Repository logo
 

Early Neutrophilia Marked by Aerobic Glycolysis Sustains Host Metabolism and Delays Cancer Cachexia.

Published version
Peer-reviewed

Change log

Authors

Petruzzelli, Michele 
Schuijs, Martijn J 
Kleeman, Sam O 
Mourikis, Nicholas 

Abstract

An elevated neutrophil-lymphocyte ratio negatively predicts the outcome of patients with cancer and is associated with cachexia, the terminal wasting syndrome. Here, using murine model systems of colorectal and pancreatic cancer we show that neutrophilia in the circulation and multiple organs, accompanied by extramedullary hematopoiesis, is an early event during cancer progression. Transcriptomic and metabolic assessment reveals that neutrophils in tumor-bearing animals utilize aerobic glycolysis, similar to cancer cells. Although pharmacological inhibition of aerobic glycolysis slows down tumor growth in C26 tumor-bearing mice, it precipitates cachexia, thereby shortening the overall survival. This negative effect may be explained by our observation that acute depletion of neutrophils in pre-cachectic mice impairs systemic glucose homeostasis secondary to altered hepatic lipid processing. Thus, changes in neutrophil number, distribution, and metabolism play an adaptive role in host metabolic homeostasis during cancer progression. Our findings provide insight into early events during cancer progression to cachexia, with implications for therapy.

Description

Keywords

aerobic glycolysis, cachexia, cancer, host, metabolism, neutrophils

Journal Title

Cancers (Basel)

Conference Name

Journal ISSN

2072-6694
2072-6694

Volume Title

14

Publisher

MDPI AG
Sponsorship
Medical Research Council (MC_UU_12022/1)
MRC (MC_UU_12022/8)
Wellcome Trust (204622/Z/16/Z)
Medical Research Council (MC_UU_12022/6)