
[Cancer Research 61, 1493-1499, February 15, 2001]
© 2001 American Association for Cancer Research
Experimental Therapeutics |
Pharmacological Inhibition of Fatty Acid Synthase Activity Produces Both Cytostatic and Cytotoxic Effects Modulated by p531
Ji-Nong Li,
Myriam Gorospe,
Francis J. Chrest,
Tirukalikundram S. Kumaravel,
Michele K. Evans,
Wan Fang Han and
Ellen S. Pizer2
Department of Pathology, Johns Hopkins Medical Institutions [J-N. L., W. F. H., E. S. P.], and Laboratory of Biological Chemistry [M. G.], Research Resources Branch/Flow Cytometry Unit [F. J. C.], and Laboratory of Molecular Genetics [T. S. K., M. K. E.], Gerontology Research Center, National Institute on Aging, Baltimore, Maryland 21224
 |
ABSTRACT
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Fatty acid synthetic metabolism is abnormally elevated in tumor cells,
and pharmacological inhibitors of the anabolic enzyme fatty acid
synthase (FAS), including the natural product cerulenin and the novel
synthetic compound c75, are selective inhibitors of tumor cell growth.
We have recently reported that these two FAS inhibitors both produce
rapid, potent inhibition of DNA replication and S-phase progression in
human cancer cells, as well as apoptotic death. Here we report an
additional characterization of the cellular response to FAS inhibition.
RKO colon carcinoma cells were selected for study because they undergo
little apoptosis within the first 24 h after FAS inhibition.
Instead, RKO cells exhibited a biphasic stress response with a
transient accumulation in S and G2 at 4 and 8 h that
corresponds to a marked reduction in cyclin A- and B1-associated kinase
activities, and then by accumulation of p53 and p21 proteins at 16 and
24 h and growth arrest in G1 and G2. The
response of RKO cells to FAS inhibition resembled a genotoxic stress
response, but DNA damage did not appear to be an important downstream
effect of FAS inhibition, because none was detected using the single
cell gel electrophoresis assay (comet assay) to assess DNA damage. p53
function is probably important in protecting RKO cells from FAS
inhibition because, similar to many other tumor lines, RKO cells
expressing a dominant negative mutant p53 gene underwent
extensive apoptosis within 24 h after FAS inhibition.
Sensitization of cells to FAS inhibitors by the loss of p53 raises the
possibility that these agents may be clinically useful against
malignancies carrying p53 mutations. Whereas induction of apoptosis
appeared related to accumulation of the substrate, malonyl-CoA, after
FAS inhibition, the cytostatic effects were independent of malonyl-CoA
accumulation and may have resulted from product depletion.
 |
INTRODUCTION
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FAS,3
(E.C. 2.3.1.85) is the major biosynthetic enzyme for the synthesis of
fatty acids from small carbon substrates. FAS is a multifunctional
enzyme that performs seven sequential reactions to convert acetyl-CoA
and malonyl-CoA to palmitate. Elevated expression of FAS and abnormally
active endogenous fatty acid synthetic metabolism are frequent
phenotypic alterations in many human cancers, including carcinomas of
breast, prostate, endometrium, and colon (1, 2, 3, 4, 5)
. The
function(s) that active fatty acid synthesis provides for tumor cells
appears linked to proliferation, and the bulk of endogenously
synthesized fatty acids are incorporated into membrane lipids by
proliferating tumor cells (4
, 6
, 7)
. Endogenous fatty acid
synthetic activity occurs in tumors despite available dietary fatty
acid, which down-regulates the pathway in most normal tissues
(8, 9, 10)
.
The biological basis for this phenotypic alteration is not clear.
However, altered fatty acid metabolism represents a novel target for
anti-metabolite therapy because pharmacological inhibition of FAS is
selectively cytotoxic for tumor cells, triggering their programmed cell
death (11
, 12)
. The cytotoxic mechanism of FAS inhibition
appears to result from accumulation of the committed substrate,
malonyl-CoA, or from related biochemical consequences of the inhibition
of an active metabolic pathway, inasmuch as pathway down-regulation
before FAS inhibition rescues tumor cell survival (13)
. To
gain additional insight into the biological role of the fatty acid
synthetic pathway for tumor cells and the nature of the growth
inhibition resulting from the inhibition of FAS, we have examined the
cellular events that follow inhibition of FAS and precede cell death.
Two chemically distinct inhibitors of FAS were studied in parallel to
provide a generic picture of the consequences of the loss of FAS
function. Cerulenin, (2R, 3S)-2,3-epoxy-4-oxo-7,10-trans,
transdodecadienamide, a natural product of
Cephalosporium caerulens, is a specific inhibitor of
FAS enzymes across a broad phylogenetic spectrum
(14, 15, 16)
. Cerulenin irreversibly inhibits FAS by binding
covalently to the active site cysteine of the ß keto acyl synthase
moiety, which performs the condensation reaction between the elongating
fatty acid chain and each successive acetyl or malonyl residue. In
Saccharomyces cerevisiae, a point mutation in FAS that
confers a 30-fold reduction in affinity of the enzyme for cerulenin
also abolishes the growth inhibitory effects of the drug accordingly,
demonstrating that FAS is a critical target for cytotoxic effects of
the drug (17)
. Recently we have synthesized a novel
small-molecule inhibitor of FAS, an
-methylene-
-butyrolactone
with a C7 hydrocarbon side chain, called c75, with comparable
inhibitory effects on fatty acid synthesis (18)
.
We have recently reported that FAS inhibitors produce rapid, profound
blocks of DNA replication and S-phase progression in human cancer cells
(19)
. Fatty acid synthesis inhibition occurred within 30
min and DNA synthesis inhibition occurred within 90 min of drug
exposure, and induction of apoptosis followed several hours
later. The suppressive effect of fatty acid synthesis inhibition on DNA
replication was indirect, because expression of certain viral oncogenes
alleviated it. Here, we report a additional characterization of the
cellular response to FAS inhibition. RKO colon carcinoma cells were
selected for study because they undergo little apoptosis within the
first 24 h after FAS inhibition. Instead, RKO cells exhibit a
biphasic stress response marked by early loss of S phase and
G2 cyclin-dependent kinase activity and the
subsequent accumulation of p53 and p21 proteins, which may protect RKO
cells from the cytotoxic effects of FAS inhibition.
 |
MATERIALS AND METHODS
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Cell Lines and Culture Conditions.
RKO colon carcinoma cells and RKO clones stably transfected with a
dominant negative mutant p53 gene were provided by Dr. M.
Kastan (St. Jude Childrens Research Hospital, Memphis, TN)
(20)
. The MCF7 clone stably transfected with the
human papillomavirus 16 E6 gene was provided by Dr. A.
Fornace (National Cancer Institute, NIH, Bethesda, MD)
(21)
. Other cells were obtained from the American Type
Culture Collection. Most cells were cultured in DMEM with 10% fetal
bovine serum (Hyclone). Cells were screened periodically for
Mycoplasma contamination (Gen-probe). Cerulenin (Sigma),
c75, and TOFA, dissolved in DMSO, were added from 5 mg/ml stock
solutions; the final concentration of DMSO in cultures was
0.2%.
Flow Cytometry and Detection of Apoptosis.
Cells were exposed to cerulenin or c75 for the indicated doses and time
intervals and then detached from plastic with trypsin for flow
cytometry analysis. Apoptosis and DNA content were measured
concurrently by multiparameter flow cytometry using a
FACStarPlus flow cytometer equipped with argon
and krypton lasers (Becton Dickinson). Apoptosis was quantified using
10 µg/ml merocyanine 540 (Sigma), which detects altered plasma
membrane phospholipid packing that occurs early in apoptosis (19
, 22, 23, 24)
. Merocyanine 540-positive cells were identified using
488-nm excitation from an argon laser and a 575-nm DF26 bandpass filter
for collection of events with increased red fluorescence. DNA content
was simultaneously measured from cells stained with 10 µM
Hoechst 33342 (HO33342; Molecular Probes). Cells treated with HO33342
were excited with 350356-nm light from a krypton laser, and emitted
light was collected using a 467-nm DF22 bandpass filter. Data were
collected and analyzed using CellQuest software (Becton Dickinson).
Determination of the percentages of cells in G1,
S and G2-M was done with Multicycle software
(Phoenix Flow Systems). Figures show representative results of at least
two independently performed experiments.
BrdUrd Detection by Laser Scanning Cytometry.
Dual-parameter detection of BrdUrd labeling and DNA content was
performed using a laser scanning cytometer (Compucyte Corp.). Cell
cultures were pulse-labeled for 20 min with 10 µM BrdUrd
and chased for the indicated times in the absence or presence of drug,
then detached from plastic with trypsin, ethanol-fixed, and applied to
glass slides. Cells were subjected to standard heat-induced epitope
retrieval (DAKO) before staining with anti-BrdUrd antibody (DAKO) and
FITC-conjugated goat antimouse antibody (CALTAG, DAKO Autostainer). DNA
content was assessed after staining with 0.5% propidium iodide. Data
were collected and analyzed using WinCyte software (Compucyte Corp.).
Immunoprecipitation and Immunocomplex-Kinase Assay.
RKO cells (5 x 106/100-mm
plate) were treated with 10 µg/ml cerulenin or c75 for the
indicated time intervals. The control cells received equivalent amounts
of DMSO. After drug treatment, the plates were washed once and lysed
with immunoprecipitation buffer [150 mM Tris (pH
7.4), 150 mM NaCl, 1% Triton X-100, 0.5% NP40, 1
mM ethyleneglyco-bis-tetraacetic acid, 0.2 mM
sodium vanadate, and 0.2 mM phenylmethylsulfonyl
fluoride]. Protein concentration was measured using the BCA Protein
Assay Kit (Pierce). One hundred µg of protein from each sample were
incubated at 4°C for 1 h with 1 µg of primary antibody
(antihuman cyclin A rabbit polyclonal antibody or antihuman cyclin B1
monoclonal antibody; Santa Cruz) and then overnight after the addition
of Protein A or protein G-Sepharose (Santa Cruz). The
immunoprecipitates were washed twice with immunoprecipitation buffer
and once with kinase buffer [10 mM Tris (pH 7.4), 150
mM NaCl, 10 mM MgCl, and 0.5 mM
DTT] and resuspended in 40 µl of kinase buffer containing 1 µg of
histone H1, 25 µM of ATP, and 2.5 µCi of
-32P-ATP. After a 30-min incubation at 30°C,
the reaction was terminated by adding 40 µl of 2x Laemmli sample
buffer. Samples were resolved by electrophoresis through 12%
SDS-polyacrylamide gels and quantitated on a Storm 820 system
(Molecular Dynamics). All samples were run in duplicate, and each
experiment was performed at least twice. Means and standard errors of
one representative experiment are shown in Fig. 3B
.

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Fig. 3. FAS inhibition induces a marked reduction of S- and
G2-M-associated cdk activity during the early period of
exposure. After RKO cells were exposed to FAS inhibitors for the
indicated time periods, cyclin A- and cyclin B1-associated kinase
activities were determined by an immunocomplex-kinase assay.
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Immunoblot Analysis.
One million cells/60-mm plate were treated with 10 µg/ml cerulenin or
c75 in duplicate for the indicated time intervals; control cells
received equivalent amounts of DMSO. After drug treatment, cells were
lysed with 200 µl Laemmli sample buffer and boiled. Ten µl of each
lysate per lane was separated by SDS-PAGE, transferred to
nitrocellulose, and exposed to antibodies against p53 (Pab1801;
Oncogene Research Products), p21 (6B6; PharMingen), or actin (I-19;
Santa Cruz), and then horseradish peroxidase-conjugated goat antimouse
or rabbit antigoat antibody (Pierce), enhanced chemiluminescence
(Amersham), and autoradiography.
Determination of Fatty Acid Synthesis Pathway Activity.
Cells were plated at 5 x 104
/well
in 1 ml in 24-well plates and incubated overnight. Fatty acid synthesis
was assayed with a 2-h pulse of [U-14C]acetic
acid, 1 µ Ci/well, before Folch extraction and scintillation
counting (6)
. For determination of residual pathway
activity after FAS inhibitor exposure (Fig. 7B)
, a 3-h pulse
of U-[14C]acetic acid, 1 µCi/well, was
performed after 2 h of drug exposure. All determinations were in
triplicate. Data are presented as mean values, with bars showing the
SE. Calculations and graphing were performed in Prism 2.0 (GraphPad).

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Fig. 7. Loss of p53 function sensitizes colon and breast
carcinoma cells to FAS inhibitor cytotoxicity. A,
constitutive fatty acid synthesis pathway activity of parental and
p53-deficient lines are similar. B, cerulenin, c75, and
TOFA inhibit fatty acid synthesis to 60% or less of control levels at
the doses used (µg/ml). C and E,
the apoptotic fraction of colon and breast carcinoma cells after
24 h exposure to FAS inhibitors, analyzed as in Fig. 6
.
D and F, parallel determinations of
sensitivity to FAS inhibitors were performed by clonogenic assay after
a 6-h drug exposure. SW480 is a colon carcinoma line with a naturally
occurring p53 mutation. SKBr3 is a breast carcinoma line with a
naturally occurring p53 mutation.
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Clonogenic Assays.
Subconfluent cells were exposed to the indicated drug concentrations
for 6 h, then detached from plastic with trypsin, counted, and
replated for colony formation. Clones were fixed, stained with crystal
violet (0.1%; Sigma) and counted 1 week later. Data are presented as
mean values, with bars showing the SE. Calculations and graphing were
performed in Prism 2.0 (GraphPad).
Single Cell Gel Electrophoresis (Comet) Assay.
MCF7 breast cancer cells were treated with cerulenin or c75 for 3 h at doses bracketing 75% survival at 24 h. All experiments were
repeated three times, and duplicate slides from each experiment were
prepared and scored.
The comet assay was performed under alkaline conditions, essentially as
described (25)
, with some modifications. In brief, cells
were suspended in 0.5% low-melting point agarose (LMA; Trevigen) and
spread on glass microscope slides precoated with 1% normal agarose.
After immersion in lysis solution (Trevigen) at 4°C for a minimum
period of 1 h to remove cellular proteins, the slides were
immersed in electrophoresis buffer [300 mM NaOH, 1
mM EDTA (pH > 13)] for unwinding DNA, and
subjected to electrophoresis (25 V; 300 mA) for 20 min. Neutralized,
dehydrated slides were stained with ethidium bromide (2 ng/ml) and
comets scored under a Nikon fluorescence microscope (with TRITC
filters) coupled to KOMET 4.0 software (Kinetic Imaging, Ltd). The
comet parameters, "Olive Tail Moment," "Tail Length" (DNA
migration), and "percentage DNA in the tail," were used as
indicators of DNA damage. One hundred consecutive cells were scored
from the middle of each slide, and the means calculated. The final
results were expressed as the (mean of the individual means) ± (SD of the means).
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RESULTS
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FAS Inhibitors Induce Delays in Cell Cycle Progression.
Recent studies of the role of endogenous fatty acid synthesis in tumor
cell biology suggested linkage of fatty acid synthesis to proliferation
(6
, 7
, 26)
, and the fatty acid synthase inhibitors
cerulenin and c75 to suppressed DNA synthesis and inhibited S phase
progression (19)
. Additional investigation by flow
cytometric analysis of serial samples taken after FAS inhibition
demonstrated a biphasic effect on the cell cycle progression of RKO
colon carcinoma cells (Fig. 1)
. When proliferating cells were exposed to 10 µg/ml cerulenin, there
was a redistribution of cells into S phase and
G2-M during the early time points, at 5 and
8 h, compatible with inhibited progression through these cell
cycle phases. Later, at 16 and 24 h, the S-phase fraction
decreased substantially, with a redistribution of cells into
G1 and G2-M. This effect
was characteristic of both cerulenin and c75 treatment on RKO cells, as
well as on other cell lines that had limited apoptotic responses to FAS
inhibitors (not shown).

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Fig. 1. Cell cycle progression after FAS inhibition is
transiently blocked in S and G2-M and then in
G1 and G2-M. DNA content of RKO cells was
analyzed by flow cytometry after the indicated time periods of exposure
to cerulenin (10 µg/ml).
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A similar experiment measured cell cycle progression by pulse/chase
labeling with bromodeoxyuridine (BrdUrd, Fig. 2
). The progress of BrdUrd pulse-labeled RKO cells through the cell cycle
was monitored over 24 h without inhibition of FAS, or during
exposure to cerulenin (10 µg/ml) or c75 (10 µg/ml). A 20-min
exposure of proliferating cells to BrdUrd labeled the S-phase
population at time 0. Chase samples were collected at 4, 8, 16, and
24 h. In control cultures (Fig. 2A)
, the BrdUrd-labeled
population progressed through G2-M, first
reappearing in the G1 population in the 8-h chase
sample. By 16 h, the BrdUrd-labeled population was in
G1 and S phase again, indicating a complete cell
cycle traverse time of approximately 16 h for RKO cells. By
24 h, labeled and unlabeled populations were distributed
throughout the cell cycle, indicating continued progression and loss of
synchronization (not shown). RKO cells treated with FAS inhibitors
demonstrated substantial delays in cell cycle progression that
corresponded with the flow cytometry single-parameter cell cycle
results (Fig. 1)
. The cerulenin-treated samples are shown in Fig. 2B
; c75-treated populations exhibited a similar response
(not shown). The treated 8-h chase sample showed no BrdUrd-labeled
cells yet reappearing in G1, which was in
agreement with our observation, seen in Fig. 1
, that cells redistribute
into the S and G2-M phases. By 16 h,
most of the BrdUrd-labeled cells had reentered
G1, but very few had entered S phase, and by
24 h most cells, labeled and unlabeled, were in
G1 or G2-M and were still
synchronized, indicating that cell cycle progression had slowed down
substantially.

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Fig. 2. BrdUrd pulse/chase analysis of cell cycle progression
after FAS inhibition. A, two-dimensional analysis of DNA
content versus BrdUrd content in pulse-labeled RKO cells
chased for the indicated time periods in the absence of FAS inhibitors.
The BrdUrd-positive S-phase fraction at time 0 progresses through the
cell cycle at later time points. B, similar cell
preparations were chased in the presence of cerulenin (10 µg/ml).
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FAS Inhibitors Induce Inhibition of S Phase and G2 cdk
Activity during the Early Period of Exposure.
Cell cycle progression is regulated through the sequential activation
and inactivation of cdks that, in turn, phosphorylate key regulatory
proteins (27)
. Cyclin A/cdk2 complex activity is required
for efficient DNA replication, and the activity of complexes containing
cdc2 and cyclins A and B is required for passage through
G2 and mitosis. The effect of FAS inhibitors on
the activity of cyclin/cdk complexes in RKO cells was determined in a
time-course analysis. As shown (Fig. 3)
, the kinase activity associated with immunoprecipitated complexes
containing cyclin A decreased to <40% of control levels at 4 and
8 h after exposure to either cerulenin or c75, then increased
moderately at later time points. The kinase activity associated with
immunoprecipitated cyclin B decreased to <5% of control levels by 4
and 8 h after exposure to either cerulenin or c75, then increased
to >80% of control levels at 16 and 24 h. These changes in S and
G2 cdk activity correlated well with the biphasic
pattern of cell cycle distribution demonstrated in Fig. 1
and 2
.
Immunoblots of cyclin A and B levels performed in parallel with the
experiment in Fig. 3
demonstrate that, unlike the associated kinase
activities, the cyclin levels do not decrease until 24 h (not
shown).
FAS Inhibitors Induce p53 and p21 Accumulation, but Not DNA Damage.
The delays in cell cycle progression, with redistribution of cells into
G1 and G2 after FAS
inhibition, were suggestive of cell cycle checkpoint activation by the
tumor suppressor p53, which occurs after genotoxic or other cellular
stresses (28)
. Accumulation of p53 protein, and the
p53-regulated cdk-inhibitor p21WAF1/CIP1, were
assayed by immunoblotting in a parallel time course after inhibition of
FAS (Fig. 4)
. p53 and p21 protein levels were unchanged or decreased during the
early period of FAS-inhibitor exposure. However, treatment with 10
µg/ml of either cerulenin or c75 induced accumulation of p53 and p21
protein at 16 and 24 h in RKO cells (Fig. 4)
. Of note, p21 mRNA
levels did not show increases of the same magnitude, suggesting a
translational and/or posttranslational mechanism(s) regulating p21
accumulation (not shown).

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Fig. 4. Accumulation of p53 and p21 is induced in RKO colon
carcinoma cells by pharmacological inhibitors of FAS. Cells were
treated with cerulenin (10 µg/ml; A) or c75 (10
µg/ml; B) for the stated exposure times and analyzed
by immunoblotting for p53 and p21 protein content using actin as an
internal control.
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To determine whether significant DNA damage occurred after
FAS-inhibitor exposure, alkaline single cell gel electrophoresis (comet
assay) was performed on MCF7 breast cancer cells after exposure to
concentrations of cerulenin and c75 that resulted in 75% survival
(Fig. 5)
. This assay detects DNA strand breaks and a spectrum of alkali-labile
DNA damage at low levels (25
, 29)
. Neither cerulenin nor
c75 induced olive tail moments over background values for untreated
control cells, indicating that DNA damage was not induced by either
agent at doses previously shown to induce inhibition of DNA synthesis
and to reduce clonogenic activity (13
, 19)
. This suggests
that c75 and cerulenin induced cytotoxic, not genotoxic, damage to
cells in an assay that under similar conditions readily detected DNA
damage induced by 5 cGy of
irradiation or 25 µM
H2O2. A similar
absence of DNA damage was seen after drug treatment of GM1310B human
lymphoblasts (not shown).
Loss of p53 Function Substantially Increased the Sensitivity of
Tumor Cells to FAS Inhibitors.
Inhibition of FAS induced p53 and p21 protein accumulation and
G1/G2 redistribution in RKO
cells, which have an intact p53 pathway (and in other cell lines with
wild-type p53, not shown). However, many tumor lines with p53 mutations
undergo apoptosis within 24 h of exposure to FAS inhibitors
(19)
. We therefore sought to determine the effect of p53
function on survival after FAS inhibition by comparing two pairs of
isogenic cell lines with wild-type and altered p53 function. RKO cells
were rendered p53-mutant by stable transfection with a
dominant-negative mutant p53 gene (RKO-p53); the
human breast carcinoma cell line MCF7 was rendered p53-deficient by
constitutive expression of the human papilloma virus 16 E6
gene (MCF7-E6; 21
). The loss of p53 function
sensitized RKO and MCF7 cells to the cytotoxic effect of FAS
inhibition. There was a large, dose-dependent increase in
apoptosis after cerulenin exposure in RKO-p53 cells compared with
the parent RKO line (Fig. 6)
. The cell cycle distribution of the non-apoptotic (lower
boxes) and apoptotic (upper boxes) subpopulations of
RKO cells after 24 h of exposure to 5 or 10 µg/ml cerulenin was
determined by multiparameter flow cytometry. Cell cycle position (DNA
content) was determined with HO33342 dye, and apoptosis was detected by
bright staining with merocyanine 540 (MC540), which detects
conformational changes in the plasma membrane that occur early during
apoptosis (22, 23, 24)
. The validity of MC540 staining as a
measure of entry into apoptosis has been confirmed in our experimental
system by evaluation of morphology, change in light scatter parameters,
and TUNEL DNA end-labeling in parallel experiments (Refs.
13
and 19
and data not shown). Entry into
apoptosis after FAS inhibition by cerulenin occurred from
G1, S, and G2-M without
increased sensitivity in any subpopulation. Apoptosis with lack of cell
cycle phase specificity was typical of many experiments with several
cell lines (not shown). The fatty acid synthetic pathway activity in
these paired lines was very similar, so loss of p53 function had no
discernable effect on fatty acid synthesis level (Fig. 7A)
. And the FAS inhibitors produced comparable reduction of
pathway activity in the paired lines (Fig. 7B
; Refs.
13
and 19
). A similar apoptotic response was
seen with three independent RKO-p53 clones and with MCF7-E6, and was
seen after exposure to c75 (Fig. 7, C and E
, and
data not shown). The cytotoxic effects of the FAS inhibitors on these
paired lines were also tested by clonogenic assay (Fig. 7, D and F)
. Comparison of the two cytotoxicity assays shows that
inhibition of FAS causes a reduction in the number of clonable RKO and
MCF7 cells that is not detected by the apoptosis assay. The clonogenic
assay probably detects subpopulations undergoing growth arrest and
potentially other growth-inhibitory processes in addition to those
undergoing rapid apoptosis. However, it appears that the
early apoptosis associated with loss of p53 function illustrated in
Fig. 6
reduces further the clonable fraction, resulting in sensitivity
to FAS inhibitors that is comparable with that seen with other lines
bearing naturally occurring p53 mutations (SW480 colon carcinoma and
SKBr3 breast carcinoma cells).

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Fig. 6. Loss of p53 function sensitizes carcinoma cells to FAS
inhibitor-mediated apoptosis. RKO cells without or with a stably
transfected dominant negative mutant p53 gene were
subjected to multiparameter flow cytometry after 24 h of exposure
to cerulenin. Ungated two-dimensional analysis of DNA content
versus MC540 fluorescence is displayed after no drug
(A and B), cerulenin (5 µg/ml;
C and D), and cerulenin (10 µg/ml;
E and F). Apoptotic and nonapoptotic
cells are in the upper and lower
boxes, respectively.
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FAS Inhibitor-induced Growth Arrest Is Independent of
Malonyl-CoA Accumulation.
Accumulation of malonyl-CoA, the committed substrate for fatty acid
synthesis, is likely to participate in the cytotoxicity of FAS
inhibition, inasmuch as down-regulation of malonyl-CoA production
alleviated the toxicity of cerulenin and c75 and substantially reduced
the apoptotic fraction at 24 h (13)
. To determine the
role of malonyl-CoA accumulation in delaying cell cycle progression,
RKO cells were analyzed by flow cytometry after 8 or 24 h of FAS
inhibitor exposure, without or with pretreatment for 1 h with the
acetyl-CoA carboxylase inhibitor, TOFA, which blocks the
carboxylation of acetyl-CoA to form malonyl-CoA (Fig. 8)
. Cells pretreated with TOFA, and then with cerulenin or c75, showed
similar or greater cell cycle delays than cells exposed only to the FAS
inhibitors. Of note, however, TOFA pretreatment did rescue FAS
inhibitor-mediated apoptosis in RKO-p53 cells, similar to earlier
results (Ref. 13
and not shown), indicating that the
effects of FAS inhibitors on cell cycle progression are distinct from
those mediating apoptotic cell death.

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Fig. 8. FAS inhibitor-induced growth arrest is independent of
malonyl-CoA accumulation. DNA content of RKO cells exposed to cerulenin
(10 µg/ml) or c75 (10 µg/ml) for the indicated times, without or
with 1 h TOFA (5 µg/ml) pretreatment to inhibit malonyl-CoA
synthesis. Determination of the percentages of cells in G1,
S, and G2-M was done with Multicycle software.
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 |
DISCUSSION
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The Biphasic Stress Response to FAS Inhibition May Result
from Lipid Product Depletion.
The kinetics of the response of RKO cells to FAS inhibition illustrated
in Figs. 1
2
3
4
suggests the rapid onset of a stress response. This
response is characterized by a marked reduction in cyclin A- and
B-associated kinase activities, an early suppression of DNA
replication, and an accumulation of cells in the S and
G2 phases during the first 8 h of drug
exposure, and then by enhanced expression of p53 and p21 proteins, and
growth arrest in G1 and G2
by 16 and 24 h.
Although malonyl-CoA accumulation appears involved in triggering
apoptosis after FAS inhibition, the growth arrest stress response
produced by FAS inhibition may be attributable to altered lipid
production, because acetyl-CoA carboxylase inhibition did not relieve
it. Most of the fatty acids produced by tumor cells are incorporated
into membrane phospholipids, and phospholipid synthesis is inhibited
when fatty acid synthesis is inhibited (6
, 7)
.
Phospholipid biosynthesis is greatest during the
G1 and S phases, with doubling of the membrane
mass occurring during S phase in preparation for cell division
(30)
. It is possible, therefore, that limitation of
phospholipid synthesis during the S phase affects DNA replication, or
independently triggers late cell cycle delays similar to the premitotic
checkpoints of yeast (31
, 32)
. Notably, two ether lipids
that specifically inhibit CTP:phosphocholine cytidylyltransferase, an
important enzyme in phospholipid synthesis, produce similar
G2-M delays and are selectively cytotoxic to
transformed cells (33)
. Studies in lower eukaryotes and
prokaryotes have shown a requirement for active fatty acid synthesis at
the time of cell division, either for simple mitosis or for sporulation
(34)
. The defects in these systems appear related to
chromatin configuration or to the transcriptional activation of key
genes. In the FAS inhibition system discussed here, however, the
specific mechanisms whereby cyclin A- and B-associated kinase
activities decrease in RKO cells remain to be studied in detail.
Role of Tumor Suppressor p53 in the Response to FAS Inhibitors.
The observation that FAS inhibitors induced the accumulation of p53 and
p21 proteins suggested that DNA damage might be occurring, either as a
direct effect of the drugs on the DNA molecule, or as a downstream
effect of FAS inhibition. However, several other observations argue
against DNA damage. First, the toxic effect of cerulenin was found to
be dependent on its ability to inhibit FAS in yeast, thus ruling out a
significant direct effect of cerulenin on DNA (17)
.
Second, toxicity in tumor cells is modulated by alterations in pathway
activity and substrate levels (13
, 19)
. Finally, no DNA
damage was detected using the single cell gel electrophoresis (comet)
screening assay, which has been shown to be very sensitive in detecting
low levels of DNA damage. Consistent with these observations, no
differences were detected in the sensitivity to FAS inhibitors of cells
deficient in ATM (mutated in ataxia telangectasia)
versus controls (not shown).
Whereas the first and most extensively studied function described for
the tumor suppressor protein p53 was the induction of growth arrest and
apoptosis after DNA damage (20
, 35, 36, 37)
, more recently,
important roles for p53 have been recognized in the cellular responses
to a variety of nongenotoxic metabolic stresses, including hypoxia,
acidosis, and perturbations of RNA and protein synthesis
(38, 39, 40, 41, 42, 43)
. The current study indicates that perturbation of
fatty acid synthesis also belongs on the list of metabolic stresses
regulated by p53.
The decision between apoptosis and growth arrest after FAS inhibition
clearly is influenced by p53 function. Because constitutive fatty acid
synthesis activity and inhibitor effects were similar between the
paired parental and p53 deficient cells, it is unlikely that levels of
malonyl-CoA accumulation were substantially different. The ability of
the cell to survive malonyl-CoA accumulation may be greater in cells
with intact p53. The relatively low fatty acid synthesis pathway
activity of RKO cells (less malonyl-CoA) combined with intact p53
function may underlie the minimal apoptosis produced by FAS inhibitors
in RKO cells and in various nontransformed
cells.4
It is likely that induction of p21 promotes growth arrest and exerts a
protective effect after FAS inhibition, as it has been shown to do in a
variety of other stress paradigms (44)
. The triggering of
apoptosis after FAS inhibition is very rapid, and probably occurs
before p21 induction. FAS inhibitors triggered comparable apoptotic
responses in the majority of tumor lines with mutant p53 status that we
have studied. The predominant pattern of sensitization by loss of p53
function suggests that endogenous fatty acid synthesis will hold
special appeal as an experimental therapeutic target. FAS inhibitors
combine the target specificity for cancer cells afforded by both
elevated fatty acid synthesis and the loss of p53 function.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Wengong Wang for assistance with the kinase assay and
Altaf Lohani for help in performing the comet assay. The RKO cell lines
were supplied by Michael Kastan, and MCF7 E6 was supplied by Albert
Fornace. Compound 75 (c75) and the acetyl-CoA carboxylase inhibitor,
TOFA, were supplied by Craig Townsend. Joanne Alsruhe provided
technical support in the performance of immunocytology. We thank
Francis Kuhajda for helpful discussions of this work and for review of
the manuscript.
 |
FOOTNOTES
|
|---|
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 This work was supported by NIH Grant
R29CA75219. 
2 To whom requests for reprints should be
addressed, at Department of Pathology, AA154C, Johns Hopkins Bayview
Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224. Phone:
(410) 550-3670; Fax: (410) 550-0075; E-mail: epizer{at}jhmi.edu 
3 The abbreviations used are: FAS, fatty acid
synthase; TOFA, 5-(tetradecyloxy)-2-furoic acid; BrdUrd,
bromodeoxyuridine; cdk, cyclin-dependent kinase. 
4 Authors observation. 
Received 4/28/00.
Accepted 12/ 5/00.
 |
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