2018
DOI: 10.1371/journal.pone.0193318
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Cholesterol esterification inhibition and gemcitabine synergistically suppress pancreatic ductal adenocarcinoma proliferation

Abstract: Recent advances have recognized metabolic reprogramming as an underlying mechanism for cancer drug resistance. However, the role of cholesterol metabolism in drug resistance remain elusive. Herein, we report an increased accumulation of cholesteryl ester in gemcitabine-resistant pancreatic ductal adenocarcinoma (PDAC) cells. A potent inhibitor of acyl-CoA cholesterol acyltransferase-1 (ACAT-1), avasimibe, effectively suppressed proliferation of gemcitabine-resistant PDAC cells. Combination of avasimibe and gem… Show more

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Cited by 52 publications
(62 citation statements)
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“…Notably, although statins are well-known cholesterol-pathway inhibitors, they might target other pathways as well. For instance, statin treatment in various cancer cells leads to [126][127][128] Kras peptide vaccine, DC vaccine, anti-PD-1 + avasimibe…”
Section: Targeting Cholesterol Metabolism For Cancer Therapymentioning
confidence: 99%
See 1 more Smart Citation
“…Notably, although statins are well-known cholesterol-pathway inhibitors, they might target other pathways as well. For instance, statin treatment in various cancer cells leads to [126][127][128] Kras peptide vaccine, DC vaccine, anti-PD-1 + avasimibe…”
Section: Targeting Cholesterol Metabolism For Cancer Therapymentioning
confidence: 99%
“…One possible strategy is a combination of cholesterol-esterification inhibitors with traditional chemotherapy drugs. For example, the combination of avasimibe with well-known chemotherapy drugs such as gemcitabine 126 , paclitaxel 127 or doxorubicin 128 increases antitumour effects in tumour models. Another strategy is combining cholesterol-esterification inhibitors with immunotherapies, such as anti-cancer vaccines and anti-PD-1 therapy.…”
Section: Enhancement Of Cd8 T Cell Function and Inhibition Of The Regmentioning
confidence: 99%
“…Among other metabolites, significant accumulation of CE due to increased ACAT-1 expression was reported in multiple cancers [11-14, 35, 36]. Suppression of CE accumulation via ACAT-1 inhibition appeared to significantly impair the tumor growth as observed in pancreatic cancer, prostate cancer and in glioma tissues [12,27,29]. These reports suggest that cholesterol esterification could be considered a novel potential target for suppression of cancer proliferation and metastasis.…”
Section: Discussionmentioning
confidence: 95%
“…Excess CE may alter tumor cell signaling to promote tumor proliferation and survival [18][19][20] and depletion of CE suppresses cancer proliferation [12,27,29]. It still not clear which signaling molecules/pathways are predominantly altered by CE/ACAT-1 levels.…”
Section: Discussionmentioning
confidence: 99%
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