Acetyl-CoA metabolism supports multistep pancreatic tumorigenesis
File(s)36_Carrer_et_al_2019.pdf (1017.86 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Pancreatic ductal adenocarcinoma (PDA) has a poor prognosis, and new strategies for prevention and treatment are urgently needed. We previously reported that histone H4 acetylation is elevated in pancreatic acinar cells harboring Kras mutations prior to the appearance of premalignant lesions. Because acetyl-CoA abundance regulates global histone acetylation, we hypothesized that altered acetyl-CoA metabolism might contribute to metabolic or epigenetic alterations that promote tumorigenesis. We found that acetyl-CoA abundance is elevated in KRAS-mutant acinar cells and that its use in the mevalonate pathway supports acinar-to-ductal metaplasia (ADM). Pancreas-specific loss of the acetyl-CoA–producing enzyme ATP-citrate lyase (ACLY) accordingly suppresses ADM and tumor formation. In PDA cells, growth factors promote AKT–ACLY signaling and histone acetylation, and both cell proliferation and tumor growth can be suppressed by concurrent BET inhibition and statin treatment. Thus, KRAS-driven metabolic alterations promote acinar cell plasticity and tumor development, and targeting acetyl-CoA–dependent processes exerts anticancer effects.
Date Issued
2019-03-01
Date Acceptance
2019-01-04
Citation
Cancer Discovery, 2019, 9 (3), pp.416-435
ISSN
2159-8274
Publisher
American Association for Cancer Research
Start Page
416
End Page
435
Journal / Book Title
Cancer Discovery
Volume
9
Issue
3
Copyright Statement
© 2019 American Association for Cancer Research. Alessandro Carrer, Sophie Trefely, Steven Zhao, Sydney L. Campbell, Robert J. Norgard, Kollin C. Schultz, Simone Sidoli, Joshua L.D. Parris, Hayley C. Affronti, Sharanya Sivanand, Shaun Egolf, Yogev Sela, Marco Trizzino, Alessandro Gardini, Benjamin A. Garcia, Nathaniel W. Snyder, Ben Z. Stanger, Kathryn E. Wellen; Acetyl-CoA Metabolism Supports Multistep Pancreatic Tumorigenesis. Cancer Discov 1 March 2019; 9 (3): 416–435. https://doi.org/10.1158/2159-8290.CD-18-0567
Identifier
http://dx.doi.org/10.1158/2159-8290.cd-18-0567
Publication Status
Published
Date Publish Online
2019-03-01