Abstract

Warburg effect is an emerging hallmark of cancer cells with pyruvate kinase M2 (PKM2) as its key regulator. Curcumin is an extensively-studied anti-cancer compound, however, its role in affecting cancer metabolism remains poorly understood. Herein, we show that curcumin inhibits glucose uptake and lactate production (Warburg effect) in a variety of cancer cell lines by down-regulating PKM2 expression, via inhibition of mTOR-HIF1α axis. Stable PKM2 silencing revealed that PKM2 is required for Warburg effect and proliferation of cancer cells. PKM2 over-expression abrogated the effects of curcumin, demonstrating that inhibition of Warburg effect by curcumin is PKM2-mediated. High PKM2 expression correlated strongly with poor overall survival in cancer, suggesting the requirement of PKM2 in cancer progression. The study unravels novel PKM2-mediated inhibitory effect of curcumin on metabolic capacities of cancer cells. To the best of our knowledge, this is the first study linking curcumin with PKM2-driven cancer glycolysis, thus, providing new perspectives into the mechanism of its anticancer activity.

Highlights

  • Metabolic priorities of cancer cells differ remarkably from normal cells, providing a new therapeutic window

  • The effect of curcumin on Warburg effect was studied by measuring the rate of glucose uptake and lactate production in cancer cell lines- lung (H1299), breast (MCF-7), cervical (HeLa) and prostate (PC3) and human embryonic kidney (HEK) 293 cells, taken as control

  • Significant inhibition in glucose uptake and lactate release was observed across the four cell lines, no appreciable decrease in Warburg effect was observed in HEK 293 cells (Fig. 1a,b)

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Summary

Introduction

Metabolic priorities of cancer cells differ remarkably from normal cells, providing a new therapeutic window. Warburg effect is characterized by high glucose uptake and lactate release and is considered as a hallmark of most tumors[3]. This metabolic adaptation benefits cancer cells in surviving through hypoxic conditions, commonly found in tumors, and to support their anabolic requirements[4,5]. Extensive studies have shown that pyruvate kinase M2 (PKM2) is one of the critical regulator of Warburg effect[12,13]. Numerous studies have shown the anti-cancer properties of curcumin in a wide variety of cell lines and animals[27,28,29,30,31,32,33]. Our results identify a new anti-cancer mechanism of curcumin and endorse its therapeutic relevance in inhibiting cancer

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