Abstract
Prostate cancer is the second leading cause of cancer in men across the globe. The prostate gland accounts for some unique glycolytic metabolic characteristics, which causes the metabolic features of prostate tumor initiation and progression to remain poorly characterized. The mitochondrial superoxide dismutase (SOD2) is one of the major redox metabolism regulators. This study points out SOD2 as one major regulator for both redox and glycolytic metabolism in prostate cancer. SOD2 overexpression increases glucose transporter GLUT-1 and glucose uptake. This is not an insulin-mediated effect and seems to be sex-dependent, being present in male mice only. This event concurs with a series of substantial metabolic rearrangements at cytoplasmic and mitochondrial level. A concomitant decrease in glycolytic and pentose phosphate activity, and an increase in electron transfer in the mitochondrial electronic chain, were observed. The Krebs Cycle is altered to produce amino-acid intermediates by decreasing succinate dehydrogenase. This in turn generates a 13-fold increase in the oncometabolite succinate. The protein energy sensor AMPK is decreased at basal and phosphorylated levels in response to glucose deprivation. Finally, preliminary results in prostate cancer patients indicate that glandular areas presenting high levels of SOD2 show a very strong correlation with GLUT-1 protein levels (R2 = 0.287 p-value < 0.0001), indicating that in patients there may exist an analogous phenomenon to those observed in cell culture and mice.
Highlights
IntroductionProstate cancer is the main type of male cancer and the third cause of cancer-related male deaths in the USA and Europe [1]
Prostate epithelial cells produce high levels of citrate by inhibiting the Krebs Cycle (KC), which in turn promotes the activation of the glycolytic metabolism
In order to increase the levels of SOD2, we transfected an SOD2-bearing plasmid and selected a stable cell line in the androgen-dependent LNCaP cell line
Summary
Prostate cancer is the main type of male cancer and the third cause of cancer-related male deaths in the USA and Europe [1]. Aging is the main risk factor, and age-related alterations such as redox metabolism have been proposed as one of the leading drivers. Most of the cases are sporadic and lacking a clear group of driver genes for the disease [2]. Prostate cancer is unique in its metabolism [3,4]. Prostate epithelial cells produce high levels of citrate by inhibiting the Krebs Cycle (KC), which in turn promotes the activation of the glycolytic metabolism. There is still a “metabolic switch” during prostate
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