Catabolism of exogenous lactate reveals it as a legitimate metabolic substrate in breast cancer
Open accessAbstract
Lactate accumulation in tumors has been associated with metastases and poor overall survival in cancer patients. Lactate promotes angiogenesis and metastasis, providing rationale for understanding how it is processed by cells. The concentration of lactate in tumors is a balance between the amount produced, amount carried away by vasculature and if/how it is catabolized by aerobic tumor or stromal cells. We examined lactate metabolism in human normal and breast tumor cell lines and rat breast cancer: 1. at relevant concentrations, 2. under aerobic vs. hypoxic conditions, 3. under conditions of normo vs. hypoglucosis. We also compared the avidity of tumors for lactate vs. glucose and identified key lactate catabolites to reveal how breast cancer cells process it. Lactate was non-toxic at clinically relevant concentrations. It was taken up and catabolized to alanine and glutamate by all cell lines. Kinetic uptake rates of lactate in vivo surpassed that of glucose in R3230Ac mammary carcinomas. The uptake appeared specific to aerobic tumor regions, consistent with the proposed "metabolic symbiont" model; here lactate produced by hypoxic cells is used by aerobic cells. We investigated whether treatment with alpha-cyano-4-hydroxycinnamate (CHC), a MCT1 inhibitor, would kill cells in the presence of high lactate. Both 0.1 mM and 5 mM CHC prevented lactate uptake in R3230Ac cells at lactate concentrations at ≤ 20 mM but not at 40 mM. 0.1 mM CHC was well-tolerated by R3230Ac and MCF7 cells, but 5 mM CHC killed both cell lines ± lactate, indicating off-target effects. This study showed that breast cancer cells tolerate and use lactate at clinically relevant concentrations in vitro (± glucose) and in vivo. We provided additional support for the metabolic symbiont model and discovered that breast cells prevailingly take up and catabolize lactate, providing rationale for future studies on manipulation of lactate catabolism pathways for therapy.
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Lactate produced in hypoxic regions of a tumor can fuel respiration in well-oxygenated tumor cells.
“It has been reported that lactate produced by cancer-associated fibroblasts can enter the TCA cycle of cancer cells (Bonuccelli et al., 2014; Witkiewicz et al., 2012), and lactate produced in hypoxic regions of a tumor can fuel respiration in well-oxygenated tumor cells (Kennedy et al., 2013; Sonveaux et al., 2008).”
From Targeting Metabolism for Cancer Therapy (2017) · cites this paper as Kennedy et al., 2013
In cultured cells, pyruvate is largely produced from glucose via glycolysis; in vivo, circulating lactate provides an additional major source of tissue pyruvate.
“In cultured cells, pyruvate is largely produced from glucose via glycolysis; in vivo, circulating lactate provides an additional major source of tissue pyruvate (46, 47, 48).”
From Regulation and function of the mammalian tricarboxylic acid cycle (2023) · cites this paper as [48]
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Self-citation
- Authors
- Kennedy, K. M., Scarbrough, P. M., Ribeiro, A., Richardson, R., Yuan, H., Sonveaux, P., Landon, C. D., Chi, J.-T., Pizzo, S., Schroeder, T., & Dewhirst, M. W.
- Affiliations
- Duke Medical Center (US)
- Duke University (US)
- University of North Carolina at Chapel Hill (US)
- UCLouvain (BE)
- Corresponding author
- Kennedy, Kelly M.
- Scarbrough, Peter M.
- Ribeiro, Anthony
- Richardson, Rachel
- Yuan, Hong
- Sonveaux, Pierre
- Landon, Chelsea D.
- Chi, Jen-Tsan
- Pizzo, Salvatore
- Schroeder, Thies
- Dewhirst, Mark W.
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-09-12
- Volume
- 8
- Issue
- 9
- Pages
- e75154
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3771963
- OpenAlex
- W2024007253
- Cited by
- 190
- References
- 85
- Citations by year
- 2026: 11 · 2025: 13 · 2024: 9 · 2023: 9 · 2022: 15 · 2021: 25 · 2020: 17 · 2019: 22 · 2018: 15 · 2017: 18 · 2016: 19 · 2015: 11 · 2014: 6
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- DIAL (Catholic University of Leuven) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- UNC Libraries
- Funders
- U.S. Department of Defense
- National Institutes of Health (CA40355, NCI CA40355)
- U.S. Public Health Service (243188 TUMETABO)
- National Cancer Institute (CA40355, BC083154, R01CA125618, R01CA040355, T32CA078586)
- FP7 Ideas: European Research Council (243188)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer and biochemical research
- Keywords
- breast cancer, lactate metabolism, lactate utilization, alanine, glutamate, MCT1 inhibition, HCCA, tumor hypoxia, MCF-7 cells
- MeSH terms
- Adult, Aged, Alanine, Animals, Breast Neoplasms, Coumaric Acids, Disease Models, Animal, Female, Glucose, Humans, Kinetics, Middle Aged, Neoplasm Staging, Cell Hypoxia, Cell Death, Glutamic Acid, Lactic Acid, Cell Line, Tumor, Rats, Metabolic Networks and Pathways, Metabolomics
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