An AMP-activated protein kinase-stabilizing peptide ameliorates adipose tissue wasting in cancer cachexia in mice

Nat Med. 2016 Oct;22(10):1120-1130. doi: 10.1038/nm.4171. Epub 2016 Aug 29.

Abstract

Cachexia represents a fatal energy-wasting syndrome in a large number of patients with cancer that mostly results in a pathological loss of skeletal muscle and adipose tissue. Here we show that tumor cell exposure and tumor growth in mice triggered a futile energy-wasting cycle in cultured white adipocytes and white adipose tissue (WAT), respectively. Although uncoupling protein 1 (Ucp1)-dependent thermogenesis was dispensable for tumor-induced body wasting, WAT from cachectic mice and tumor-cell-supernatant-treated adipocytes were consistently characterized by the simultaneous induction of both lipolytic and lipogenic pathways. Paradoxically, this was accompanied by an inactivated AMP-activated protein kinase (Ampk), which is normally activated in peripheral tissues during states of low cellular energy. Ampk inactivation correlated with its degradation and with upregulation of the Ampk-interacting protein Cidea. Therefore, we developed an Ampk-stabilizing peptide, ACIP, which was able to ameliorate WAT wasting in vitro and in vivo by shielding the Cidea-targeted interaction surface on Ampk. Thus, our data establish the Ucp1-independent remodeling of adipocyte lipid homeostasis as a key event in tumor-induced WAT wasting, and we propose the ACIP-dependent preservation of Ampk integrity in the WAT as a concept in future therapies for cachexia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • AMP-Activated Protein Kinases / metabolism*
  • AMP-Activated Protein Kinases / pharmacology
  • Adipocytes, White / drug effects*
  • Adipocytes, White / metabolism
  • Adipose Tissue, White / drug effects*
  • Adipose Tissue, White / metabolism
  • Animals
  • Apoptosis Regulatory Proteins / drug effects*
  • Apoptosis Regulatory Proteins / metabolism
  • Cachexia / etiology
  • Cachexia / metabolism*
  • Cells, Cultured
  • In Vitro Techniques
  • Lipid Metabolism / drug effects*
  • Lipogenesis / drug effects
  • Lipolysis / drug effects
  • Mice
  • Neoplasms / complications
  • Neoplasms / metabolism*
  • Peptide Fragments / pharmacology*
  • Thermogenesis / drug effects
  • Uncoupling Protein 1 / drug effects
  • Uncoupling Protein 1 / metabolism

Substances

  • Apoptosis Regulatory Proteins
  • Cidea protein, mouse
  • Peptide Fragments
  • Ucp1 protein, mouse
  • Uncoupling Protein 1
  • Prkab1 protein, mouse
  • AMP-Activated Protein Kinases