PMID- 23486551 OWN - NLM STAT- MEDLINE DCOM- 20130520 LR - 20220317 IS - 1460-2105 (Electronic) IS - 0027-8874 (Linking) VI - 105 IP - 7 DP - 2013 Apr 3 TI - Carnitine-acyltransferase system inhibition, cancer cell death, and prevention of myc-induced lymphomagenesis. PG - 489-98 LID - 10.1093/jnci/djt030 [doi] AB - BACKGROUND: The metabolic alterations of cancer cells represent an opportunity for developing selective antineoplastic treatments. We investigated the therapeutic potential of ST1326, an inhibitor of carnitine-palmitoyl transferase 1A (CPT1A), the rate-limiting enzyme for fatty acid (FA) import into mitochondria. METHODS: ST1326 was tested on in vitro and in vivo models of Burkitt's lymphoma, in which c-myc, which drives cellular demand for FA metabolism, is highly overexpressed. We performed assays to evaluate the effect of ST1326 on proliferation, FA oxidation, and FA mitochondrial channeling in Raji cells. The therapeutic efficacy of ST1326 was tested by treating Emicro-myc mice (control: n = 29; treatment: n = 24 per group), an established model of c-myc-mediated lymphomagenesis. Experiments were performed on spleen-derived c-myc-overexpressing B cells to clarify the role of c-myc in conferring sensitivity to ST1326. Survival was evaluated with Kaplan-Meier analyses. All statistical tests were two-sided. RESULTS: ST1326 blocked both long- and short-chain FA oxidation and showed a strong cytotoxic effect on Burkitt's lymphoma cells (on Raji cells at 72 hours: half maximal inhibitory concentration = 8.6 muM). ST1326 treatment induced massive cytoplasmic lipid accumulation, impairment of proper mitochondrial FA channeling, and reduced availability of cytosolic acetyl coenzyme A, a fundamental substrate for de novo lipogenesis. Moreover, treatment with ST1326 in Emicro-myc transgenic mice prevented tumor formation (P = .01), by selectively impairing the growth of spleen-derived primary B cells overexpressing c-myc (wild-type cells + ST1326 vs. Emicro-myc cells + ST1326: 99.75% vs. 57.5%, difference = 42.25, 95% confidence interval of difference = 14% to 70%; P = .01). CONCLUSIONS: Our data indicate that it is possible to tackle c-myc-driven tumorigenesis by altering lipid metabolism and exploiting the neoplastic cell addiction to FA oxidation. FAU - Pacilli, Annalisa AU - Pacilli A AD - Dipartimento di Patologia Sperimentale, Universita di Bologna, Via San Giacomo 14, 40126, Bologna, Italy. FAU - Calienni, Maria AU - Calienni M FAU - Margarucci, Sabrina AU - Margarucci S FAU - D'Apolito, Maria AU - D'Apolito M FAU - Petillo, Orsolina AU - Petillo O FAU - Rocchi, Laura AU - Rocchi L FAU - Pasquinelli, Gianandrea AU - Pasquinelli G FAU - Nicolai, Raffaella AU - Nicolai R FAU - Koverech, Aleardo AU - Koverech A FAU - Calvani, Menotti AU - Calvani M FAU - Peluso, Gianfranco AU - Peluso G FAU - Montanaro, Lorenzo AU - Montanaro L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130313 PL - United States TA - J Natl Cancer Inst JT - Journal of the National Cancer Institute JID - 7503089 RN - 0 (Anticarcinogenic Agents) RN - 0 (Fatty Acids) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 0 (ST1326) RN - EC 2.3.1.- (Carnitine Acyltransferases) RN - EC 2.3.1.21 (CPT1A protein, human) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - S7UI8SM58A (Carnitine) SB - IM MH - Animals MH - Anticarcinogenic Agents/*pharmacology MH - Apoptosis/*drug effects MH - B-Lymphocytes/drug effects/metabolism MH - Blotting, Western MH - Burkitt Lymphoma/*enzymology/metabolism/pathology/*prevention & control MH - Carnitine/*analogs & derivatives/pharmacology MH - Carnitine Acyltransferases/antagonists & inhibitors/metabolism MH - Carnitine O-Palmitoyltransferase/*antagonists & inhibitors/*metabolism MH - Cell Line, Tumor MH - Fatty Acids/metabolism MH - Gene Expression Regulation, Neoplastic/drug effects MH - Humans MH - Kaplan-Meier Estimate MH - Lipid Metabolism/*drug effects MH - Mice MH - Oxidation-Reduction MH - Proto-Oncogene Proteins c-myc/drug effects/*metabolism MH - Real-Time Polymerase Chain Reaction MH - Treatment Outcome MH - Up-Regulation EDAT- 2013/03/15 06:00 MHDA- 2013/05/22 06:00 CRDT- 2013/03/15 06:00 PHST- 2013/03/15 06:00 [entrez] PHST- 2013/03/15 06:00 [pubmed] PHST- 2013/05/22 06:00 [medline] AID - djt030 [pii] AID - 10.1093/jnci/djt030 [doi] PST - ppublish SO - J Natl Cancer Inst. 2013 Apr 3;105(7):489-98. doi: 10.1093/jnci/djt030. Epub 2013 Mar 13.