Abstract LB-267: Metabolic alterations in tumors cause cachexia in pancreatic cancer

Abstract

Abstract Cancer-associated cachexia is a complex metabolic syndrome which leads to excessive loss of skeletal muscle and adipose deposits. Up to 80% of pancreatic cancer patients suffer from cachexia and nearly one third die due to complexities related to the syndrome. Treatment of cachexia will not only improve the standard of living of pancreatic cancer patients but would also improve the patient survival. In the clinic, the majority of cancer patients are diagnosed at the refractory phase of cachexia, which cannot be reversed by dietary interventions. Till late, cachexia has mainly been attributed to systemic inflammation caused by cytokines released from the host and the tumor. But anti-inflammatory therapies have not shown promising results in clinical trials. Hence, there is an urgent need to identify new targets to combat cancer cachexia. It has been previously shown that there are constant metabolic interactions between the host body and the tumor. Increase in tumor burden and its demand for nutrition forces the host body to reprogram its metabolism leading to the breakdown of host body proteins into amino acids, which gets taken up and converted into carbohydrates by the tumor. To study the role of metabolic pathways in tumor cells on cachectic factor secretion, we pre-treated pancreatic cancer cells with metabolic inhibitors 3-Bromopyruvic acid and bis-2-(5-phenylacetomido-1, 2, 4-thiadiazol-2-yl) ethyl sulfide (BPTES). The conditioned media from control and treated cells were then evaluated for myotube degeneration potential in C2C12-dfferentitaed myotubes by measuring myotube thickness, protein content and expression of muscle specific ubiquitin ligases. We observed that that pre-treated conditioned-media had reduced myotubes degenerating potential as compared to controls. Furthermore, we inhibition of glycolytic flux in tumor cells by treatment with ketone bodies also diminished myotubes degenerating potential. Tumor-bearing mice had decreased tumor growth and cachexia when fed on a ketogenic diet. In conclusion, metabolic reprograming of tumor cells plays an important role in inducing pancreatic cancer-induced cachexia and delineating the metabolic pathways is crucial to elucidate important therapeutic targets for cancer cachexia. Citation Format: Aneesha Dasgupta, Surendra K. Shukla, Venugopal Gunda, Nina V. Chaika, Pankaj K. Singh. Metabolic alterations in tumors cause cachexia in pancreatic cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr LB-267. doi:10.1158/1538-7445.AM2017-LB-267