2022
DOI: 10.1080/23723556.2021.2024051
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Rewired lipid metabolism as an actionable vulnerability of aggressive colorectal carcinoma

Abstract: Cancer cells reprogram lipid metabolism to fuel cell division, adaptation to stress, and metastatic dissemination. NF-κB transcription factors control this mechanism in aggressive Consensus Molecular Subtype (CMS)4 of colorectal carcinoma (CRC) via triacylglycerol (TAG) lipase, carboxylesterase 1 (CES1), thereby linking obesity-associated inflammation with metabolic adaptation and cytoprotection from lipid-induced toxicity. Our findings identify a potential therapeutic route to treat patients with metastasis-p… Show more

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Cited by 5 publications
(7 citation statements)
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“…Consistent with this idea, treatment with CES1 inhibitors effectively killed human CRC cells upon glucose limitation and markedly impaired CRC growth without apparent adverse effects in mouse allograft and xenograft models [ 258 , 259 , 260 ]. Collectively, these results identify CES1 as a promising therapeutic target, given its contextual specificity for energy stress conditions, correlation with poor clinical outcomes in obese CRC patients, and clear stratification with MSS/non-hypermutated CMS4 and CMS2 tumors, which do not respond to immunotherapy [ 258 , 259 , 260 ]. Accordingly, genetic CES1 deletion appears to be tolerated in vivo, since CES1 knockout mice are viable, lean, and die of old age [ 261 ].…”
Section: Therapeutic Targeting Of the Nf-κb Pathway In Cancermentioning
confidence: 89%
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“…Consistent with this idea, treatment with CES1 inhibitors effectively killed human CRC cells upon glucose limitation and markedly impaired CRC growth without apparent adverse effects in mouse allograft and xenograft models [ 258 , 259 , 260 ]. Collectively, these results identify CES1 as a promising therapeutic target, given its contextual specificity for energy stress conditions, correlation with poor clinical outcomes in obese CRC patients, and clear stratification with MSS/non-hypermutated CMS4 and CMS2 tumors, which do not respond to immunotherapy [ 258 , 259 , 260 ]. Accordingly, genetic CES1 deletion appears to be tolerated in vivo, since CES1 knockout mice are viable, lean, and die of old age [ 261 ].…”
Section: Therapeutic Targeting Of the Nf-κb Pathway In Cancermentioning
confidence: 89%
“…Consistently, the pharmacological co-inhibition of IKKβ and glutamine metabolism resulted in the synergistic killing of cancer cells, both in vitro and in vivo [ 257 ]. Recently, CES1 has been identified as an essential NF-κB-regulated lipase linking obesity-associated inflammation with metabolic adaptation to energy stress in aggressive CRC [ 258 , 259 , 260 ]. CES1 expression was upregulated in consensus molecular subtypes (CMS)4 and CMS2 tumors and correlated with worse clinical outcomes in overweight CRC patients [ 258 , 259 , 260 ], suggesting a role for CES1 in the pathogenesis of CRC.…”
Section: Therapeutic Targeting Of the Nf-κb Pathway In Cancermentioning
confidence: 99%
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“…Dysregulated lipid metabolism has been similarly linked to EMT in cancer; metastatic cells display increased lipolysis, which releases endogenous free fatty acids to generate the reduced form of NADPH through fatty acid oxidation (FAO) [ 54 ]. FAO confers a survival advantage for tumor cells by maintaining sufficient energy generation and redox homeostasis, as well as providing a source of lipids for membrane biogenesis [ 55 ]. It is possible that TGFβ2-treated RPE overutilize and deplete fatty acid supplies to enable increased FAO.…”
Section: Discussionmentioning
confidence: 99%