Obesity-associated, but not obesity-independent, tumors respond to insulin by increasing mitochondrial glucose oxidation

PLoS One. 2019 Jun 12;14(6):e0218126. doi: 10.1371/journal.pone.0218126. eCollection 2019.

Abstract

Obesity is associated with increased incidence and worse prognosis of more than one dozen tumor types; however, the molecular mechanisms for this association remain under debate. We hypothesized that insulin, which is elevated in obesity-driven insulin resistance, would increase tumor glucose oxidation in obesity-associated tumors. To test this hypothesis, we applied and validated a stable isotope method to measure the ratio of pyruvate dehydrogenase flux to citrate synthase flux (VPDH/VCS, i.e. the percent of total mitochondrial oxidation fueled by glucose) in tumor cells. Using this method, we found that three tumor cell lines associated with obesity (colon cancer [MC38], breast cancer [4T1], and prostate cancer [TRAMP-C3] cells) increase VPDH/VCS in response to physiologic concentrations of insulin. In contrast, three tumor cell lines that are not associated with obesity (melanoma [YUMM1.7], B cell lymphoma [BCL1 clone 5B1b], and small cell lung cancer [NCI-H69] cells) exhibited no oxidative response to insulin. The observed increase in glucose oxidation in response to insulin correlated with a dose-dependent increase in cell division in obesity-associated tumor cell lines when grown in insulin, whereas no alteration in cell division was seen in tumor types not associated with obesity. These data reveal that a shift in substrate preference in the setting of physiologic insulin may comprise a metabolic signature of obesity-associated tumors that differs from that of those not associated with obesity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alanine / metabolism
  • Breast Neoplasms / complications
  • Breast Neoplasms / genetics
  • Breast Neoplasms / metabolism
  • Cell Line, Tumor
  • Citrate (si)-Synthase / genetics
  • Citrate (si)-Synthase / metabolism
  • Colonic Neoplasms / complications
  • Colonic Neoplasms / genetics
  • Colonic Neoplasms / metabolism
  • Female
  • Gene Expression Regulation / drug effects*
  • Glucose / metabolism*
  • Glutamic Acid / metabolism
  • Humans
  • Insulin / metabolism
  • Insulin / pharmacology*
  • Isotope Labeling
  • Ketone Oxidoreductases / genetics
  • Ketone Oxidoreductases / metabolism
  • Lymphoma, B-Cell / genetics
  • Lymphoma, B-Cell / metabolism
  • Lymphoma, B-Cell / pathology
  • Male
  • Melanoma / genetics
  • Melanoma / metabolism
  • Melanoma / pathology
  • Mitochondria / drug effects*
  • Mitochondria / metabolism
  • Obesity / complications
  • Obesity / genetics
  • Obesity / metabolism
  • Organ Specificity
  • Oxidation-Reduction
  • Phosphorylation / drug effects
  • Prostatic Neoplasms / complications
  • Prostatic Neoplasms / genetics
  • Prostatic Neoplasms / metabolism
  • Receptor, Insulin / genetics
  • Receptor, Insulin / metabolism
  • Signal Transduction
  • Skin Neoplasms / genetics
  • Skin Neoplasms / metabolism
  • Skin Neoplasms / pathology
  • Small Cell Lung Carcinoma / genetics
  • Small Cell Lung Carcinoma / metabolism
  • Small Cell Lung Carcinoma / pathology

Substances

  • Insulin
  • Glutamic Acid
  • Ketone Oxidoreductases
  • pyruvate dehydrogenase (NADP+)
  • Citrate (si)-Synthase
  • Receptor, Insulin
  • Glucose
  • Alanine