Eugene J Fine

Eugene J Fine

Mar 28, 2016

Group 6 Copy 297
4

Relation of Cell Growth to ATP

The cells within the oval are all control fibroblasts which display normal (100% compared to glucose medium alone) growth and ATP levels when cultured in glucose plus ketone body medium.

The other cells are all cancer cell lines. These cells show that their growth is proportional to ATP production. Both are reduced when grown in ketone body supplemented medium.

4 comments

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  • HelenGGibbons
    HelenGGibbons
    Thanks for sharing this wonderful Post.
    Nov 03, 2019
  • AshleyKLemelle
    AshleyKLemelle
    This info is sharable.
    Jan 13, 2019
  • Eugene J Fine
    Eugene J FineResearcher
    Hi Ashley, Thank you for your comment. I'm unsure if you meant this as a question, but if so, sure it's sharable. Gene and Richard
    Jan 13, 2019
  • Richard David Feinman
    Richard David FeinmanResearcher
    Chris, adding to Gene's comment. Remember, a ketone body (KB) is a method of supplying cells with acetyl-CoA. This doesn't have much effect on normal cells because the acetyl-CoA supplies energy through the TCA-cyle and electron-transport, while regulating the increased energy by feedback inhibition. (Acetyl-CoA inhibits pyruvate dehydrogenase (the enzyme that catalyzes introduction of carbon into the TCA cycle) and citrate inhibits glycolysis). NOTE: this is how the cell maintains steady energy production. Now, the cancer cell will experience the feedback inhibition from the acetyl-CoA but this is not compensated by increase in energy because of UCP-2 (an uncoupler separates ATP production from metabolism (which we know is still going on from our labelled CO2 data)). That's the working idea.
    Mar 30, 2016
  • Eugene J Fine
    Eugene J FineResearcher
    Chris, to elaborate further, as in our publication in 2009, the inhibition of pyruvate dehydrogenase by abundant acetyl CoA (derived from fatty acids or ketone bodies) and of phosphofructokinase by TCA cycle citrate is called the 'Randle cycle', from publications by Randle and coworkers in the 1960's and '70s. This inhibition generally doesn't occur in many free living people nowadays who eat their fat together with much carbohydrate (e.g. chocolate cake or buttered mashed potatoes) because the carbs stimulate insulin, thus driving excess glucose AND fatty acids into many cells with insulin sensitive GLUT4 transporters (e.g. adipose). The insulin also inhibits lipolysis and KB production. Randle et al, by comparison, performed their experiments under conditions of glucose and insulin clamping in ex vivo preparations. Under these conditions an increasing supply of fatty acids or KB's will in fact inhibit glycolysis. (A proper explanation of the Randle cycle was well clarified by Robert Wolfe and colleagues in the 1990's). Meanwhile the GLUT1 transporter on the membranes of many aggressive cancer cells is not insulin sensitive and has excellent (and constant, i.e. similar to clamped) transport kinetics of glucose. Under these conditions we postulated that added KB's would indeed inhibit glycolysis in cancer cells, similar to the conditions of Randle's clamped experiments.
    Mar 30, 2016
  • Chris
    Chris
    thank you for the explanation Gene!
    Apr 04, 2016
  • Chris
    Chris
    yes, it makes sense!
    Apr 04, 2016
  • Chris
    Chris
    Dr. Fine, do you think the lower ATP in cancer cells is directly involved in UCP2 overexpression? is the lower ATP correlated with the % AcAc to the medium?
    Mar 30, 2016
  • Eugene J Fine
    Eugene J FineResearcher
    Chris--Yes. The hypothesis is that overexpression of UCP2 in the cancers (& not in control fibroblasts) results in inefficient ATP production in the TCA cycle from added acetoacetate, and therefore reduced cell proliferation/growth, in the cancer lines only. (We haven't tried other percentages of AcAc, 'though that would be of interest).
    Mar 30, 2016

About This Project

Insulin is a hormone which supports growth of normal cells, but also of cancers. A very low carbohydrate (VLC) diet safely and readily lowers blood insulin levels. The effects of a VLC diet has potential to inhibit cancer growth without harming normal tissues.

We further hypothesize that a VLC diet can combine with the effects of drug treatment in cancers, thus reducing drug doses and therefore toxicities. We aim to test this hypothesis in cell cultures.

Blast off!

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