2020, Number 4
<< Back Next >>
Rev Educ Bioquimica 2020; 39 (4)
Muerte o supervivencia: el controvertido papel de las dietas cetogénicas y su uso como adyuvante en el tratamiento contra el cáncer
León-Martínez M, Calderón-Salinas JV
Language: Spanish
References: 71
Page: 108-120
PDF size: 433.22 Kb.
ABSTRACT
In this work, preclinical supporting data show that ketogenic therapy through ketogenic
diets can be adjunct in order to improve the ionizing radiation treatment.
The first effect relates to the metabolic shift reducing glycolysis and enhancing mitochondrial
metabolism, which selective increases reactive oxygen species (EROS)
production and reduce adenosine triphosphate (ATP) production in neoplastic cells.
The second effect is based on the differential stress resistance phenomenon describing
the reprogramming of tumor cells, from proliferation towards maintenance
and stress resistance of normal cells when glucose, insulin and growth factor are
reduce and these causes a decrease angiogenic and metastatic efficiency of cancer
cells, meanwhile ketone body levels are elevated the non-cancer cells can survive,
nevertheless it contrast with patient condition and side effects.
REFERENCES
GBD Compare | IHME Viz Hub . [cited 2020 Apr 16].
Buono R, Longo VD. Starvation, Stress Resistance, and Cancer. Trends Endocrinol Metab . 2018;29(4):271–80.
Kushi LH, Byers T, Doyle C, Bandera E V., McCullough M, Gansler T, et al. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention: Reducing the Risk of Cancer With Healthy Food Choices and Physical Activity. CA Cancer J Clin. 2006;56(5):254–81.
Renehan AG, Soerjomataram I, Leitzmann MF. Interpreting the epidemiological evidence linking obesity and cancer: A framework for population-attributable risk estimations in Europe. Eur J Cancer . 2010;46(14):2581– 92.
Klement RJ. Fasting, Fats, and Physics: Combining Ketogenic and Radiation Therapy against Cancer. Complement Med Res. 2018;25(2):102–13.
Warburg Ot to, Wind Franz NE. The metabolism of tumours in body. J Gen Physiol. 1927;1(3653):74.
Lu Jianrong, Tan Ming CQ. The Wargurg effect in tumor progression:Mitochondrial oxidative metabolism as an anti-metastasis mechanism. Cancer Lett . 2015;356(2):156–64.
Zoncu R, Efeyan A, Sabatini DM. MTOR: From growth signal integration to cancer, diabetes and ageing. Vol. 12, Nature Reviews Molecular Cell Biology. Nature Publishing Group; 2011. p. 21–35.
Kroemer G, Pouyssegur J. Tumor Cell Metabolism: Cancer’s Achilles’ Heel. Cancer Cell. 2008;13(6):472–82.
Dang C V., Le A, Gao P. MYC-induced cancer cel l energy metabol ism and therapeutic opportunities. Clin Cancer Res . 2009;15(21):6479–83.
DeBerardinis RJ, Lum JJ, Hatzivassiliou G, Thompson CB. The Biology of Cancer: Metabolic Reprogramming Fuels Cell Growth and Proliferation . Vol. 7, Cell Metabolism. 2008;. p. 11–20.
Winter SF, Loebel F, Dietrich J. Role of ketogenic metabolic therapy in malignant glioma: A systematic review. Crit Rev Oncol Hematol . 2017;112:41–58.
Klement RJ, Sweeney RA. Impact of a ketogenic diet intervention during radiotherapy on body composition: I. Initial clinical experience with six prospectively studied patients. BMC Res Notes. 2016;9(1):143.
Allen BG, Bhatia SK, Buatti JM, Brandt KE, Lindholm KE, Button AM, et al. Ketogenic diets enhance oxidative stress and radio-chemotherapy responses in lung cancer xenografts. Clin Cancer Res. 2013;19(14):3905–13.
Ketogenic Diet Phase 1 for Head & Neck Cancer Available from: https://clinicaltrials.gov/ct2/ show/NCT01975766
Ketogenic Diet With Chemoradiation for Lung Cancer (KETOLUNG) ClinicalTrials.gov. Available from: https://clinicaltrials.gov/ct2/ show/NCT01419587
Ketogenic Diet With Concurrent Chemoradiation for Pancreatic Cancer. Available from: https:// clinicaltrials.gov/ct2/show/NCT01419483
Klement RJ. The influence of ketogenic therapy on the 5 R’s of radiobiology. Vol. 95, International Journal of Radiation Biology. Taylor and Francis Ltd; 2017. p. 394–407.
Newman JC, Verdin E. β-hydroxybutyrate: Much more than a metabolite. Vol. 106, Diabetes Research and Clinical Practice. Elsevier Ireland Ltd; 2014. p. 173–81.
Weber DD, Aminzadeh-Gohari S, Tulipan J, Catalano L, Feichtinger RG, Kofler B. Ketogenic diet in the treatment of cancer – Where do we stand? Mol Metab. 2020;33:102–21.
Urbain P, Strom L, Morawski L, Wehrle A, Deibert P, Bertz H. Impact of a 6-week nonenergy- restricted ketogenic diet on physical fitness, body composition and biochemical parameters in healthy adults. Nutr Metab . 2017 Feb 20 [cited 2020 Apr 16];14(1):17.
Janku F. Phosphoinositide 3-kinase (PI3K) pathway inhibitors in solid tumors: From laboratory to patients . Vol. 59, Cancer Treatment Reviews. W.B. Saunders Ltd; 2017 [cited 2020 Apr 16]. p. 93–101.
Hopkins BD, Pauli C, Xing D, Wang DG, Li X, Wu D, et al. Suppression of insulin feedback enhances the efficacy of PI3K inhibitors. Nature. 2018 Aug 23;560(7719):499–503.
De Feyter HM, Behar KL, Rao JU, Madden- Hennessey K, Ip KL, Hyder F, et al. A ketogenic diet increases transport and oxidation of ketone bodies in RG2 and 9L gliomas without affecting tumor growth. Neuro Oncol. 2016;18(8):1079–87.
Dang MT, Wehrli S, Dang C V., Curran T. The ketogenic diet does not affect growth of Hedgehog pathway medulloblastoma in mice. PLoS One . 2015;10(7):1–12.
Zhang J, Jia PP, Liu Q Le, Cong MH, Gao Y, Shi HP, et al. Low ketolytic enzyme levels in tumors predict ketogenic diet responses in cancer cell lines in vitro and in vivo. J Lipid Res . 2018 [cited 2020 Apr 24];59(4):625–34.
Shakery A, Pourvali K, Ghorbani A, Fereidani SS, Zand H. Beta-hydroxybutyrate promotes proliferation, migration and stemness in a subpopulation of 5FU treated SW480 Cells: Evidence for metabolic plasticity in colon cancer. Asian Pacific J Cancer Prev . 2018 Nov 29 [cited 2020 Apr 24];19(11):3287–94.
Bartmann C, Janaki Raman SR, Flöter J, Schulze A, Bahlke K, Willingstorfer J, et al. Beta-hydroxybutyrate (3-OHB) can influence the energetic phenotype of breast cancer cells, but does not impact their proliferation and the response to chemotherapy or radiation. Cancer Metab. 2018 Dec;6(1).
Rahman M, Muhammad S, Khan MA, Chen H, Ridder DA, Müller-Fielitz H, et al. The b-hydroxybutyrate receptor HCA 2 activates a neuroprotective subset of macrophages. Nat Commun. 2014 May 21;5(1):1–11.
Kimura I, Inoue D, Maeda T, Hara T, Ichimura A, Miyauchi S, et al. Short-chain fatty acids and ketones directly regulate sympathetic nervous system via G protein-coupled receptor 41 (GPR41). Proc Natl Acad Sci U S A. 2011 May 10;108(19):8030–5.
Martinez-Outschoorn UE, Lin Z, Whitaker- Menezes D, Howell A, Sotgia F, Lisanti MP. Ketone body utilization drives tumor growth and metastasis. Cell Cycle. 2012 Nov 1;11(21):3964–71.
Rajabi M, Mousa SA. The role of angiogenesis in cancer treatment. Biomedicines. 2017;5(2).
Otto C, Kaemmerer U, Illert B, Muehling B, Pfetzer N, Wittig R, et al. Growth of human gastric cancer cells in nude mice is delayed by a ketogenic diet supplemented with omega-3 fatty acids and medium-chain triglycerides. BMC Cancer. 2008 Apr 30;8.
Aminzadeh-Gohari S, Feichtinger RG, Vidali S, Locker F, Rutherford T, O’Donnel M, et al. A ketogenic diet supplemented with mediumchain triglycerides enhances the anti-tumor and anti-angiogenic efficacy of chemotherapy on neuroblastoma xenografts in a CD1-nu mouse model. Oncotarget . 2017 Sep 12 [cited 2020 Apr 24];8(39):64728–44.
Poff AM, Ari C, Seyfried TN, D’Agostino DP. The Ketogenic Diet and Hyperbaric Oxygen Therapy Prolong Survival in Mice with Systemic Metastatic Cancer. PLoS One . 2013 Jun 5 [cited 2020 Apr 24];8(6):e65522.
Woolf EC, Curley KL, Liu Q, Turner GH, Charlton JA, Preul MC, et al. The ketogenic diet alters the hypoxic response and affects expression of proteins associated with angiogenesis, invasive potential and vascular permeability in a mouse glioma model. PLoS One. 2015 Jun 17;10(6).
Petrova V, Annicchiarico-Petruzzelli M, Melino G, Amelio I. The hypoxic tumour microenvironment. Vol. 7, Oncogenesis. Nature Publishing Group; 2018.
Lussier DM, Woolf EC, Johnson JL, Brooks KS, Blattman JN, Scheck AC. Enhanced immunity in a mouse model of malignant glioma is mediated by a therapeutic ketogenic diet. BMC Cancer . 2016 Dec 13 [cited 2020 Apr 19];16(1):310.
Nakamura K, Tonouchi H, Sasayama A, Ashida K. A ketogenic formula prevents tumor progression and cancer cachexia by attenuating systemic inflammation in colon 26 tumor-bearing mice. Nutrients. 2018 Feb 14;10(2).
Youm YH, Nguyen KY, Grant RW, Goldberg EL, Bodogai M, Kim D, et al. The ketone metabolite β-hydroxybutyrate blocks NLRP3 inflammasome-mediated inflammatory disease. Nat Med . 2015 Mar [cited 2020 Apr 25];21(3):263–9.
Stafford P, Abdelwahab MG, Kim DY, Preul MC, Rho JM, Scheck AC. The ketogenic diet reverses gene expression patterns and reduces reactive oxygen species levels when used as an adjuvant therapy for glioma. Nutr Metab. 2010;7:74.
Scheck AC, Abdelwahab MG, Fenton KE, Stafford P. The ketogenic diet for the treatment of glioma: Insights from genetic profiling. Epilepsy Res . 2012 Jul [cited 2020 Apr 25];100(3):327–37.
Ruan H Bin, Crawford PA. Ketone bodies as epigenetic modifiers . Vol. 21, Current Opinion in Clinical Nutrition and Metabolic Care. Lippincott Williams and Wilkins; 2018 [cited 2020 Apr 25]. p. 260–6.
Sabari BR, Zhang D, Allis CD, Zhao Y. Metabolic regulation of gene expression through histone acylations. Vol. 18, Nature Reviews Molecular Cell Biology. Nature Publishing Group; 2017 [cited 2020 Apr 25]. p. 90–101.
Xie Z, Zhang D, Chung D, Tang Z, Huang H, Dai L, et al. Metabolic Regulation of Gene Expression by Histone Lysine β-Hydroxybutyrylation. Mol Cell . 2016 Apr 21 [cited 2020 Apr 25];62(2):194–206.
Li Y, Seto E. HDACs and HDAC inhibitors in cancer development and therapy. Cold Spring Harb Perspect Med. 2016 Oct 1;6(10).
Roberts MN, Wallace MA, Tomilov AA, Zhou Z, Marcotte GR, Tran D, et al. A Ketogenic Diet Extends Longevity and Healthspan in Adult Mice. Cell Metab . 2017 Sep 5 [cited 2020 Apr 25];26(3):539-546.e5.
Chriett S, Dąbek A, Wojtala M, Vidal H, Balcerczyk A, Pirola L. Prominent action of butyrate over β-hydroxybutyrate as histone deacetylase inhibitor, transcriptional modulator and anti-inflammatory molecule. Sci Rep. 2019 Dec 1;9(1):1–14.
Kumari S, Badana AK, Murali Mohan G, Shailender G, Malla RR. Reactive Oxygen Species: A Key Constituent in Cancer Survival. Vol. 13, Biomarker Insights. SAGE Publications Ltd; 2018.
Milder JB, Liang LP, Patel M. Acute oxidative stress and systemic Nrf2 activation by the ketogenic diet. Neurobiol Dis. 2010 Oct;40(1):238–44.
Aykin-Burns N, Ahmad IM, Zhu Y, Oberley LW, Spitz DR. Increased levels of superoxide and H2O2 mediate the differential susceptibility of cancer cells versus normal cells to glucose deprivation. Biochem J. 2009 Feb 15;418(1):29–37.
Abdelwahab MG, Fenton KE, Preul MC, Rho JM, Lynch A, Stafford P, et al. The ketogenic diet is an effective adjuvant to radiation therapy for the treatment of malignant glioma. PLoS One. 2012 May 1;7(5):e36197.
Krieger H. Grundlagen der Strahlungsphysik und des Strahlenschutzes. Grundlagen der Strahlungsphysik und des Strahlenschutzes. Springer Berlin Heidelberg; 2017.
Begg BW and A. Irradiation-induced damage and the DNA damage response. 2009 Mar 27;19–34.
Ward JF. The yield of DNA double-Strand breaks produced intracellularly by ionizing radiation: A review. Vol. 57, International Journal of Radiation Biology. Informa Healthcare; 1990. p. 1141–50.
RL W, KG H. Radionuclide Toxicity in Cultured Mammalian Cells. Elucidation of the Primary Site for Radiation-Induced Division Delay. Radiat Res. 1977;69(2):348-358.
Yakes FM, Van Houten B. Mitochondrial DNA damage is more extensive and persists longer than nuclear DNA damage in human cells following oxidative stress. Proc Natl Acad Sci U S A. 1997 Jan 21;94(2):514–9.
Cannino G, Di Liegro CM, Rinaldi AM. Nuclear-mitochondrial interaction . Vol. 7, Mitochondrion. 2007 [cited 2020 Apr 25]. p. 359–66.
Seyfried TN, Shelton LM. Cancer as a metabolic disease. Vol. 7, Nutrition and Metabolism. BioMed Central; 2010. p. 1–22.
Safdie F, Brandhorst S, Wei M, Wang W, Lee C, Hwang S, et al. Fasting Enhances the Response of Glioma to Chemo- and Radiotherapy. PLoS One. 2012 Sep 11;7(9).
Simone BA, Dan T, Palagani A, Jin L, Han SY, Wright C, et al. Caloric restriction coupled with radiation decreases metastatic burden in triple negative breast cancer. Cell Cycle . 2016 Sep 1 [cited 2020 Apr 24];15(17):2265–74.
Zhou W, Mukherjee P, Kiebish MA, Markis WT, Mantis JG, Seyfried TN. The calorically restricted ketogenic diet, an effective alternative therapy for malignant brain cancer. Nutr Metab. 2007;4:5.
Kasumi E, Sato N. A ketogenic diet improves the prognosis in a mouse model of peritoneal dissemination without tumor regression. J Clin Biochem Nutr. 2019;64(3):201–8.
Sperry J, Belle JE Le, Condro MC, Guo L, Braas D, Vanderveer-Harris N, et al. Metabolism of fatty acids and ketone bodies for glioblastoma growth: Implications for Ketogenic Diet Therapy. bioRxiv. 2019 Jun 4;659474.
Byrne FL, Hargett SR, Lahiri S, Roy RJ, Berr SS, Caldwell SH, et al. Serial MRI imaging reveals minimal impact of ketogenic diet on established liver tumor growth. Cancers (Basel) . 2018 Sep 5 [cited 2020 Jul 4];10(9).
Zhuang Y, Chan DK, Haugrud AB, Miskimins WK. Mechanisms by Which Low Glucose Enhances the Cytotoxicity of Metformin to Cancer Cells Both In Vitro and In Vivo. Shridhar V, editor. PLoS One . 2014 Sep 25 [cited 2020 Apr 24];9(9):e108444.
Saleh AD, Simone BA, Palazzo J, Savage JE, Sano Y, Dan T, et al. Caloric restriction augments radiation efficacy in breast cancer. Cell Cycle . 2013 Jun 15 [cited 2020 Apr 24];12(12):1955–63.
Xia S, Lin R, Jin L, Zhao L, Kang HB, Pan Y, et al. Prevention of Dietary-Fat-Fueled Ketogenesis Attenuates BRAF V600E Tumor Growth. Cell Metab . 2017 Feb 7 [cited 2020 Apr 24];25(2):358–73.
Zahra A, Fath MA, Opat E, Mapuskar KA, Bhatia SK, Ma DC, et al. Consuming a Ketogenic Diet while Receiving Radiation and Chemotherapy for Locally Advanced Lung Cancer and Pancreatic Cancer: The University of Iowa Experience of Two Phase 1 Clinical Trials. Radiat Res. 2017 Jun;187(6):743–54.
Allott EH, Macias E, Sanders S, Knudsen BS, Thomas G V., Hursting SD, et al. Impact of carbohydrate restriction in the context of obesity on prostate tumor growth in the Hi- Myc transgenic mouse model. Prostate Cancer ProsStatic Dis . 2017 Jun 1 [cited 2020 Apr 24];20(2):165–71.
Liskiewicz AD, Kasprowska D, Wojakowska A, Polanski K, Lewin-Kowalik J, Kotulska K, et al. Long-term High Fat Ketogenic Diet Promotes Renal Tumor Growth in a Rat Model of Tuberous SclrosSis. Sci Rep . 2016 Feb 19 [cited 2020 Apr 24];6:21807.