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Metabolomics provides tools to understand the links between diet and cancer

Jing Chen and researchers in the Cancer Metabolomics Research Center at UChicago are studying how metabolites, proteins, and enzymes from diet influence cancer development and response to therapy.

Scientists have studied many foods, nutrients, vitamins, and various types of diets for their links to cancer. Diets high in processed meat or saturated fats, for example, have been associated with increased risk for many types of cancer, while increased consumption of non-starchy vegetables, whole fruits, and fiber may lower cancer risk. As the National Cancer Institute points out, however, these studies only show that diet is associated with a change in cancer risk, not that any specific food or nutrient is directly responsible for that change.

Metabolomics is the field of biomedical research that studies metabolites produced by cells, including amino acids, lipids, carbohydrates, and more. Over the past several decades, researchers at the University of Chicago and elsewhere have begun to grasp how much characterizing metabolites and measuring their levels can tell us about how biological systems respond to genetic differences, environment, or disease, including cancer. Many of these metabolites originally come from diet—they are the downstream byproducts of the foods we eat as our cells consume and process them for all sorts of activities.

Jing Chen, PhD, the Janet Davison Rowley Distinguished Service Professor of Medicine at the University of Chicago, focuses on metabolomics in the context of cancer. Cancer cells produce and consume metabolites just like any other cells, but often in strange ways because they need increased energy to grow quickly. For example, normal cells use oxygen to turn food into energy through a process called oxidative phosphorylation. But cancer cells prefer to fuel their growth through glycolysis, a process that involves consuming and breaking down glucose for energy. This phenomenon, called “the Warburg effect,” is involved in virtually all cancers, so unraveling its mechanisms could have broad implications for understanding the links between metabolic processes and cancer.

At that level, Chen says it doesn’t matter where the nutrient or dietary substance came from, because understanding the role of different molecules at a basic level will give them clues how to intervene or develop therapies down the road.

“If there is a dietary substance or supplement, you don't need to care about the upstream diet or where it is from yet,” he said. “Instead, we can look at the molecular and signaling level to understand how it influences cancer development, initiation, progression and response to the therapy.” Indeed, Chen’s lab previously reported that both acetoacetate, a ketone body derived from dietary fat, and chondroitin sulfate, a widely used dietary supplement, promote tumor growth potential of melanoma cells expressing one common genetic mutation called BRAF V600E.

In a new study published recently in Molecular Cell, Chen and his team took this approach further to study an enzyme called PLA2G7. Normally, this is a protein that immune cells secrete to promote inflammation. But when Chen’s team screened melanoma cancer cells with various genetic mutations, they saw that some of them retain PLA2G7 inside the cells instead. PLA2G7 produces a byproduct called Lyso-PAF, which was thought to be a biologically inactive metabolite outside of the cells. When it’s retained, however, it plays a role in cell proliferation and tumor growth of melanoma cells expressing an alternative genetic mutation called NRAS, which is found in 15-20% of patients, but not in melanoma cells expressing BRAF V600E.

The details are far more complex, but the findings of this study point to the importance of understanding the chain of events involved when certain metabolites, proteins, and enzymes are present in the context of cancerous gene mutations, and how changes in their levels may affect tumor growth. In this case, Chen’s team was one of the first to see that Lyso-PAF, previously overlooked because it appeared to be inert outside of cells, was actually doing something crucial inside of the cells.

As Director of the Cancer Metabolomics Research Center at UChicago, Chen is building out more of this kind of expertise to compare the metabolite levels in cancerous tissues and cells to healthy ones, and use this data to build different profiles that could be used as diagnostic indicators and biomarkers. For example, Brandon Faubert, PhD, Assistant Professor of Medicine and a new recruit for the Center, uses isotope tracing and molecular imaging techniques that can tag metabolites and trace how they are used throughout a metabolic process. They are working with Ray Moellering, PhD, Associate Professor of Chemistry, who is building core facilities and technology for metabolomics and proteomics, a related study of protein activity. Using these new tools and techniques, they will be able to connect the dots between the basic building blocks of cells and the proliferation of cancer.

“When people have cancer, there are many shared changes in metabolism. The cells grow faster and need more energy and produce more byproducts. But on the other hand, different oncogenes and different circumstances might lead to different metabolic requirements for a different type of cancer,” Chen said. “So that’s the angle we want to take. Does this gene in this circumstance require more of a particular metabolite? And where does that metabolite come from? That will be the bridging point for us to understand how diet would influence cancer.”

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