PMID- 32861192 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230816 IS - 2589-0042 (Electronic) IS - 2589-0042 (Linking) VI - 23 IP - 9 DP - 2020 Sep 25 TI - Glioblastoma Utilizes Fatty Acids and Ketone Bodies for Growth Allowing Progression during Ketogenic Diet Therapy. PG - 101453 LID - 10.1016/j.isci.2020.101453 [doi] LID - 101453 AB - Glioblastoma (GBM) metabolism has traditionally been characterized by a primary dependence on aerobic glycolysis, prompting the use of the ketogenic diet (KD) as a potential therapy. In this study we evaluated the effectiveness of the KD in GBM and assessed the role of fatty acid oxidation (FAO) in promoting GBM propagation. In vitro assays revealed FA utilization throughout the GBM metabolome and growth inhibition in nearly every cell line in a broad spectrum of patient-derived glioma cells treated with FAO inhibitors. In vivo assessments revealed that knockdown of carnitine palmitoyltransferase 1A (CPT1A), the rate-limiting enzyme for FAO, reduced the rate of tumor growth and increased survival. However, the unrestricted ketogenic diet did not reduce tumor growth and for some models significantly reduced survival. Altogether, these data highlight important roles for FA and ketone body metabolism that could serve to improve targeted therapies in GBM. CI - (c) 2020 The Authors. FAU - Sperry, Jantzen AU - Sperry J AD - Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. FAU - Condro, Michael C AU - Condro MC AD - Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA. FAU - Guo, Lea AU - Guo L AD - Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA. AD - Department of Radiological Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA. FAU - Braas, Daniel AU - Braas D AD - UCLA Metabolomics Center, UCLA, Los Angeles, CA, USA. FAU - Vanderveer-Harris, Nathan AU - Vanderveer-Harris N AD - Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA. FAU - Kim, Kristen K O AU - Kim KKO AD - Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. FAU - Pope, Whitney B AU - Pope WB AD - Department of Radiological Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA. FAU - Divakaruni, Ajit S AU - Divakaruni AS AD - Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. FAU - Lai, Albert AU - Lai A AD - Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA. AD - Department of Neurology, UCLA, Los Angeles, CA, USA. FAU - Christofk, Heather AU - Christofk H AD - Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. AD - Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA. AD - Department of Biological Chemistry, UCLA, Los Angeles, CA, USA. AD - Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research, UCLA, Los Angeles, CA, USA. FAU - Castro, Maria G AU - Castro MG AD - Department of Neurosurgery, Department of Cell and Developmental Biology, Rogel Cancer Center, University of Michigan Medical School, Ann Arbor, MI 48109, USA. FAU - Lowenstein, Pedro R AU - Lowenstein PR AD - Department of Neurosurgery, Department of Cell and Developmental Biology, Rogel Cancer Center, University of Michigan Medical School, Ann Arbor, MI 48109, USA. FAU - Le Belle, Janel E AU - Le Belle JE AD - Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA. FAU - Kornblum, Harley I AU - Kornblum HI AD - Department of Molecular and Medical Pharmacology, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA. AD - Department of Psychiatry and Biobehavioral Sciences and Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA, USA. AD - Jonsson Comprehensive Cancer Center, UCLA, Los Angeles, CA, USA. AD - Eli and Edythe Broad Center of Regenerative Medicine and Stem Cell Research, UCLA, Los Angeles, CA, USA. LA - eng GR - P50 CA211015/CA/NCI NIH HHS/United States GR - R01 AR070245/AR/NIAMS NIH HHS/United States GR - R01 CA215185/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20200813 PL - United States TA - iScience JT - iScience JID - 101724038 PMC - PMC7471621 OTO - NOTNLM OT - Cancer OT - Diet OT - Pathophysiology COIS- The authors declare no competing interests. EDAT- 2020/08/30 06:00 MHDA- 2020/08/30 06:01 PMCR- 2020/08/13 CRDT- 2020/08/30 06:00 PHST- 2019/12/27 00:00 [received] PHST- 2020/06/28 00:00 [revised] PHST- 2020/08/10 00:00 [accepted] PHST- 2020/08/30 06:01 [medline] PHST- 2020/08/30 06:00 [pubmed] PHST- 2020/08/30 06:00 [entrez] PHST- 2020/08/13 00:00 [pmc-release] AID - S2589-0042(20)30645-3 [pii] AID - 101453 [pii] AID - 10.1016/j.isci.2020.101453 [doi] PST - epublish SO - iScience. 2020 Aug 13;23(9):101453. doi: 10.1016/j.isci.2020.101453. eCollection 2020 Sep 25.