Abstract
Neo-angiogenesis is important for tumor growth. Glycine is a non-toxic amino acid with suspected anti-angiogenic effects. This study was designed to evaluate anti-angiogenic effects of glycine in colorectal cancer. Glycine was added to cultures of human and rat colorectal cancer cells (CRC), and endothelial cells (HUVEC). Glycine’s direct impact was monitored using MTT assays. Angiogenesis in HUVEC was monitored using 3D sprouting and migration assays. VEGF and CRC-conditioned media were used to stimulate angiogenesis. The glycine receptor (GlyR) was detected using Western blotting and inhibited using strychnine. The WAG-Rij/CC-531 model of metastatic CRC was used to evaluate glycine’s impact in vivo. Tumor growth and vessel density were monitored in rats fed with or without 5 % glycine for 14 days. VEGF and conditioned media significantly increased proliferation, migration, and capillary formation to up to 267 %. Glycine completely neutralized this effect and strychnine completely blunted glycine’s effect. GlyR was detected in HUVEC. Tumor volume, weight, and vessel density decreased by 35 % (p = 0.02), 34 % (p = 0.03), and 55 % (p = 0.04) in glycine-fed animals. Glycine inhibits angiogenic signaling of endothelial cells and tumor growth. Glycine would be a promising additive to standard and targeted cancer therapies.
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References
Amin K, Li J, Chao WR, Dewhirst MW, Haroon ZA (2003) Dietary glycine inhibits angiogenesis during wound healing and tumor growth. Cancer Biol Ther 2(2):173–178
Betz H, Becker CM (1988) The mammalian glycine receptor: biology and structure of a neuronal chloride channel protein. Neurochem Int 13(2):137–146
Bormann J (1988) Patch-clamp analysis of GABA- and glycine-gated chloride channels. Adv Biochem Psychopharmacol 45:47–60
Bouviez N, Lakkis Z, Lubrano J, Tuerhongjiang T, Paquette B, Heyd B, Mantion G (2014) Liver resection for colorectal metastases: results and prognostic factors with 10-year follow-up. Langenbeck’s Arch Surg. doi:10.1007/s00423-014-1229-z
Bruns H, Watanpour I, Gebhard MM, Flechtenmacher C, Galli U, Schulze-Bergkamen H, Zorn M, Buchler MW, Schemmer P (2011) Glycine and taurine equally prevent fatty livers from Kupffer cell-dependent injury: an in vivo microscopy study. Microcirculation 18(3):205–213. doi:10.1111/j.1549-8719.2010.00078.x
Bruns H, Petrulionis M, Schultze D, Al Saeedi M, Lin S, Yamanaka K, Ambrazevicius M, Strupas K, Schemmer P (2014) Glycine inhibits angiogenic signaling in human hepatocellular carcinoma cells. Amino Acids 46(4):969–976. doi:10.1007/s00726-013-1662-2
Center MM, Jemal A, Smith RA, Ward E (2009a) Worldwide variations in colorectal cancer. CA Cancer J Clin 59(6):366–378. doi:10.3322/caac.20038
Center MM, Jemal A, Ward E (2009b) International trends in colorectal cancer incidence rates. Cancer Epidemiol Biomark Prev Publ Am Assoc Cancer Res Cosponsored by the Am Soc Prev Oncol 18(6):1688–1694. doi:10.1158/1055-9965.EPI-09-0090
Collentine GE Jr (1948) On the efficacy and safety of glycine administered by vein. J Lab Clin Med 33(12):1555–1562
Dulmovits BM, Herman IM (2012) Microvascular remodeling and wound healing: a role for pericytes. Int J Biochem Cell Biol 44(11):1800–1812. doi:10.1016/j.biocel.2012.06.031
Evins AE, Fitzgerald SM, Wine L, Rosselli R, Goff DC (2000) Placebo-controlled trial of glycine added to clozapine in schizophrenia. Am J Psychiatry 157(5):826–828
Folprecht G (2010) Current medicinal treatment of metastasized colorectal carcinoma. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen 81(6):507–515. doi:10.1007/s00104-010-1892-8
Folprecht G, Gruenberger T, Bechstein WO, Raab HR, Lordick F, Hartmann JT, Lang H, Frilling A, Stoehlmacher J, Weitz J, Konopke R, Stroszczynski C, Liersch T, Ockert D, Herrmann T, Goekkurt E, Parisi F, Kohne CH (2010) Tumour response and secondary resectability of colorectal liver metastases following neoadjuvant chemotherapy with cetuximab: the CELIM randomised phase 2 trial. Lancet Oncol 11(1):38–47. doi:10.1016/S1470-2045(09)70330-4
Gannon MC, Nuttall JA, Nuttall FQ (2002) The metabolic response to ingested glycine. Am J Clin Nutr 76(6):1302–1307
Hanahan D, Weinberg RA (2000) The hallmarks of cancer. Cell 100(1):57–70
Hanahan D, Weinberg RA (2011) Hallmarks of cancer: the next generation. Cell 144(5):646–674. doi:10.1016/j.cell.2011.02.013
Hoffmann K, Buchler MW, Schemmer P (2011) Supplementation of amino acids to prevent reperfusion injury after liver surgery and transplantation–where do we stand today? Clin Nutr 30(2):143–147. doi:10.1016/j.clnu.2010.09.006
Jain M, Nilsson R, Sharma S, Madhusudhan N, Kitami T, Souza AL, Kafri R, Kirschner MW, Clish CB, Mootha VK (2012) Metabolite profiling identifies a key role for glycine in rapid cancer cell proliferation. Science 336(6084):1040–1044. doi:10.1126/science.1218595
Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61(2):69–90. doi:10.3322/caac.20107
Kaufman MJ, Prescot AP, Ongur D, Evins AE, Barros TL, Medeiros CL, Covell J, Wang L, Fava M, Renshaw PF (2009) Oral glycine administration increases brain glycine/creatine ratios in men: a proton magnetic resonance spectroscopy study. Psychiatry Res 173(2):143–149. doi:10.1016/j.pscychresns.2009.03.004
Koido S, Ohkusa T, Homma S, Namiki Y, Takakura K, Saito K, Ito Z, Kobayashi H, Kajihara M, Uchiyama K, Arihiro S, Arakawa H, Okamoto M, Gong J, Tajiri H (2013) Immunotherapy for colorectal cancer. World J Gastroenterol WJG 19(46):8531–8542. doi:10.3748/wjg.v19.i46.8531
Loupakis F, Cremolini C, Salvatore L, Masi G, Sensi E, Schirripa M, Michelucci A, Pfanner E, Brunetti I, Lupi C, Antoniotti C, Bergamo F, Lonardi S, Zagonel V, Simi P, Fontanini G, Falcone A (2014) FOLFOXIRI plus bevacizumab as first-line treatment in BRAF mutant metastatic colorectal cancer. Eur J Cancer 50(1):57–63. doi:10.1016/j.ejca.2013.08.024
Luntz SP, Unnebrink K, Seibert-Grafe M, Bunzendahl H, Kraus TW, Buchler MW, Klar E, Schemmer P (2005) HEGPOL: randomized, placebo controlled, multicenter, double-blind clinical trial to investigate hepatoprotective effects of glycine in the postoperative phase of liver transplantation [ISRCTN69350312]. BMC surgery 5:18. doi:10.1186/1471-2482-5-18
Menon AG, Janssen-van Rhijn CM, Morreau H, Putter H, Tollenaar RA, van de Velde CJ, Fleuren GJ, Kuppen PJ (2004) Immune system and prognosis in colorectal cancer: a detailed immunohistochemical analysis. Lab Invest J Tech Methods Pathol 84(4):493–501. doi:10.1038/labinvest.3700055
Mikalauskas S, Mikalauskiene L, Bruns H, Nickkholgh A, Hoffmann K, Longerich T, Strupas K, Buchler MW, Schemmer P (2011) Dietary glycine protects from chemotherapy-induced hepatotoxicity. Amino Acids 40(4):1139–1150. doi:10.1007/s00726-010-0737-6
Mizobe T, Ogata Y, Murakami H, Akagi Y, Ishibashi N, Mori S, Sasatomi T, Shirouzu K (2008) Efficacy of the combined use of bevacizumab and irinotecan as a postoperative adjuvant chemotherapy in colon carcinoma. Oncol Rep 20(3):517–523
Nagy JA, Brown LF, Senger DR, Lanir N, Van de Water L, Dvorak AM, Dvorak HF (1989) Pathogenesis of tumor stroma generation: a critical role for leaky blood vessels and fibrin deposition. Biochim Biophys Acta 948(3):305–326
Papa A, Rossi L, Lo Russo G, Giordani E, Spinelli GP, Zullo A, Petrozza V, Tomao S (2012) Emerging role of cetuximab in the treatment of colorectal cancer. Recent Pat Anti-Cancer Drug Discov 7(2):233–247
Prenen H, Vecchione L, Van Cutsem E (2013) Role of targeted agents in metastatic colorectal cancer. Target Oncol 8(2):83–96. doi:10.1007/s11523-013-0281-x
Rose ML, Cattley RC, Dunn C, Wong V, Li X, Thurman RG (1999a) Dietary glycine prevents the development of liver tumors caused by the peroxisome proliferator WY-14,643. Carcinogenesis 20(11):2075–2081
Rose ML, Madren J, Bunzendahl H, Thurman RG (1999b) Dietary glycine inhibits the growth of B16 melanoma tumors in mice. Carcinogenesis 20(5):793–798
Schemmer P, Golling M, Kraus T, Mehrabi A, Mayatepek E, Herfarth C, Klar E (2002) Extended experience with glycine for prevention of reperfusion injury after human liver transplantation. Transpl Proc 34(6):2307–2309
Schindler G, Kincius M, Liang R, Backhaus J, Zorn M, Flechtenmacher C, Gebhard MM, Buchler MW, Schemmer P (2009) Fundamental efforts toward the development of a therapeutic cocktail with a manifold ameliorative effect on hepatic ischemia/reperfusion injury. Microcirculation 16(7):593–602. doi:10.1080/10739680903110779
Schmelzer E, Deiwick A, Bruns H, Fiegel HC, Bader A (2008) Thrombopoietin is a growth factor for rat hepatic progenitors. Eur J Gastroenterol Hepatol 20(3):209–216. doi:10.1097/MEG.0b013e3282f246e6
Shibuya M (2011) Vascular Endothelial Growth Factor (VEGF) and Its Receptor (VEGFR) signaling in angiogenesis: a crucial target for anti- and pro-angiogenic therapies. Genes Cancer 2(12):1097–1105. doi:10.1177/1947601911423031
Shweiki D, Itin A, Soffer D, Keshet E (1992) Vascular endothelial growth factor induced by hypoxia may mediate hypoxia-initiated angiogenesis. Nature 359(6398):843–845. doi:10.1038/359843a0
Stremitzer S, Stift J, Gruenberger B, Tamandl D, Aschacher T, Wolf B, Wrba F, Gruenberger T (2012) KRAS status and outcome of liver resection after neoadjuvant chemotherapy including bevacizumab. Br J Surg 99(11):1575–1582. doi:10.1002/bjs.8909
Takahashi Y, Kitadai Y, Bucana CD, Cleary KR, Ellis LM (1995) Expression of vascular endothelial growth factor and its receptor, KDR, correlates with vascularity, metastasis, and proliferation of human colon cancer. Cancer Res 55(18):3964–3968
Takahashi Y, Tucker SL, Kitadai Y, Koura AN, Bucana CD, Cleary KR, Ellis LM (1997) Vessel counts and expression of vascular endothelial growth factor as prognostic factors in node-negative colon cancer. Arch Surg 132(5):541–546
Takahashi Y, Ellis LM, Mai M (2003) The angiogenic switch of human colon cancer occurs simultaneous to initiation of invasion. Oncol Rep 10(1):9–13
Tan MC, Butte JM, Gonen M, Kemeny N, Fong Y, Allen PJ, Kingham TP, Dematteo RP, Jarnagin WR, D’Angelica MI (2013) Prognostic significance of early recurrence: a conditional survival analysis in patients with resected colorectal liver metastasis. HPB Off J Int Hepato Pancreato Biliary Assoc 15(10):803–813. doi:10.1111/hpb.12136
Thomas C, Nijenhuis AM, Timens W, Kuppen PJ, Daemen T, Scherphof GL (1993) Liver metastasis model of colon cancer in the rat: immunohistochemical characterization. Inv Metastasis 13(2):102–112
Wheeler MD, Ikejema K, Enomoto N, Stacklewitz RF, Seabra V, Zhong Z, Yin M, Schemmer P, Rose ML, Rusyn I, Bradford B, Thurman RG (1999) Glycine: a new anti-inflammatory immunonutrient. Cell Mole Life Sci CMLS 56(9–10):843–856
Xia P, Aiello LP, Ishii H, Jiang ZY, Park DJ, Robinson GS, Takagi H, Newsome WP, Jirousek MR, King GL (1996) Characterization of vascular endothelial growth factor’s effect on the activation of protein kinase C, its isoforms, and endothelial cell growth. J Clin Investig 98(9):2018–2026. doi:10.1172/JCI119006
Yamashina S, Konno A, Wheeler MD, Rusyn I, Rusyn EV, Cox AD, Thurman RG (2001) Endothelial cells contain a glycine-gated chloride channel. Nutr Cancer 40(2):197–204. doi:10.1207/S15327914NC402_17
Yamashina S, Ikejima K, Rusyn I, Sato N (2007) Glycine as a potent anti-angiogenic nutrient for tumor growth. J Gastroenterol Hepatol 22(Suppl 1):S62–S64. doi:10.1111/j.1440-1746.2006.04655.x
Young PE, Womeldorph CM, Johnson EK, Maykel JA, Brucher B, Stojadinovic A, Avital I, Nissan A, Steele SR (2014) Early detection of colorectal cancer recurrence in patients undergoing surgery with curative intent: current status and challenges. J Cancer 5(4):262–271. doi:10.7150/jca.7988
Zani S, Papalezova K, Stinnett S, Tyler D, Hsu D, Blazer DG 3rd (2013) Modest advances in survival for patients with colorectal-associated peritoneal carcinomatosis in the era of modern chemotherapy. J Surg Oncol 107(4):307–311. doi:10.1002/jso.23222
Zhong Z, Wheeler MD, Li X, Froh M, Schemmer P, Yin M, Bunzendaul H, Bradford B, Lemasters JJ (2003) l-Glycine: a novel antiinflammatory, immunomodulatory, and cytoprotective agent. Current Opin Clin Nutr Metab Care 6(2):229–240. doi:10.1097/01.mco.0000058609.19236.a4
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The authors would like to thank Nadya Phillips-Houben for language editing.
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H. Bruns and D. Kazanavicius contributed equally to this work.
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Bruns, H., Kazanavicius, D., Schultze, D. et al. Glycine inhibits angiogenesis in colorectal cancer: role of endothelial cells. Amino Acids 48, 2549–2558 (2016). https://doi.org/10.1007/s00726-016-2278-0
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DOI: https://doi.org/10.1007/s00726-016-2278-0