Abstract

BackgroundMany of the current standard therapies employed for the management of primary malignant brain cancers are largely viewed as palliative, ultimately because these conventional strategies have been shown, in many instances, to decrease patient quality of life while only offering a modest increase in the length of survival. We propose that caloric restriction (CR) is an alternative metabolic therapy for brain cancer management that will not only improve survival but also reduce the morbidity associated with disease. Although we have shown that CR manages tumor growth and improves survival through multiple molecular and biochemical mechanisms, little information is known about the role that CR plays in modulating inflammation in brain tumor tissue.Methodology/Principal FindingsPhosphorylation and activation of nuclear factor κB (NF-κB) results in the transactivation of many genes including those encoding cycloxygenase-2 (COX-2) and allograft inflammatory factor-1 (AIF-1), both of which are proteins that are primarily expressed by inflammatory and malignant cancer cells. COX-2 has been shown to enhance inflammation and promote tumor cell survival in both in vitro and in vivo studies. In the current report, we demonstrate that the p65 subunit of NF-κB was expressed constitutively in the CT-2A tumor compared with contra-lateral normal brain tissue, and we also show that CR reduces (i) the phosphorylation and degree of transcriptional activation of the NF-κB-dependent genes COX-2 and AIF-1 in tumor tissue, as well as (ii) the expression of proinflammatory markers lying downstream of NF-κB in the CT-2A malignant mouse astrocytoma, [e.g. macrophage inflammatory protein-2 (MIP-2)]. On the whole, our date indicate that the NF-κB inflammatory pathway is constitutively activated in the CT-2A astrocytoma and that CR targets this pathway and inflammation.ConclusionCR could be effective in reducing malignant brain tumor growth in part by inhibiting inflammation in the primary brain tumor.

Highlights

  • Malignant astrocytomas are the most common primary brain tumor and represent a leading cause of cancer-related death in children and the elderly [1,2,3,4]

  • Western blot analysis was performed on whole lysate of CT-2A tumor and contra-lateral normal brain to examine the constitutive expression of total nuclear factor kB (NF-kB) (p65) in tumors. 1 and 4 mg of total protein from each of tumor and normal brain whole tissue lysate was loaded in the gel

  • We showed that phosphorylated NF-kB (p65) (S-536) was significantly higher in the nuclear extract of CT-2A astrocytoma compared with that of normal brain (Fig. 1B)

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Summary

Introduction

Malignant astrocytomas are the most common primary brain tumor and represent a leading cause of cancer-related death in children and the elderly [1,2,3,4]. The highly invasive and inflammatory phenotype of malignant astrocytoma cells as well as that of tumor associated lymphocytes and macrophages contribute to a breakdown of the blood brain barrier [7,8,9,10,11], mediated, in part, by the release of interleukins and cytokines that increase vascular permeability, and facilitate the transudation of plasma into the interstitium followed by the development of cerebral edema and increased intracranial pressure [7,8,9,12,13]. In light of the aforementioned, less toxic therapies are necessary to manage peritumoral inflammation and the sequelae of tumor cell infiltration and accompanying cerebral edema in patients with malignant astrocytoma. Many of the current standard therapies employed for the management of primary malignant brain cancers are largely viewed as palliative, because these conventional strategies have been shown, in many instances, to decrease patient quality of life while only offering a modest increase in the length of survival. We have shown that CR manages tumor growth and improves survival through multiple molecular and biochemical mechanisms, little information is known about the role that CR plays in modulating inflammation in brain tumor tissue

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