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An Exercise-Induced Metabolic Shield in Distant Organs Blocks Cancer Progression and Metastatic Dissemination.
Sheinboim, Danna; Parikh, Shivang; Manich, Paulee; Markus, Irit; Dahan, Sapir; Parikh, Roma; Stubbs, Elisa; Cohen, Gali; Zemser-Werner, Valentina; Bell, Rachel E; Ruiz, Sara Arciniegas; Percik, Ruth; Brenner, Ronen; Leibou, Stav; Vaknine, Hananya; Arad, Gali; Gerber, Yariv; Keinan-Boker, Lital; Shimony, Tal; Bikovski, Lior; Goldstein, Nir; Constantini, Keren; Labes, Sapir; Mordechai, Shimonov; Doron, Hila; Lonescu, Ariel; Ziv, Tamar; Nizri, Eran; Choshen, Guy; Eldar-Finkelman, Hagit; Tabach, Yuval; Helman, Aharon; Ben-Eliyahu, Shamgar; Erez, Neta; Perlson, Eran; Geiger, Tamar; Ben-Zvi, Danny; Khaled, Mehdi; Gepner, Yftach; Levy, Carmit.
Afiliación
  • Sheinboim D; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Parikh S; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Manich P; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Markus I; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Dahan S; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Parikh R; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Stubbs E; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Cohen G; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Zemser-Werner V; Stanley Steyer Institute for Cancer Epidemiology and Research, Tel Aviv University, Tel Aviv, Israel.
  • Bell RE; Institute of Pathology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
  • Ruiz SA; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Percik R; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Brenner R; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Leibou S; Institute of Endocrinology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
  • Vaknine H; Institute of Oncology, E. Wolfson Medical Center, Holon, Israel.
  • Arad G; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Gerber Y; Institute of Pathology, E. Wolfson Medical Center, Holon, Israel.
  • Keinan-Boker L; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Shimony T; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Bikovski L; Stanley Steyer Institute for Cancer Epidemiology and Research, Tel Aviv University, Tel Aviv, Israel.
  • Goldstein N; School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
  • Constantini K; Israel Center for Disease Control, Israel Ministry of Health, Ramat Gan, Israel.
  • Labes S; Israel Center for Disease Control, Israel Ministry of Health, Ramat Gan, Israel.
  • Mordechai S; The Myers Neuro-Behavioral Core Facility, Tel Aviv University, Tel Aviv, Israel.
  • Doron H; School of Behavioral Sciences, Netanya Academic College, Netanya, Israel.
  • Lonescu A; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Ziv T; Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, and Sylvan Adams Sports Institute, Tel Aviv University, Tel Aviv, Israel.
  • Nizri E; Department of Developmental Biology and Cancer Research, Institute of Medical Research-Israel-Canada, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Choshen G; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Eldar-Finkelman H; Department of Surgery, E. Wolfson Medical Center, Holon, Israel.
  • Tabach Y; Department of Pathology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Helman A; Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Ben-Eliyahu S; The Smoler Proteomics Center, Technion, Haifa, Israel.
  • Erez N; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Perlson E; Department of Dermatology, Tel Aviv Sourasky (Ichilov) Medical Center, Tel Aviv, Israel.
  • Geiger T; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Ben-Zvi D; Department of Internal Medicine, Tel Aviv Sourasky (Ichilov) Medical Center, Tel Aviv, Israel.
  • Khaled M; Department of Human Genetics and Biochemistry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
  • Gepner Y; Department of Developmental Biology and Cancer Research, Institute of Medical Research-Israel-Canada, The Hebrew University of Jerusalem, Jerusalem, Israel.
  • Levy C; Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University, Rehovot, Israel.
Cancer Res ; 82(22): 4164-4178, 2022 11 15.
Article en En | MEDLINE | ID: mdl-36084256
Exercise prevents cancer incidence and recurrence, yet the underlying mechanism behind this relationship remains mostly unknown. Here we report that exercise induces the metabolic reprogramming of internal organs that increases nutrient demand and protects against metastatic colonization by limiting nutrient availability to the tumor, generating an exercise-induced metabolic shield. Proteomic and ex vivo metabolic capacity analyses of murine internal organs revealed that exercise induces catabolic processes, glucose uptake, mitochondrial activity, and GLUT expression. Proteomic analysis of routinely active human subject plasma demonstrated increased carbohydrate utilization following exercise. Epidemiologic data from a 20-year prospective study of a large human cohort of initially cancer-free participants revealed that exercise prior to cancer initiation had a modest impact on cancer incidence in low metastatic stages but significantly reduced the likelihood of highly metastatic cancer. In three models of melanoma in mice, exercise prior to cancer injection significantly protected against metastases in distant organs. The protective effects of exercise were dependent on mTOR activity, and inhibition of the mTOR pathway with rapamycin treatment ex vivo reversed the exercise-induced metabolic shield. Under limited glucose conditions, active stroma consumed significantly more glucose at the expense of the tumor. Collectively, these data suggest a clash between the metabolic plasticity of cancer and exercise-induced metabolic reprogramming of the stroma, raising an opportunity to block metastasis by challenging the metabolic needs of the tumor. SIGNIFICANCE: Exercise protects against cancer progression and metastasis by inducing a high nutrient demand in internal organs, indicating that reducing nutrient availability to tumor cells represents a potential strategy to prevent metastasis. See related commentary by Zerhouni and Piskounova, p. 4124.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Nutrientes / Proteómica / Melanoma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: Cancer Res Año: 2022 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Nutrientes / Proteómica / Melanoma Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: Cancer Res Año: 2022 Tipo del documento: Article País de afiliación: Israel Pais de publicación: Estados Unidos