PMID- 30622053 OWN - NLM STAT- MEDLINE DCOM- 20190211 LR - 20211204 IS - 1476-5586 (Electronic) IS - 1522-8002 (Print) IS - 1476-5586 (Linking) VI - 21 IP - 2 DP - 2019 Feb TI - Efficacy of Dual Inhibition of Glycolysis and Glutaminolysis for Therapy of Renal Lesions in Tsc2(+/-) Mice. PG - 230-238 LID - S1476-5586(18)30575-X [pii] LID - 10.1016/j.neo.2018.12.003 [doi] AB - Tuberous sclerosis is caused by mutations in the TSC1 or TSC2 gene and characterized by development of tumors in multiple organs including the kidneys. TSC-associated tumors exhibit somatic loss of the second allele of the TSC genes, leading to aberrant activation of the mechanistic target of rapamycin (mTOR) signaling pathway. Activation of mTOR complex 1 (mTORC1) causes addiction to glucose and glutamine in Tsc1(-/-)or Tsc2(-/-) mouse embryonic fibroblasts (MEFs). Blocking of glutamine anaplerosis in combination with glycolytic inhibition causes significant cell death in Tsc2(-/-) but not Tsc2(+/+) MEFs. In this study, we tested efficacy of dual inhibition of glycolysis with 3-BrPA and glutaminolysis with CB-839 for renal tumors in Tsc2(+/-) mice. Following 2 months of treatment of Tsc2(+/-) mice from the age of 12 months, combination of 3-BrPA and CB-839 significantly reduced overall size and cellular areas of all renal lesions (cystic/papillary adenomas and solid carcinomas), but neither alone did. Combination of 3-BrPA and CB-839 inhibited mTORC1 and the proliferation of tumor cells but did not increase apoptosis. However, combination of 3-BrPA and CB-839 was not as efficacious as rapamycin alone or rapamycin in combination with either 3-BrPA or CB-839 for renal lesions of Tsc2(+/-) mice. Consistently, rapamycin alone or rapamycin in combination with either 3-BrPA or CB-839 had stronger inhibitory effects on mTORC1 and proliferation of tumor cells than combination of 3-BrPA and CB-839. We conclude that combination of 3-BRPA and CB-839 may not offer a better therapeutic strategy than rapamycin for TSC-associated tumors. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Jones, Ashley T AU - Jones AT AD - Institute of Medical Genetics, Division of Cancer and Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. FAU - Narov, Kalin AU - Narov K AD - Institute of Medical Genetics, Division of Cancer and Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. FAU - Yang, Jian AU - Yang J AD - Institute of Medical Genetics, Division of Cancer and Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. FAU - Sampson, Julian R AU - Sampson JR AD - Institute of Medical Genetics, Division of Cancer and Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. FAU - Shen, Ming Hong AU - Shen MH AD - Institute of Medical Genetics, Division of Cancer and Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. Electronic address: shenmh@cf.ac.uk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190108 PL - United States TA - Neoplasia JT - Neoplasia (New York, N.Y.) JID - 100886622 RN - 0 (3-bromo-2-oxopropionic acid) RN - 0 (Benzeneacetamides) RN - 0 (CB-839) RN - 0 (Pyruvates) RN - 0 (Thiadiazoles) RN - 0 (Tsc2 protein, mouse) RN - 0 (Tuberous Sclerosis Complex 2 Protein) RN - 3KX376GY7L (Glutamic Acid) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Benzeneacetamides/pharmacology MH - Cell Proliferation/drug effects MH - Disease Models, Animal MH - Genotype MH - Glucose/*metabolism MH - Glutamic Acid/*metabolism MH - Glycolysis/drug effects MH - Immunohistochemistry MH - Kidney Diseases/drug therapy/*genetics/*metabolism/pathology MH - Kidney Neoplasms/genetics/metabolism/pathology MH - Mice MH - Mice, Knockout MH - Pyruvates/pharmacology MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - Thiadiazoles/pharmacology MH - Tuberous Sclerosis Complex 2 Protein/genetics/metabolism PMC - PMC6324218 EDAT- 2019/01/10 06:00 MHDA- 2019/02/12 06:00 PMCR- 2019/01/08 CRDT- 2019/01/10 06:00 PHST- 2018/10/25 00:00 [received] PHST- 2018/12/12 00:00 [revised] PHST- 2018/12/13 00:00 [accepted] PHST- 2019/01/10 06:00 [pubmed] PHST- 2019/02/12 06:00 [medline] PHST- 2019/01/10 06:00 [entrez] PHST- 2019/01/08 00:00 [pmc-release] AID - S1476-5586(18)30575-X [pii] AID - 10.1016/j.neo.2018.12.003 [doi] PST - ppublish SO - Neoplasia. 2019 Feb;21(2):230-238. doi: 10.1016/j.neo.2018.12.003. Epub 2019 Jan 8.