck.com

Well being advantages of fasting

Fasting has been traditionally really helpful for its well being advantages, with data courting again to historical Greece.

The well being advantages related to fasting will be attributed to ‘metabolic rewiring,’ throughout which the physique makes use of ketone our bodies for vitality as a substitute of glucose. This stimulates weight reduction, reduces irritation, improves mind perform, and should defend in opposition to most cancers. Fasting may assist intestine well being by selling a more healthy and extra various microbiome, assist the regulation of key hormones together with human development hormone (HGH), leptin, and ghrelin, in addition to improve longevity by way of its anti-aging results.

Fasting, a high-fat low-carbohydrate food plan, and train can induce ketogenesis, which is concerned in numerous mobile signaling pathways. Regardless of in depth analysis on the organic mechanisms that could be answerable for the well being advantages of fasting, it stays unclear how this dietary strategy alters the proteome.

Results of fasting on protein translation

Throughout fasting, fatty acid ranges rise because of the breakdown of fat, thereby offering an alternate supply for vitality manufacturing.

Fasting additionally inhibits the mammalian goal of rapamycin (mTOR) pathway, which is a kinase that’s historically concerned within the synthesis and translation of proteins. The diminished exercise of mTOR throughout fasting subsequently results in diminished protein synthesis, significantly within the liver.

Nonetheless, the synthesis of sure liver proteins will increase throughout fasting, an impact that’s mediated by phosphorylation of the eukaryotic translation initiation issue 4E (P-eIF4E). P-eIF4E performs a vital position in regulating the interpretation of varied proteins which might be essential for ketone manufacturing.

What’s P-eIF4E?

Lengthy-chain fatty acids produced throughout ketogenesis bind to adenosine monophosphate (AMP)-activated protein kinase (AMPK), which prompts glucose and will increase the uptake of fatty acids throughout low vitality states. AMPK exercise additionally prompts mitogen-activated protein kinase (MAPK)-interacting protein kinase (MNK), which phosphorylates eIF4E; subsequently, AMPK is vital a regulator of ketogenesis by way of P-eIF4E.

This pathway, which is in any other case known as the AMPK-MNK-eIF4E axis, is an important facet of selective protein translation that happens throughout ketogenic states like fasting. Rising P-eIF4E ranges throughout fasting results in elevated translation of particular messenger ribonucleic acids (mRNAs) concerned in lipid catabolism and ketone physique manufacturing. The binding of P-eIF4E to translation regulatory components within the 5’ untranslated areas (5’ UTRs) upregulates these genes.

 

Most cancers metabolism and the AMPK-MNK-eIF4E axis

Sure cancers, particularly those who originate within the pancreas, can adapt to low-glucose environments by changing their vitality supply to ketone our bodies. Throughout this type of metabolism, cancerous cells might depend on P-eIF4E for his or her development and metastasis.

In an effort to elucidate the position of ketogenesis in most cancers cell survival and proliferation, the researchers of the present examine explored the potential anticancer results of the P-eIF4E inhibitor tomivosertib. To this finish, tomivosertib therapy led to a major discount in P-eIF4E ranges and ketogenesis in mice; nevertheless, no important results on physique weight or blood glycerol and fatty acid ranges had been noticed.

Thus, P-eIF4E inhibition results in the diminished translation of mRNAs concerned in ketogenesis, which subsequently prevents ketone manufacturing and impacts the metabolism of lipids concerned in most cancers cell development.

Conclusions

The present examine demonstrates the essential position of the AMPK-MNK-eIF4E axis in linking lipid metabolism with selective protein translation throughout fasting and ketogenesis. Via this pathway, P-eIF4E helps homeostasis throughout the liver by facilitating the manufacturing and launch of ketone our bodies as a substitute vitality supply when glucose isn’t obtainable.

Sooner or later, the researchers of the present examine anticipate that combining a ketogenic food plan with P-eIF4E inhibitor therapy has the potential to deal with pancreatic most cancers. Though the present examine solely examined the position of ketogenesis and P-eIF4E within the context of pancreatic most cancers, extra analysis is required to discover whether or not such a translational regulation extends to different cancers and tissue sorts than liver cells.

Our findings unveil a brand new fatty acid-induced signalling pathway that prompts selective translation, which underlies ketogenesis and supplies a tailor-made food plan intervention remedy for most cancers.”

Journal reference:

  • Yang, H., Zingaro, V. A., Lincoff, J., et al. (2024). Remodelling of the translatome controls food plan and its impression on tumorigenesis. Naturedoi:10.1038/s41586-024-07781-7.

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