Study2022Open access

Cyclocreatine Suppresses Creatine Metabolism and Impairs Prostate Cancer Progression

Patel R, Ford CA, Rodgers L, Rushworth LK, Fleming J, Mui E, Zhang T, Watson D, Lynch V, Mackay G, Sumpton D, Sansom OJ, Vande Voorde J, Leung HY

Cancer research · 36 citations

Review labels

Author industry ties

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Animal study (classified by our AI screen)
Studied in
People, plus animal or lab work
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Possibly industry funded
Nonprofit
Cancer Research UK
Nonprofit
CRUK Beatson Institute
Nonprofit
CRUK Clinical Research Fellowship
Authors
At least one author declares a financial tie to industry
Grants
Cancer Research UK (A21139/); Cancer Research UK (A31287); Cancer Research UK (A15151); Cancer Research UK (A25045); Cancer Research UK (A17196/)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2022-06-08 · Cancer Res · vol. 82 · issue 14 · pp. 2565–2575
Publisher
American Association for Cancer Research
Cited
40 citations · more than 95% of similar papers · 3.9× the field average
Impact
Top 10% most cited in its field
References
41 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Muscle metabolism and nutrition · Cancer, Hypoxia, and Metabolism · Metabolism, Diabetes, and Cancer
Keywords
Creatine, Prostate cancer, Cancer, Internal medicine, Endocrinology, Biology, Cancer research, Prostate, Cancer cell, Tumor progression, Medicine
MeSH
animals, humans, mice, prostatic neoplasms, disease models, animal, creatine, creatinine, phosphocreatine, intracellular signaling peptides and proteins, membrane proteins, male

14 authors

From GB

  • Rachana PatelCancer Research UK Scotland Institute
  • Catriona A. FordCancer Research UK Scotland Institute
  • Lisa Jane RodgersCancer Research UK Scotland Institute; University of Glasgow
  • Linda K. RushworthCancer Research UK Scotland Institute; University of Glasgow
  • Janis FlemingCancer Research UK Scotland Institute
  • Ernest J. MuiCancer Research UK Scotland Institute; University of Glasgow

Abstract

Prostate cancer is the second most common cause of cancer mortality in men worldwide. Applying a novel genetically engineered mouse model (GEMM) of aggressive prostate cancer driven by deficiency of the tumor suppressors PTEN and Sprouty2 (SPRY2), we identified enhanced creatine metabolism as a central component of progressive disease. Creatine treatment was associated with enhanced cellular basal respiration in vitro and increased tumor cell proliferation in vivo. Stable isotope tracing revealed that intracellular levels of creatine in prostate cancer cells are predominantly dictated by exogenous availability rather than by de novo synthesis from arginine. Genetic silencing of creatine transporter SLC6A8 depleted intracellular creatine levels and reduced the colony-forming capacity of human prostate cancer cells. Accordingly, in vitro treatment of prostate cancer cells with cyclocreatine, a creatine analog, dramatically reduced intracellular levels of creatine and its derivatives phosphocreatine and creatinine and suppressed proliferation. Supplementation with cyclocreatine impaired cancer progression in the PTEN- and SPRY2-deficient prostate cancer GEMMs and in a xenograft liver metastasis model. Collectively, these results identify a metabolic vulnerability in prostate cancer and demonstrate a rational therapeutic strategy to exploit this vulnerability to impede tumor progression.

Significance

Enhanced creatine uptake drives prostate cancer progression and confers a metabolic vulnerability to treatment with the creatine analog cyclocreatine.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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