[en] Dysregulated lipid metabolism is a prominent feature of prostate cancer that is driven by androgen receptor (AR) signaling. Here we used quantitative mass spectrometry to define the "lipidome" in prostate tumors with matched benign tissues (n = 21), independent unmatched tissues (n = 47), and primary prostate explants cultured with the clinical AR antagonist enzalutamide (n = 43). Significant differences in lipid composition were detected and spatially visualized in tumors compared with matched benign samples. Notably, tumors featured higher proportions of monounsaturated lipids overall and elongated fatty acid chains in phosphatidylinositol and phosphatidylserine lipids. Significant associations between lipid profile and malignancy were validated in unmatched samples, and phospholipid composition was characteristically altered in patient tissues that responded to AR inhibition. Importantly, targeting tumor-related lipid features via inhibition of acetyl-CoA carboxylase 1 significantly reduced cellular proliferation and induced apoptosis in tissue explants. This characterization of the prostate cancer lipidome in clinical tissues reveals enhanced fatty acid synthesis, elongation, and desaturation as tumor-defining features, with potential for therapeutic targeting. SIGNIFICANCE: This study identifies malignancy and treatment-associated changes in lipid composition of clinical prostate cancer tissues, suggesting that mediators of these lipidomic changes could be targeted using existing metabolic agents.
Disciplines :
Urology & nephrology
Author, co-author :
Butler, Lisa M ; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia. lisa.butler@adelaide.edu.au ; South Australian Health and Medical Research Institute, Adelaide, Australia
Mah, Chui Yan ; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Machiels, Jelle; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Vincent, Andrew D; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Irani, Swati; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Mutuku, Shadrack M; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Spotbeen, Xander ; South Australian Health and Medical Research Institute, Adelaide, Australia ; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Bagadi, Muralidhararao; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
WALTREGNY, David ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'urologie
Moldovan, Max ; South Australian Health and Medical Research Institute, Adelaide, Australia
Dehairs, Jonas; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Vanderhoydonc, Frank; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Bloch, Katarzyna; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Das, Rajdeep; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; Dame Roma Mitchell Cancer Research Laboratories, University of Adelaide, Adelaide, Australia ; Northwestern University, Feinberg School of Medicine, Comprehensive Transplant Center, Chicago, Illinois
Stahl, Jurgen; Clinpath Laboratories, Adelaide, Australia
Kench, James G ; Department of Tissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, NSW Health Pathology, Camperdown, New South Wales, Australia ; Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia ; University of Sydney, Camperdown, New South Wales, Australia
Gevaert, Thomas; Department of Urology, UZ Leuven, Leuven, Belgium
Derua, Rita; Department of Cellular and Molecular Medicine and SyBioMa Center, KU Leuven, Leuven, Belgium
Waelkens, Etienne; Department of Cellular and Molecular Medicine and SyBioMa Center, KU Leuven, Leuven, Belgium
Nassar, Zeyad D ; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Selth, Luke A ; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; Dame Roma Mitchell Cancer Research Laboratories, University of Adelaide, Adelaide, Australia ; Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
Trim, Paul J ; South Australian Health and Medical Research Institute, Adelaide, Australia
Snel, Marten F ; South Australian Health and Medical Research Institute, Adelaide, Australia
Lynn, David J ; South Australian Health and Medical Research Institute, Adelaide, Australia ; Flinders Health and Medical Research Institute, Flinders University, Adelaide, Australia
Tilley, Wayne D ; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; Dame Roma Mitchell Cancer Research Laboratories, University of Adelaide, Adelaide, Australia
Horvath, Lisa G; Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia ; University of Sydney, Camperdown, New South Wales, Australia ; Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia ; University of New South Wales, Sydney, New South Wales, Australia
Centenera, Margaret M; Adelaide Medical School and Freemasons Centre for Male Health and Wellbeing, University of Adelaide, Adelaide, Australia ; South Australian Health and Medical Research Institute, Adelaide, Australia
Swinnen, Johannes V ; Laboratory of Lipid Metabolism and Cancer, LKI - Leuven Cancer Institute, KU Leuven, Leuven, Belgium
Movember Foundation PCFA - Prostate Cancer Foundation of Australia USDOD - United States Department of Defense NHMRC - National Health and Medical Research Council Cancer Australia ACRF - Australian Cancer Research Foundation EMBL Australia
Funding text :
L.M. Butler reports grants from Movember Foundation, Prostate Cancer Foundation of Australia, U.S. Department of Defense, Cancer Council South Australia, and Cancer Australia during the conduct of the study. J. Machiels reports a patent for WO2012038525 licensed. E. Waelkens reports grants from European Community during the conduct of the study. L.A. Selth reports grants from Cancer Council SA and Movember/Prostate Cancer Foundation of Australia during the conduct of the study. P.J. Trim reports other support from University of Adelaide during the conduct of the study. M.F. Snel reports other support from University of Adelaide (L.M. Butler, main author) during the conduct of the study. L.G. Horvath reports other support from Exelexis, MSD, Pfizer, Eli-Lilly, Amgen, Novartis, Bristol Myers Squibb, Beigene, and Antagene outside the submitted work. M.M. Centenera reports grants from Prostate Cancer Foundation of Australia and Movember Foundation during the conduct of the study. J.V. Swinnen reports grants from The Movember Foundation/Prostate Cancer Foundation of Australia, Research Foundation - Flanders, Stichting tegen Kanker, Interreg V-A EMR23 "EURLIPIDS," Kom op tegen kanker, and Fondation Fournier-Majoie pour l’Innovation; grants and other support from KU Leuven during the conduct of the study; in addition, J.V. Swinnen has a patent for phospholipid profiling issued. No disclosures were reported by the other authors.This research was supported by The Movember Foundation/Prostate Cancer Foundation of Australia (MRTA3); The Prostate Cancer Foundation of Australia (NDDA-4711); The U.S. Department of Defense (PC180582); The National Health and Medical Research Council (NHMRC) of Australia (1121057, 1130077, 1138242, 1145777); Cancer Australia (1138766); the Australian Cancer Research Foundation (Centre for Integrated Cancer Systems Biology); a Movember/NBCF Collaborative Linkage Grant (MNBCF-17-012), KU Leuven grants C1 (C16/15/073) and C3 (C32/ 17/052); Research Foundation - Flanders (FWO) grants G.841.15 and G0E0817N; Interreg V-A EMR23 EURLIPIDS; Stichting tegen Kanker; Kom op tegen Kanker; and the Fondation Fournier-Majoie pour l’Innovation. L.M. Butler was supported by a Future Fellowship from the Australian Research Council (FT130101004), and L.M. Butler and L.A. Selth are supported by Principal Cancer Research Fellowships (PRF1117 and PRF2919, respectively) awarded by Cancer Council’s Beat Cancer project on behalf of its donors, the state Government through the Department of Health and the Australian Government through the Medical Research Future Fund. C.Y. Mah, R. Das, and S.M. Mutuku were supported by PhD Scholarships from theThis research was supported by The Movember Foundation/Prostate Cancer Foundation of Australia (MRTA3); The Prostate Cancer Foundation of Australia (NDDA-4711); The U.S. Department of Defense (PC180582); The National Health and Medical Research Council (NHMRC) of Australia (1121057, 1130077, 1138242, 1145777); Cancer Australia (1138766); the Australian Cancer Research Foundation (Centre for Integrated Cancer Systems Biology); a Movember/NBCF Collaborative Linkage Grant (MNBCF-17-012), KU Leuven grants C1 (C16/15/073) and C3 (C32/ 17/052); Research Foundation - Flanders (FWO) grants G.841.15 and G0E0817N; Interreg V-A EMR23 EURLIPIDS; Stichting tegen Kanker; Kom op tegen Kanker; and the Fondation Fournier-Majoie pour l?Innovation. L.M. Butler was supported by a Future Fellowship from the Australian Research Council (FT130101004), and L.M. Butler and L.A. Selth are supported by Principal Cancer Research Fellowships (PRF1117 and PRF2919, respectively) awarded by Cancer Council?s Beat Cancer project on behalf of its donors, the state Government through the Department of Health and the Australian Government through the Medical Research Future Fund. C.Y. Mah, R. Das, and S.M. Mutuku were supported by PhD Scholarships from the University of Adelaide, and C.Y. Mah and R. Das received Top-Up Scholarships from the Freemasons Centre for Male Health and Wellbeing at the University of Adelaide; Z.D. Nassar is supported by an Early Career Fellowship from the National Health and Medical Research Council of Australia (1138648); X. Spotbeen is supported by a Fellowship from the Research Foundation Flanders (FWO); D.J. Lynn is supported by an EMBL Australia group leader award; L.G. Horvath is supported by an Investigator Award from the National Health and Medical Research Council of Australia (1196225). The authors are grateful to the Belgian and Australian study participants, as well as the urologists, nurses, and histopathologists who assisted in the recruitment and collection of patient samples and clinical information.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394–424.
Butler LM, Perone Y, Dehairs J, Lupien LE, de Laat V, Talebi A, et al. Lipids and cancer: emerging roles in pathogenesis, diagnosis and therapeutic intervention. Adv Drug Deliv Rev 2020;159:245–93.
Hanahan D, Weinberg RA. Hallmarks of cancer: the next generation. Cell 2011; 144:646–74.
Koundouros N, Poulogiannis G. Reprogramming of fatty acid metabolism in cancer. Br J Cancer 2020;122:4–22.
Bader DA, McGuire SE. Tumour metabolism and its unique properties in prostate adenocarcinoma. Nat Rev Urol 2020;17:214–31.
Zadra G, Loda M. Metabolic vulnerabilities of prostate cancer: diagnostic and therapeutic opportunities. Cold Spring Harb Perspect Med 2018;8: a030569.
Butler LM, Centenera MM, Swinnen JV. Androgen control of lipid metabolism in prostate cancer: novel insights and future applications. Endocr Relat Cancer 2016;23:R219–27.
Crowe FL, Appleby PN, Travis RC, Barnett M, Brasky TM, Bueno-deMesquita HB, et al. Circulating fatty acids and prostate cancer risk: individual participant meta-analysis of prospective studies. J Natl Cancer Inst 2014;106: dju240.
Patel N, Vogel R, Chandra-Kuntal K, Glasgow W, Kelavkar U. A novel three serum phospholipid panel differentiates normal individuals from those with prostate cancer. PLoS One 2014;9:e88841.
Lin HM, Mahon KL, Weir JM, Mundra PA, Spielman C, Briscoe K, et al. A distinct plasma lipid signature associated with poor prognosis in castration-resistant prostate cancer. Int J Cancer 2017;141:2112–20.
Rysman E, Brusselmans K, Scheys K, Timmermans L, Derua R, Munck S, et al. De novo lipogenesis protects cancer cells from free radicals and chemotherapeutics by promoting membrane lipid saturation. Cancer Res 2010;70:8117–26.
Sorvina A, Bader CA, Caporale C, Carter EA, Johnson IRD, Parkinson-Lawrence EJ, et al. Lipid profiles of prostate cancer cells. Oncotarget 2018;9:35541–52.
Burch TC, Isaac G, Booher CL, Rhim JS, Rainville P, Langridge J, et al. Comparative metabolomic and lipidomic analysis of phenotype stratified prostate cells. PLoS One 2015;10:e0134206.
Goto T, Terada N, Inoue T, Kobayashi T, Nakayama K, Okada Y, et al. Decreased expression of lysophosphatidylcholine (16:0/OH) in high resolution imaging mass spectrometry independently predicts biochemical recurrence after surgical treatment for prostate cancer. Prostate 2015;75:1821–30.
Goto T, Terada N, Inoue T, Nakayama K, Okada Y, Yoshikawa T, et al. The expression profile of phosphatidylinositol in high spatial resolution imaging mass spectrometry as a potential biomarker for prostate cancer. PLoS One 2014; 9:e90242.
Morse N, Jamaspishvili T, Simon D, Patel PG, Ren KYM, Wang J, et al. Reliable identification of prostate cancer using mass spectrometry metabolomic imaging in needle core biopsies. Lab Invest 2019;99:1561–71.
Randall EC, Zadra G, Chetta P, Lopez BGC, Syamala S, Basu SS, et al. Molecular characterization of prostate cancer with associated Gleason score using mass spectrometry imaging. Mol Cancer Res 2019;17:1155–65.
Waltregny D, Alami Y, Clausse N, de Leval J, Castronovo V. Overexpression of the homeobox gene HOXC8 in human prostate cancer correlates with loss of tumor differentiation. Prostate 2002;50:162–9.
Centenera MM, Hickey TE, Jindal S, Ryan NK, Ravindranathan P, Mohammed H, et al. A patient-derived explant (PDE) model of hormone-dependent cancer. Mol Oncol 2018;12:1608–22.
Chong J, Xia J. MetaboAnalystR: an R package for flexible and reproducible analysis of metabolomics data. Bioinformatics 2018;34:4313–4.
Gu Z, Gu L, Eils R, Schlesner M, Brors B. Circlize implements and enhances circular visualization in R. Bioinformatics 2014;30:2811–2.
Armstrong HK, Gillis JL, Johnson IRD, Nassar ZD, Moldovan M, Levrier C, et al. Dysregulated fibronectin trafficking by Hsp90 inhibition restricts prostate cancer cell invasion. Sci Rep 2018;8:2090.
Kim D, Pertea G, Trapnell C, Pimentel H, Kelley R, Salzberg SL. TopHat2: accurate alignment of transcriptomes in the presence of insertions, deletions and gene fusions. Genome Biol 2013;14:R36.
Anders S, Pyl PT, Huber W. HTSeq–a Python framework to work with high-throughput sequencing data. Bioinformatics 2015;31:166–9.
Robinson MD, McCarthy DJ, Smyth GK. edgeR: a Bioconductor package for differential expression analysis of digital gene expression data. Bioinformatics 2010;26:139–40.
Dieterle F, Ross A, Schlotterbeck G, Senn H. Probabilistic quotient normalization as robust method to account for dilution of complex biological mixtures. Application in 1H NMR metabonomics. Anal Chem 2006;78:4281–90.
Strimmer K. A unified approach to false discovery rate estimation. BMC Bioinformatics 2008;9:303.
Beer TM, Armstrong AJ, Rathkopf DE, Loriot Y, Sternberg CN, Higano CS, et al. Enzalutamide in metastatic prostate cancer before chemotherapy. N Engl J Med 2014;371:424–33.
Scher HI, Fizazi K, Saad F, Taplin ME, Sternberg CN, Miller K, et al. Increased survival with enzalutamide in prostate cancer after chemotherapy. N Engl J Med 2012;367:1187–97.
Griffith DA, Kung DW, Esler WP, Amor PA, Bagley SW, Beysen C, et al. Decreasing the rate of metabolic ketone reduction in the discovery of a clinical acetyl-CoA carboxylase inhibitor for the treatment of diabetes. J Med Chem 2014;57:10512–26.
Zhang AY, Chiam K, Haupt Y, Fox S, Birch S, Tilley W, et al. An analysis of a multiple biomarker panel to better predict prostate cancer metastasis after radical prostatectomy. Int J Cancer 2019;144:1151–9.
Meller S, Meyer HA, Bethan B, Dietrich D, Maldonado SG, Lein M, et al. Integration of tissue metabolomics, transcriptomics and immunohistochemistry reveals ERG- and Gleason score-specific metabolomic alterations in prostate cancer. Oncotarget 2016;7:1421–38.
Hansen AF, Sandsmark E, Rye MB, Wright AJ, Bertilsson H, Richardsen E, et al. Presence of TMPRSS2-ERG is associated with alterations of the metabolic profile in human prostate cancer. Oncotarget 2016;7:42071–85.
Dudka I, Thysell E, Lundquist K, Antti H, Iglesias-Gato D, Flores-Morales A, et al. Comprehensive metabolomics analysis of prostate cancer tissue in relation to tumor aggressiveness and TMPRSS2-ERG fusion status. BMC Cancer 2020; 20:437.
Bandu R, Mok HJ, Kim KP. Phospholipids as cancer biomarkers: mass spectrometry-based analysis. Mass Spectrom Rev 2018;37:107–38.
Naguib A, Bencze G, Engle DD, Chio II, Herzka T, Watrud K, et al. p53 mutations change phosphatidylinositol acyl chain composition. Cell Rep 2015;10:8–19.
Saliakoura M, Rossi Sebastiano M, Pozzato C, Heidel FH, Schn€oder TM, Savic Prince S, et al. PLCg1 suppression promotes the adaptation of KRAS-mutant lung adenocarcinomas to hypoxia. Nat Cell Biol 2020;22:1382–95.
Falvella FS, Pascale RM, Gariboldi M, Manenti G, De Miglio MR, Simile MM, et al. Stearoyl-CoA desaturase 1 (Scd1) gene overexpression is associated with genetic predisposition to hepatocarcinogenesis in mice and rats. Carcinogenesis 2002;23:1933–6.
Fritz V, Benfodda Z, Rodier G, Henriquet C, Iborra F, Avances C, et al. Abrogation of de novo lipogenesis by stearoyl-CoA desaturase 1 inhibition interferes with oncogenic signaling and blocks prostate cancer progression in mice. Mol Cancer Ther 2010;9:1740–54.
Griffitts J, Tesiram Y, Reid GE, Saunders D, Floyd RA, Towner RA. In vivo MRS assessment of altered fatty acyl unsaturation in liver tumor formation of a TGF alpha/c-myc transgenic mouse model. J Lipid Res 2009;50:611–22.
Li J, Ding SF, Habib NA, Fermor BF, Wood CB, Gilmour RS. Partial characterization of a cDNA for human stearoyl-CoA desaturase and changes in its mRNA expression in some normal and malignant tissues. Int J Cancer 1994;57: 348–52.
Romanuik TL, Ueda T, Le N, Haile S, Yong TM, Thomson T, et al. Novel biomarkers for prostate cancer including noncoding transcripts. Am J Pathol 2009;175:2264–76.
Tamura K, Makino A, Hullin-Matsuda F, Kobayashi T, Furihata M, Chung S, et al. Novel lipogenic enzyme ELOVL7 is involved in prostate cancer growth through saturated long-chain fatty acid metabolism. Cancer Res 2009;69:8133–40.
Wang HW, Wu YH, Hsieh JY, Liang ML, Chao ME, Liu DJ, et al. Pediatric primary central nervous system germ cell tumors of different prognosis groups show characteristic miRNome traits and chromosome copy number variations. BMC Genomics 2010;11:132.
Marien E, Meister M, Muley T, Fieuws S, Bordel S, Derua R, et al. Non-small cell lung cancer is characterized by dramatic changes in phospholipid profiles. Int J Cancer 2015;137:1539–48.
Swinnen JV, Vanderhoydonc F, Elgamal AA, Eelen M, Vercaeren I, Joniau S, et al. Selective activation of the fatty acid synthesis pathway in human prostate cancer. Int J Cancer 2000;88:176–9.
Centenera MM, Scott JS, Machiels J, Nassar ZD, Miller DC, Zininos I, et al. ELOVL5 is a critical and targetable fatty acid elongase in prostate cancer. Cancer Res 2021;81:1704–18.
Swinnen JV, Heemers H, Deboel L, Foufelle F, Heyns W, Verhoeven G. Stimulation of tumor-associated fatty acid synthase expression by growth factor activation of the sterol regulatory element-binding protein pathway. Oncogene 2000;19:5173–81.
Van de Sande T, De Schrijver E, Heyns W, Verhoeven G, Swinnen JV. Role of the phosphatidylinositol 30-kinase/PTEN/Akt kinase pathway in the overexpression of fatty acid synthase in LNCaP prostate cancer cells. Cancer Res 2002;62:642–6.
Moreau K, Dizin E, Ray H, Luquain C, Lefai E, Foufelle F, et al. BRCA1 affects lipid synthesis through its interaction with acetyl-CoA carboxylase. J Biol Chem 2006;281:3172–81.
Kinlaw WB, Church JL, Harmon J, Mariash CN. Direct evidence for a role of the “spot 14” protein in the regulation of lipid synthesis. J Biol Chem 1995;270: 16615–8.
Sabbisetti V, Di Napoli A, Seeley A, Amato AM, O’Regan E, Ghebremichael M, et al. p63 promotes cell survival through fatty acid synthase. PLoS One 2009;4: e5877.
Swinnen JV, Ulrix W, Heyns W, Verhoeven G. Coordinate regulation of lipogenic gene expression by androgens: evidence for a cascade mechanism involving sterol regulatory element binding proteins. Proc Natl Acad Sci U S A 1997;94:12975–80.
Harayama T, Riezman H. Understanding the diversity of membrane lipid composition. Nat Rev Mol Cell Biol 2018;19:281–96.
Rogers KR, Kikawa KD, Mouradian M, Hernandez K, McKinnon KM, Ahwah SM, et al. Docosahexaenoic acid alters epidermal growth factor receptor-related signaling by disrupting its lipid raft association. Carcinogenesis 2010;31: 1523–30.
Gillet L, Roger S, Bougnoux P, Le Guennec JY, Besson P. Beneficial effects of omega-3 long-chain fatty acids in breast cancer and cardiovascular diseases: voltage-gated sodium channels as a common feature? Biochimie 2011;93:4–6.
Jude S, Roger S, Martel E, Besson P, Richard S, Bougnoux P, et al. Dietary long-chain omega-3 fatty acids of marine origin: a comparison of their protective effects on coronary heart disease and breast cancers. Prog Biophys Mol Biol 2006; 90:299–325.
Kiebish MA, Han X, Cheng H, Chuang JH, Seyfried TN. Cardiolipin and electron transport chain abnormalities in mouse brain tumor mitochondria: lipidomic evidence supporting the Warburg theory of cancer. J Lipid Res 2008;49:2545–56.
Hilvo M, Denkert C, Lehtinen L, Muller B, Brockmoller S, Seppanen-Laakso T, et al. Novel theranostic opportunities offered by characterization of altered membrane lipid metabolism in breast cancer progression. Cancer Res 2011;71: 3236–45.
Beckers A, Organe S, Timmermans L, Scheys K, Peeters A, Brusselmans K, et al. Chemical inhibition of acetyl-CoA carboxylase induces growth arrest and cytotoxicity selectively in cancer cells. Cancer Res 2007;67:8180–7.
Brusselmans K, De Schrijver E, Verhoeven G, Swinnen JV. RNA interference-mediated silencing of the acetyl-CoA-carboxylase-alpha gene induces growth inhibition and apoptosis of prostate cancer cells. Cancer Res 2005;65:6719–25.
Peck B, Schug ZT, Zhang Q, Dankworth B, Jones DT, Smethurst E, et al. Inhibition of fatty acid desaturation is detrimental to cancer cell survival in metabolically compromised environments. Cancer Metab 2016;4:6.