The current study reports that KetoCal® (KC; 4:1 fat:protein/carbohydrates), fed ad libitum, alters hypoxia, angiogenic, and inflammatory pathways in a mouse model of glioma. Tumors from animals maintained on KC showed reduced expression of the hypoxia marker carbonic anhydrase 9 (CA IX), a reduction in hypoxia inducible factor 1-alpha (HIF-1α) and decreased activation of nuclear factor kappa B (NF-κB). Animals maintained on KC also showed a reduction in expression of vascular endothelial growth factor receptor 2 (VEGFR2) and decreased microvasculature in their tumors. Further, peritumoral edema was significantly reduced in animals fed the KC and protein analysis showed significantly altered expression of the tight junction protein zona occludens-1 (ZO-1) and the water channeling protein aquaporin-4 (AQP4), both of which have been implicated in malignant processes in glioma, including the formation of peritumoral edema in patients. Taken together the data suggests that KC alters multiple processes involved in malignant progression of gliomas. A greater understanding of the effects of the ketogenic diet as an adjuvant therapy will allow for a more rational approach to its clinical use.
Using in vitro experimental models of both SAOS-2 (non-metastatic) and 143-b (metastatic) osteosarcoma cell lines and Western blot analysis, we have demonstrated that basal levels of molecular chaperone BiP (Binding immunoglobulin protein, or GRP-78) and peIF2α (phospho-eukaryotic initiation factor 2 alpha), both markers of the UPR, were higher in SAOS-2 than 143-b cells. We also show that both these markers were further up-regulated upon exposure to hypoxia, as evidenced by the increase in banding intensity in both SAOS-2 and 143-b cells. Furthermore, analysis of another UPR marker, ATF6 (activating transcription factor 6) showed that basal levels of active nuclear ATF6 were slightly higher in SAOS-2 cells than in 143-b cells. However, unlike the other UPR markers these levels were significantly reduced upon exposure to hypoxia (0.1% O2). In addition to hypoxia, treatment with Cisplatin also had similar effects on the expression of aforementioned UPR markers: BiP and peIF2α. We found that the 143-b OS cells were more sensitive to the Cisplatin treatment than the SAOS-2 OS cells, and thus more prone to cell-mediated death.
Our findings shed light on the unknown mechanisms underlying chemotherapeutic drug resistance in osteosarcoma patients. Our research may lead to novel therapies that seek out and destroy the chemoresistant OS cells within the hypoxia core of tumors, thereby preventing survival and metastasis, and ultimately improving the chances of survival amongst OS patients.
Our cells need constant fuel and oxygen for the body to work properly and maintain cellular function. In high altitudes tissue oxygen levels fall and the body must work against this hypoxic challenge to maintain energetics and limit oxidative stress. Mammals living at high altitudes are challenged to sustain thermogenesis and aerobic exercise despite reduced amounts of available oxygen. Enhancements in oxidative capacity and oxygen diffusion capacity of skeletal muscle may be necessary to compensate for insufficient oxygen supply in tissues. Hypoxic conditions can cause a switch from aerobic metabolism to anaerobic metabolism. Due to previous research of Graham Scott and colleagues on “Adaptive Modifications of Muscle Phenotype in High-Altitude Deer Mice” and the SMack Lab at Arizona State University, the question of how low atmospheric oxygen levels affects the enzymatic activity in the gastrocnemius muscle of Gelada Monkeys compared to Rhesus Macaque Monkeys was researched. Lactate Dehydrogenase (LDH) activity was measured in the gastrocnemius tissue of 6 Gelada Monkeys (highland) and 6 Rhesus Macaque monkeys (lowland). LDH was expected to be greater in Gelada tissue samples due to heightened anaerobic metabolism in the presence of limited available oxygen in high altitude environments. Results showed higher LDH in Rhesus Macaque samples compared to Gelada samples, but this difference was not statistically significant. Despite nonsignificant data, this experiment is insightful into the effects of Hypoxic adaptation in skeletal muscle enzymatic activity in primates.
In 1861, William John Little published, “On The Influence of Abnormal Parturition, Difficult Labors, Premature Birth, and Asphyxia Neonatorum, on the Mental and Physical Condition of the Child, Especially in Relation to Deformities,” hereafter “Abnormal Parturition,” in the Transactions of the Obstetrical Society of London. In the article, Little discussed the causes and types of what he refers to as abnormal births, and theorized how those births affect an infant’s likelihood of exhibiting a deformity. Little defined abnormal births as those involving an atypical maternal or fetal presentation, such as a slow birthing process or a fetus exiting the birth canal feet first rather than head first. In his article, Little published one of the first definitional frameworks to describe a condition causing rigidity and stiffness in the limbs that is often associated with birth-related trauma, which was then called Little’s disease, but is modernly known as spastic Cerebral Palsy.