PMID- 21133850 OWN - NLM STAT- MEDLINE DCOM- 20131017 LR - 20211020 IS - 1873-4316 (Electronic) IS - 1389-2010 (Print) IS - 1389-2010 (Linking) VI - 14 IP - 3 DP - 2013 TI - Peroxisome proliferator activated receptor alpha ligands as anticancer drugs targeting mitochondrial metabolism. PG - 342-56 AB - Tumor cells show metabolic features distinctive from normal tissues, with characteristically enhanced aerobic glycolysis, glutaminolysis and lipid synthesis. Peroxisome proliferator activated receptor alpha (PPAR alpha) is activated by nutrients (fatty acids and their derivatives) and influences these metabolic pathways acting antagonistically to oncogenic Akt and c-Myc. Therefore PPAR alpha can be regarded as a candidate target molecule in supplementary anticancer pharmacotherapy as well as dietary therapeutic approach. This idea is based on hitting the cancer cell metabolic weak points through PPAR alpha mediated stimulation of mitochondrial fatty acid oxidation and ketogenesis with simultaneous reduction of glucose and glutamine consumption. PPAR alpha activity is induced by fasting and its molecular consequences overlap with the effects of calorie restriction and ketogenic diet (CRKD). CRKD induces increase of NAD+/NADH ratio and drop in ATP/AMP ratio. The first one is the main stimulus for enhanced protein deacetylase SIRT1 activity; the second one activates AMP-dependent protein kinase (AMPK). Both SIRT1 and AMPK exert their major metabolic activities such as fatty acid oxidation and block of glycolysis and protein, nucleotide and fatty acid synthesis through the effector protein peroxisome proliferator activated receptor gamma 1 alpha coactivator (PGC-1alpha). PGC-1alpha cooperates with PPAR alpha and their activities might contribute to potential anticancer effects of CRKD, which were reported for various brain tumors. Therefore, PPAR alpha activation can engage molecular interplay among SIRT1, AMPK, and PGC-1alpha that provides a new, low toxicity dietary approach supplementing traditional anticancer regimen. FAU - Grabacka, Maja AU - Grabacka M AD - Department of Food Biotechnology, Faculty of Food Technology, University of Agriculture, Krakow 30- 149, ul. Balicka 122, Poland. maja.grabacka@ur.krakow.pl FAU - Pierzchalska, Malgorzata AU - Pierzchalska M FAU - Reiss, Krzysztof AU - Reiss K LA - eng GR - R01 CA095518/CA/NCI NIH HHS/United States GR - R01 CA095518-10/CA/NCI NIH HHS/United States GR - R01 CA 095518/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Curr Pharm Biotechnol JT - Current pharmaceutical biotechnology JID - 100960530 RN - 0 (Antineoplastic Agents) RN - 0 (Ligands) RN - 0 (PPAR alpha) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - EC 3.5.1.- (Sirtuins) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Antineoplastic Agents/pharmacology MH - Humans MH - Ligands MH - Mitochondria/*metabolism MH - Neoplasms/*metabolism MH - PPAR alpha/*metabolism MH - Sirtuins/metabolism PMC - PMC3631438 MID - NIHMS279565 EDAT- 2010/12/08 06:00 MHDA- 2013/10/18 06:00 PMCR- 2013/04/20 CRDT- 2010/12/08 06:00 PHST- 2010/04/22 00:00 [received] PHST- 2010/07/15 00:00 [revised] PHST- 2010/09/17 00:00 [accepted] PHST- 2010/12/08 06:00 [entrez] PHST- 2010/12/08 06:00 [pubmed] PHST- 2013/10/18 06:00 [medline] PHST- 2013/04/20 00:00 [pmc-release] AID - BSP/CPB/E-Pub/00058-12-3 [pii] AID - 10.2174/1389201011314030009 [doi] PST - ppublish SO - Curr Pharm Biotechnol. 2013;14(3):342-56. doi: 10.2174/1389201011314030009.