About this Journal Submit a Manuscript Table of Contents
Journal of Biomedicine and Biotechnology
Volume 2011 (2011), Article ID 721213, 9 pages
http://dx.doi.org/10.1155/2011/721213
Review Article

Bioactive Food Components and Cancer-Specific Metabonomic Profiles

Nutritional Science Research Group, Division of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA

Received 16 June 2010; Revised 29 September 2010; Accepted 5 October 2010

Academic Editor: Olav Kvalheim

Copyright © 2011 Young S. Kim and John A. Milner. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cancer cells possess unique metabolic signatures compared to normal cells, including shifts in aerobic glycolysis, glutaminolysis, and de novo biosynthesis of macromolecules. Targeting these changes with agents (drugs and dietary components) has been employed as strategies to reduce the complications associated with tumorigenesis. This paper highlights the ability of several food components to suppress tumor-specific metabolic pathways, including increased expression of glucose transporters, oncogenic tyrosine kinase, tumor-specific M2-type pyruvate kinase, and fatty acid synthase, and the detection of such effects using various metabonomic technologies, including liquid chromatography/mass spectrometry (LC/MS) and stable isotope-labeled MS. Stable isotope-mediated tracing technologies offer exciting opportunities for defining specific target(s) for food components. Exposures, especially during the early transition phase from normal to cancer, are critical for the translation of knowledge about food components into effective prevention strategies. Although appropriate dietary exposures needed to alter cellular metabolism remain inconsistent and/or ill-defined, validated metabonomic biomarkers for dietary components hold promise for establishing effective strategies for cancer prevention.

1. Introduction

Cancer cells exhibit unique metabolic signatures that are required for their aberrant proliferation [1]. Thus, monitoring changes in small-molecular-weight compounds (metabonomics) may represent an approach for detecting subtle shifts in tumor cell behavior [2]. Consequently, metabonomics holds promise as an effective tool for diagnosing disease progression, for identifying potential molecular targets, and for developing preventive and therapeutic agents (drugs and bioactive food components) [3, 4].

The two most effective approaches for metabonomic measures include nuclear magnetic resonance (NMR) and mass spectrometry (MS). Urine [5, 6], saliva [7], and blood plasma [8] have all been used successfully to monitor metabonomic patterns prior to and following intervention. Currently, a wealth of information about metabonomics is accumulating, thanks to highly sensitive Fourier transform ion cyclotron resonance MS (FT-ICR MS) [9, 10] and reliable candidate technologies such as stable isotope monitoring [11].

Scientists have long recognized that the discovery of novel and noninvasive biomarkers is fundamental to designing effective clinical studies, forecasting disease risk, understanding how molecular pathways are interconnected within cells and organisms, and ultimately predicting health. For example, a change in serum lactate concentration, as determined by 1H-NMR spectroscopy predicts weight gain during chemotherapy and ultimately breast cancer recurrence risk [12]. Likewise, the elevated urinary prostaglandin E( ) metabolite (11-α-hydroxy-9, 15-dioxo-2,3,4,5-tetranor-prostane-1, 20-dioic acid) has been reported to predict a poor prognosis in head and neck squamous cell carcinoma patients and thus the need for more aggressive intervention approaches [13]. Unfortunately, the relationship between a given set of biomarkers and a particular pathological condition is often complicated by adjustments and adaptations, making the predictive value of such measures difficult to establish. Metabonomic profiles of blood, urine, or tissues reflecting in situ status of metabolites may provide a means of identifying such biomarkers.

The annotation of metabolites identified by NMR- and MS-based experiments remains a challenge due to the diversity of study conditions. Thus, it is important to develop a standardized format that allows the scientific community to understand results from studies with widely different conditions. To facilitate this process, a working group of the Metabolomics Standards Initiative was formed in 2004 [14]. This group has established guidelines for the exchange and/or report of metabonomics data. Currently available metabonomic databases, including NIST08, PubChem, and KEGG, also help identify metabolite spectral data and structural information. An extensive review of metabonomic databases is found in a published paper [15]. Well-annotated and user-friendly databases should be able to assist in resolving unknown dietary metabolites that play a role in cancer initiation and development.

Considerable evidence points to diet as a variable that can influence cancer risk and/or tumor behavior [16]. This dietary effect may arise from its interactions with key regulatory molecules in various cancer processes, including carcinogen metabolism, hormonal balance, cell signaling, cell cycle control, apoptosis, and differentiation. The goal of this paper is to provide some insights into the metabonomic assessment of dietary effects on cancer. This is critical to evaluate whether a single or multiple dietary component(s) modulate the early transition phase from normal to cancer phenotypes, including changes in specific enzymatic activities and carbon flows.

2. Metabonomic Shifts Caused by Bioactive Food Components in Cancer Cells

Metabolic profiling of cancer cells represents global phenotypic changes, including those in glucose metabolism, amino acid metabolism, and fatty acid metabolism. This section discusses diet-induced alterations in basic metabolism that are associated with changes in cancer cell behavior and the monitoring of those changes using global metabonomic profiles.

2.1. Glucose Metabolism

A distinct difference between normal and cancer cells lies in the way these cells utilize glucose for their survival. The energy that sustains cancer cells is preferentially derived from aerobic glycolysis, which produces significantly higher amounts of lactate from pyruvate, whereas normal cells use the aerobic tricarboxylic acid (TCA) cycle, which oxidizes pyruvate to CO2 and water. Furthermore, proliferating cancer cells also utilize glucose for the synthesis of nucleotides through the nonoxidative pentose phosphate pathway (PPP) and de novo fatty acid synthesis mediated by fatty acid synthase (FAS) [1]. These differences in metabolism between normal and cancer cells are particularly interesting because they are detectable by non-invasive profiling in blood or urine and thereby can serve as clinically useful biomarkers for predicting diet-induced shifts in the metabolic switch. Potential metabonomic targets for bioactive food components are discussed in detail in the following sections and are summarized in Figure 1.

721213.fig.001
Figure 1: Potential metabonomic targets for bioactive food components during glucose metabolism in cancer cells. Cancer cells metabolize glucose and glutamine more than normal cells to support the de novo biosynthesis of nucleotides and energy required for the high rate of cell proliferation. Tumor-specific PKM2 determines the ratio of glucose metabolism between glycolysis and PPP, whereas GLUT1 and TK play critical roles in energy production in neoplastic cells via the TCA cycle and glutaminolysis, respectively. Each of these pathways is modulated by specific bioactive food components (see text). BFCs: bioactive food components; PKM2: pyruvate kinase M2 isoform; PPP: pentose phosphate pathway; TK: tyrosine kinase; GLUT1: glucose transporter 1; TCA: tricarboxylic acid.
2.1.1. Increased Glucose Uptake

Increased glucose uptake is recognized as a hallmark for cancer cell malignancy and serves as a basis for using 18F-deoxyglucose positron emission tomography for cancer detection. Recently, a KRAS mutation with aberrant cell proliferation was found to relate to the upregulation of the glucose transporter (GLUT1) gene, suggesting that genetic mutations acquired in tumor cells account for enhanced glucose uptake [17]. This change is critical for cell proliferation [18], and thus GLUT1 expression may represent a promising target for cancer prevention. A number of dietary components, including green tea polyphenolics, cinnamon polyphenol extracts, fish n-3 fatty acids, and vegetable flavonoids such as myricetin and quercetin, have been documented as modifiers of glucose uptake by altering GLUT1 expression [1922]. Impressively, these effects occur in several cell lines, suggesting widespread utility of their benefits. The concentrations used, at least for some, appear physiologically relevant and therefore may occur after a simple dietary change. Although these findings provide promise for the diet-mediated prevention of cancer cell proliferation, unfortunately none of these dietary effects was examined with high-throughput metabonomic profiles. Considering the ability of metabonomics to detect changes in glucose metabolism in cancer cells [23], it is likely that these dietary effects on glucose uptake, including GLUT1 expression, can be detected using the same approach.

2.1.2. Aerobic Glycolysis

The conversion of glucose to lactate in the presence of oxygen is a critical aerobic pathway that allows cancer cells to proliferate rapidly. In vivo expression of the M2 isoform of the glycolytic enzyme pyruvate kinase (PK) is required for this process [24]. PK has four isozymes that are tissue specific: the L and R isoforms are expressed in liver and red blood cells, respectively the M1 in most adult tissues and M2 in lung and embryonic cells. In normal proliferating cells, PK exists in a tetrameric form that transfers one phosphate group from phosphoenolpyruvate (PEP) to adenosyl diphosphate, yielding one molecule of adenosine triphosphate (ATP). In cancer cells, however, this enzyme is exclusively expressed as an M2 type of pyruvate kinase (PKM2), which results in a conformational change from a tetrameric to a dimeric form that possesses a low affinity for PEP and thus limits enzymatic function. This structural change was shown to be mediated through phosphotyrosine peptides or src in cancer cells [25], suggesting that oncogenic tyrosine kinases (TKs) might be promising targets for cancer prevention. Support for this conclusion comes from observations that PKM2 is released from tumors into the blood and can be monitored non-invasively. Plasma tumor PKM2 is reported to increase significantly as tumor progresses in lung cancer, qualifying it as a valuable biomarker [26]. Recently, delphinidin, an anthocyanidin that is abundant in grapes, cranberries, and pomegranates, has been reported to inhibit TK activities, including receptor TKs [27]. Additionally, isothiocyanates in broccoli have been reported to inhibit TK [28]. Overall, these findings suggest that some of the antiproliferative effects of bioactive food components may arise from their ability to convert tetrameric PKM2 to dimeric PKM2 and thereby bring about a shift in glucose flux from a nonoxidative to an oxidative pathway. Although some evidence exists that changes in glucose carbon flux from glycolysis to gluconeogenesis can be measured by the combination of LC/MS metabonomic profiling with stable isotope techniques using C-labeled glucose [29], these approaches have not been used for the study examining dietary effects. Thus, it is warranted to use metabonomic profiling to monitor the effects of diet or dietary components on PKM2-mediated shifts in glucose flux.

Although limited numbers of metabonomic studies have examined the cancer preventive effects of dietary components, the efficacy of the dietary supplement silibinin provides some proof of principle. Silibinin, extracted from a milk thistle, has been reported to significantly influence the metabolism of prostate cancer cells [30]. Quantitative high-resolution proton NMR spectroscopy was used to monitor the metabonomic profile of blood and tissue extracts in non-human animals receiving or not receiving silibinin. The metabolomic profile suggested that feeding TRAMP/C57BL/6 mice with a 1% silibinin-supplemented diet reduced lactate formation, increased glucose oxidation through the TCA cycle, reversed the increase in citrate use, and decreased cholesterol and phosphatidylcholine levels in prostatic tumors, which parallels earlier findings regarding the prostate cancer preventive potential of silibinin in this animal model. These results suggest that non-invasive metabolomic studies can help monitor the effectiveness of cancer preventives against malignancy.

2.1.3. Increased De Novo Biosynthesis of Nucleotides via the Pentose Phosphate Pathway

Since PKM2 in cancer cells does not convert PEP to pyruvate efficiently, the upstream glucose metabolites are redirected towards a biosynthetic pathway such as PPP. Any rapidly proliferating cells, including cancer cells, utilize PPP to generate ribose-5-phosphate and the reduced form of nicotinamide adenine dinucleotide phosphate (NADPH) from glucose, which is essential for de novo DNA formation. Evidence exists that vitamin E, which is abundant in wheat germ extract and various other fat sources, inhibits nonoxidative tumor cell PPP and thereby suppresses cancer cell proliferation [31]. In leukemia patients, vitamin E was found to decrease pentose cycle substrate flow into RNA ribose, which was measured using stable isotope-labeled [1,2-13C2] glucose as the single tracer and biological MS. These changes in glucose carbon flux correlated with the cell growth-controlling and apoptosis-inducing effects of fermented wheat germ [31].

Another dietary component, genistein, which is found in soy, has also been shown to exhibit a similar effect on PPP without modulating fatty acid synthesis [32]. When MIA pancreatic cancer cells were treated with a physiological concentration of genistein (20 μM) for 3 days, the carbon flux from 13C-labeled glucose to nucleic acid ribose through the nonoxidative PPP decreased significantly [32]. These changes in PPP coincided with the cancer protective effects of either vitamin E or genistein, implying that a shift in a metabolic signature may be a useful biomarker for monitoring the efficacy of dietary components.

2.2. Amino Acid and Fatty Acid Metabolism
2.2.1. Glutaminolysis

Glucose is the major energy source in normal cells. This nutrient undergoes the metabolic switch in tumor cells from energy production to de novo biosynthesis of macromolecules, including nucleic acids. This shift increases the demand for carbon sources in cancer cells to generate ATP. It has been reported that cancer cells accumulate glutamine faster than noncancerous cells [33] and utilize it as a substrate for the TCA cycle (glutaminolysis). Ultimately, the cancer cell catabolizes glutamine to ATP and lactate. This metabolic shift is thought to be mediated by the myc oncogene [34]. It is well established that the activity of this oncogene can be modulated by various dietary components, including betaine, folic acid, genistein, and fat [3538]. For example, supplementing the diet with betaine (1%) fed to rats developing liver tumors caused by diethylinitrosamine significantly reduced liver c-myc expression [35]. H-NMR spectroscopy-based metabolic profiles of plasma and urine have revealed an interaction between betaine exposure and low-density lipoprotein receptor gene expression [39]. Metabonomic profiles that explore the influence of dietary fat metabolism regulators to detect variation in c-myc oncogene expression are warranted.

2.2.2. Fatty Acid Synthase

Treatment of mouse mammary epithelial cells (HC11) in culture with 40 nM of genistein for 6 hours has been reported to significantly suppress Wnt-1-induced, but not basal, expression of c-Myc [37]. It is logical that several dietary components may affect myc gene expression in vivo to regulate glutaminolysis, and this issue should be clarified using metabonomics. In tumor cells, the limited affinity of tumor-specific PKM2 for PEP forces some, but not all, pyruvates to be oxidized to citrate in the mitochondria. This citrate is then exported to the cytosol, where it is used as a substrate for fatty acid synthesis (Figure 2). This shift from oxidation to lipogenesis in citrate metabolism is evident by the increased activity of FAS, which converts glucose-originated malonyl-CoA to long-chain fatty acids, mainly palmitate, in tumor cells. The synthesized fatty acids are incorporated into phospholipids, the accumulation of which may cause metabolic diseases, including cancer. For example, the de novo biosynthesis of fatty acids from glucose as determined by proton NMR spectroscopy (1H-MRS) is frequently observed with the lipid droplet formation in brain tumor glioma cells [40]. The possibility that these synthesized fatty acids may modulate the oncogenic PI3K/AKT pathway and thereby influence glucose uptake and metabolism cannot be ignored.

721213.fig.002
Figure 2: Fatty acid synthase as a metabonomic target for bioactive food components in cancer cells. Tumor cells exhibit the increased activity of FAS, which converts citrate-originated acetyl-CoA to fatty acids, mainly palmitate. The citrate is generated in mitochondria and, instead of further oxidation, is exported to cytosol as citrate. Upon exit, citrate forms acetyl CoA and is converted to fatty acids in cytosol, which is suppressed by a variety of dietary components, including tea catechin, DHA in fish oil, β-glucan in barley and mushrooms, resveratrol in red grapes, the vegetable flavonoid luteolin, and CLA in milk. FAS: fatty acid synthase; CoA: coenzyme A; PUFA: polyunsaturated fatty acid; DHA: docosahexaenoic acid; CLA: conjugated linoleic acid.

A variety of dietary components, including tea catechin, docosahexaenoic acid (DHA) in fish oil, β-glucan in barley and mushrooms, resveratrol in red grapes, the vegetable flavonoid luteolin, and conjugated linoleic acid in milk, have been shown to suppress FAS expression and activity [4146]. Treatment of the human breast cancer cell SK Br-3, which constitutively expresses FAS, with 150 μM epigallocatechin-3-gallate (EGCG) for 24 hours resulted in a marked reduction in this enzyme activity ( ), but not its expression, compared to controls [41]. In the same study, the suppressive effect of EGCG on FAS activity was confirmed in vivo using C57BL/6J male mice. Likewise, the oral feeding of C57BL/KsJ- mice with DHA (1 g DHA/100 g diet) for 4 weeks significantly reduced hepatic FAS activity accompanied by lowered levels of triglyceride [42]. Finally, feeding C57BL mice a high-fat diet supplemented with 4% barley containing a high amount of β-glucan for 12 weeks significantly reduced the hepatic FAS activity [43]. It should be possible to detect diet-induced changes in FAS with metabolomic profiling, which allows the monitoring of changes in physiologic enzyme activities using LC/MS [47].

The responsiveness of FAS to dietary components, the differential expression of this enzyme in various stages of cancer development, and its critical role in de novo lipid synthesis made it an ideal target for the dietary prevention of cancer. It has been shown that altered FAS expression brings about the signature metabolic changes in human prostate cancer. Human prostatic epithelial cells are highly unique in accumulating zinc that blocks citrate degradation. In cancer cells, however, the prostate tissue contains low levels of citrate, because it does not accumulate zinc and because most of the citrate is used for fatty acid synthesis. 1H-MRS of prostate tissues confirmed the dramatic decrease in citrate levels in prostate gland during malignancy [30]. Likewise, silibinin in milk thistle was reported to significantly decrease the expression of FAS and its transcription factor, sterol response element-binding protein 1c, as examined with 1H-MRS-based metabonomic approaches in neoplastic prostate cells [30]. The metabolic profile of prostatic tumors obtained from TRAMP mice fed a silibinin diet for 20 weeks revealed decreases in lactate and increases in citrate. Thus, a shift in the metabolic profile may help explain silibinin’s antitumorigenic effects. Fatty acid synthesis is also known to be influenced by several confounding factors, including peroxisome proliferator-activated receptors and choline availability [48]. Metabonomic profiles of tissue extracts may provide important clues about the fatty acid homeostasis that is likely to be influenced by multiple variables, including dietary habits.

3. Stable Isotope Technologies

The activity of bioactive food components in the body is dynamic, and thus a single point in time measurement may not lead to appropriate conclusions. Fortunately, these subtle shifts in metabolites can be traced using labels, including stable isotopes. Stable isotopes such as 13C or 15N that generate mass difference and thus can be detected by NMR or imaging technologies are widely used to trace dynamic movements, including nutrient flux, bioavailability, or kinetics in vivo [49]. Other major advantages of stable isotopes include their stability and independency, which allows long-term studies as well as the simultaneous labeling of more than one molecule on the same compound.

Although stable isotope technologies combined with NMR, especially 2D 1H total correlation spectroscopy, can be used for correlating a single isotopomer to its parental compound, the resolving power and sensitivity of this analytical technique are much less than those of MS. Stable isotope labeling, combined with various types of MS equipped with versatile ion sources such as FT-ICR, electrospray, and matrix-assisted laser desorption/ionization, can isolate and detect the molecule of interest—even when several compounds may be crowded at one location on the profile—and thus serves as a powerful tracing technique. Representative preclinical and clinical studies using stable isotope technologies involving nutrition and cancer are provided in Table 1 [5053]. Several excellent reviews about the merits of stable isotopes have been recently published [11, 54].

tab1
Table 1: Preclinical and clinical nutrition studies using stable-isotope metabonomics.

4. Metabonomics Can Detect Cancer Preventive Dietary Metabolites Generated by Microorganisms

It seems obvious that the biological functions of small-molecular-weight compounds (metabolites) are modulated by microbiota accounting for more than 100 trillion living organisms in the human gut. Gastrointestinal microbes are quick responders to dietary changes in terms of their metabolism and/or gene expression. Evidence exists that these changes may affect the utility of nutrients obtained from the diet and thereby influence human health and disease outcome [55]. The precise role of microbes in physiological metabolic pathways was investigated using a well-defined animal model transplanted with human fecal microbial communities [55]. When these animals were fed a high-fat and high-sugar diet (Harlan-Teklad TD96132), they developed increased adiposity, which can be characterized metabolically when switched to a low-fat and plant-polysaccharide-rich diet (B&K 7378000) [55]. These results suggest that microbes may either provide additional metabolic pathways to the host or directly modify the existing processes, resulting in altered phenotypes. Specific examples of how microbes metabolize dietary components and release cancer preventive compounds are described in detail in an earlier review [56]. With the current advances in “omics” technologies, these changes caused by human gut microbes can be directly detected by metabolomic profiles [57]. Although the application of metabolomics to microbiome projects is in its infant stage, the effects of diet on the human gut microbiome and the utilization of metabolomic analysis for its detection hold promise for future investigation.

5. Metabonomics Involving Bioactive Food Components in Clinical Studies

The current status of metabonomics that has been used for identifying and characterizing the physiological metabolites of food ingredients in humans is summarized in Table 2 [5868]. The analysis of active food metabolites usually has been conducted with compounds known to be efficacious to human diseases. The molecules that interact with cellular components of target tissues are not food constituents but rather their metabolites that are absorbed and transported to each site of action [6971]. For example, EGCG, which occurs in green tea, is considered to be a tumor preventive agent. Nevertheless, the prostate tissue of men who had consumed 6 cups of green tea daily for 6 weeks contained both EGCG and its methylated metabolite 4′′-O-methyl EGCG. The latter has been reported to be less active than EGCG in terms of its cancer preventive action [69]. On the other hand, urolithin, a microbially generated metabolite of an active component in pomegranate juice, ellagic acid, has been found to exhibit cancer protection in various tissues, including colon, breast, and prostate [70, 71]. Thus, findings from metabonomic studies should be able to assist with clarifying how food or dietary components are metabolized in the body, possibly modulate human cell behavior, and ultimately and possibly influence human health. Currently, limited numbers of investigations exist in this area, but the science is poised to provide important new insights.

tab2
Table 2: Metabonomic profiles of metabolites from selected bioactive food components in human blood and urine.

6. Future Directions

Metabonomics is the systematic study of small-molecular-weight substances that are the final products of genes and proteins. Although extensive research about genomics and proteomics is beginning to unravel the role of genes and proteins, the metabolites that dictate their characteristics for a given phenotype remain largely ill-defined. Metabonomic profiling using readily available biofluids, tissue extracts, or intact tissues may provide early clues about cellular events that influence phenotypic characteristics. Recently, there has been increased interest in cancer metabonomics and its potential for use in clinical and/or epidemiological investigations. The enriched understanding of basic mechanisms that account for shifts in the metabolome should become reality for metabonomic investigations so that effective interventions can be employed.

Although nutrition is known to modulate a number of regulatory networks involved with pathways leading to and promoting cancer, there is a dearth of studies that have examined diet as an important variable. Admittedly, there are critical issues in understanding metabonomic profiling information from nutritional studies, including the quantity and the temporal relationship of the bioactive food component consumed. Regardless, the fundamental nature of nutrition in harnessing overall cellular metabolism deserves greater attention. Controlled human intervention studies that incorporate physiologically relevant concentrations and exposures for various times are fundamental to the understanding of the utility of metabonomics as a tool for predicting phenotypic change caused by diet. Although there will be many challenges to the interpretation of these studies, their societal implications are enormous given the central role that diet has in health promotion and disease prevention, especially that related to cancer.

References

  1. X. Tong, F. Zhao, and C. B. Thompson, “The molecular determinants of de novo nucleotide biosynthesis in cancer cells,” Current Opinion in Genetics and Development, vol. 19, no. 1, pp. 32–37, 2009. View at Publisher · View at Google Scholar · View at Scopus
  2. E. S. Ong, L. Zou, S. Li, P. Y. Cheah, K. W. Eu, and C. N. Ong, “Metabolic profiling in colorectal cancer reveals signature metabolic shifts during tumorigenesis,” Molecular & Cellular Proteomics. In press.
  3. Y. S. Kim, P. Maruvada, and J. A. Milner, “Metabolomics in biomarker discovery: future uses for cancer prevention,” Future Oncology, vol. 4, no. 1, pp. 93–102, 2008. View at Publisher · View at Google Scholar · View at Scopus
  4. A. M. Zivkovic and J. B. German, “Metabolomics for assessment of nutritional status,” Current Opinion in Clinical Nutrition and Metabolic Care, vol. 12, no. 5, pp. 501–507, 2009. View at Publisher · View at Google Scholar · View at Scopus
  5. T. Kind, V. Tolstikov, O. Fiehn, and R. H. Weiss, “A comprehensive urinary metabolomic approach for identifying kidney cancer,” Analytical Biochemistry, vol. 363, no. 2, pp. 185–195, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. R. M. Salek, M. L. Maguire, E. Bentley et al., “A metabolomic comparison of urinary changes in type 2 diabetes in mouse, rat, and human,” Physiological Genomics, vol. 29, no. 2, pp. 99–108, 2007. View at Publisher · View at Google Scholar · View at Scopus
  7. M. C. Walsh, L. Brennan, J. P. G. Malthouse, H. M. Roche, and M. J. Gibney, “Effect of acute dietary standardization on the urinary, plasma, and salivary metabolomic profiles of healthy humans,” American Journal of Clinical Nutrition, vol. 84, no. 3, pp. 531–539, 2006. View at Scopus
  8. K. O. Boernsen, S. Gatzek, and G. Imbert, “Controlled protein precipitation, in combination with chip-based nanospray infusion mass spectrometry. An approach for metabolomics profiling of plasma,” Analytical Chemistry, vol. 77, no. 22, pp. 7255–7264, 2005. View at Publisher · View at Google Scholar · View at Scopus
  9. S. C. Brown, G. Kruppa, and J.-L. Dasseux, “Metabolomics applications of FT-ICR mass spectrometry,” Mass Spectrometry Reviews, vol. 24, no. 2, pp. 223–231, 2005. View at Publisher · View at Google Scholar · View at Scopus
  10. J. Han, R. M. Danell, J. R. Patel et al., “Towards high-throughput metabolomics using ultrahigh-field Fourier transform ion cyclotron resonance mass spectrometry,” Metabolomics, vol. 4, no. 2, pp. 128–140, 2008. View at Publisher · View at Google Scholar · View at Scopus
  11. A. N. Lane, T. W. Fan, and R. M. Higashi, “Stable isotope-assisted metabolomics in cancer research,” IUBMB life, vol. 60, no. 2, pp. 124–129, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. H. C. Keun, J. Sidhu, D. Pchejetski et al., “Serum molecular signatures of weight change during early breast cancer chemotherapy,” Clinical Cancer Research, vol. 15, no. 21, pp. 6716–6723, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. V. D. Kekatpure, J. O. Boyle, X. K. Zhou et al., “Elevated levels of urinary prostaglandin E metabolite indicate a poor prognosis in ever smoker head and neck squamous cell carcinoma patients,” Cancer Prevention Research, vol. 2, no. 11, pp. 957–965, 2009. View at Publisher · View at Google Scholar
  14. S.-A. Sansone, T. Fan, R. Goodacre et al., “The metabolomics standards initiative,” Nature Biotechnology, vol. 25, no. 8, pp. 846–848, 2007. View at Publisher · View at Google Scholar
  15. E. P. Go, “Database resources in metabolomics: an overview,” Journal of Neuroimmune Pharmacology, vol. 5, pp. 18–30, 2010. View at Publisher · View at Google Scholar · View at Scopus
  16. WCRF/AICR Report, Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective, 2009, http://www.dietandcancerreport.org.
  17. J. Yun, C. Rago, I. Cheong et al., “Glucose deprivation contributes to the development of KRAS pathway mutations in tumor cells,” Science, vol. 325, no. 5947, pp. 1555–1559, 2009. View at Publisher · View at Google Scholar · View at Scopus
  18. T. Amann, U. Maegdefrau, A. Hartmann et al., “GLUT1 expression is increased in hepatocellular carcinoma and promotes tumorigenesis,” American Journal of Pathology, vol. 174, no. 4, pp. 1544–1552, 2009. View at Publisher · View at Google Scholar · View at Scopus
  19. H. Cao, I. Hininger-Favier, M. A. Kelly et al., “Green tea polyphenol extract regulates the expression of genes involved in glucose uptake and insulin signaling in rats fed a high fructose diet,” Journal of Agricultural and Food Chemistry, vol. 55, no. 15, pp. 6372–6378, 2007. View at Publisher · View at Google Scholar · View at Scopus
  20. H. Cao, J. F. Urban Jr., and R. A. Anderson, “Cinnamon polyphenol extract affects immune responses by regulating anti- and proinflammatory and glucose transporter gene expression in mouse macrophages,” Journal of Nutrition, vol. 138, no. 5, pp. 833–840, 2008. View at Scopus
  21. F. Pifferi, F. Roux, B. Langelier et al., “(n-3) polyunsaturated fatty acid deficiency reduces the expression of both isoforms of the brain glucose transporter GLUT1 in rats,” Journal of Nutrition, vol. 135, no. 9, pp. 2241–2246, 2005. View at Scopus
  22. P. Strobel, C. Allard, T. Perez-Acle, R. Calderon, R. Aldunate, and F. Leighton, “Myricetin, quercetin and catechin-gallate inhibit glucose uptake in isolated rat adipocytes,” Biochemical Journal, vol. 386, part 3, pp. 471–478, 2005. View at Publisher · View at Google Scholar · View at Scopus
  23. C. Denkert, J. Budczies, W. Weichert et al., “Metabolite profiling of human colon carcinoma—deregulation of TCA cycle and amino acid turnover,” Molecular Cancer, vol. 7, article 72, 2008. View at Publisher · View at Google Scholar · View at Scopus
  24. S. Mazurek, “Pyruvate kinase type M2: a key regulator of the metabolic budget system in tumor cells,” International Journal of Biochemistry and Cell Biology. In press. View at Publisher · View at Google Scholar
  25. T. Hitosugi, S. Kang, M. G. Vander Heiden, et al., “Tyrosine phosphorylation inhibits PKM2 to promote the Warburg effect and tumor growth,” Science Signaling, vol. 2, no. 97, p. ra73, 2009.
  26. J. Schneider, K. Neu, H.-G. Velcovsky, H. Morr, and E. Eigenbrodt, “Tumor M2-pyruvate kinase in the follow-up of inoperable lung cancer patients: a pilot study,” Cancer Letters, vol. 193, no. 1, pp. 91–98, 2003. View at Publisher · View at Google Scholar · View at Scopus
  27. N. Teller, W. Thiele, U. Boettler, J. Sleeman, and D. Marko, “Delphinidin inhibits a broad spectrum of receptor tyrosine kinases of the ErbB and VEGFR family,” Molecular Nutrition and Food Research, vol. 53, no. 9, pp. 1075–1083, 2009. View at Publisher · View at Google Scholar · View at Scopus
  28. S. Mukherjee, H. Gangopadhyay, and D. K. Das, “Broccoli: a unique vegetable that protects mammalian hearts through the redox cycling of the thioredoxin superfamily,” Journal of Agricultural and Food Chemistry, vol. 56, no. 2, pp. 609–617, 2008. View at Publisher · View at Google Scholar · View at Scopus
  29. J. Xu, G. Xiao, C. Tirujillo et al., “Peroxisome proliferator-activated receptor α (PPARα) influences: substrate utilization for hepatic glucose production,” Journal of Biological Chemistry, vol. 277, no. 52, pp. 50237–50244, 2002. View at Publisher · View at Google Scholar
  30. K. Raina, N. J. Serkova, and R. Agarwal, “Silibinin feeding alters the metabolic profile in TRAMP prostatic tumors:1h-nmrs-based metabolomics study,” Cancer Research, vol. 69, no. 9, pp. 3731–3735, 2009. View at Publisher · View at Google Scholar · View at Scopus
  31. B. Comín-Anduix, L. G. Boros, S. Marin et al., “Fermented wheat germ extract inhibits glycolysis/pentose cycle enzymes and induces apoptosis through poly(ADP-ribose) polymerase activation in Jurkat T-cell leukemia tumor cells,” Journal of Biological Chemistry, vol. 277, no. 48, pp. 46408–46414, 2002. View at Publisher · View at Google Scholar · View at Scopus
  32. L. G. Boros, S. Bassilian, S. Lim, and W.-N. P. Lee, “Genistein inhibits nonoxidative ribose synthesis in MIA pancreatic adenocarcinoma cells: a new mechanism of controlling tumor growth,” Pancreas, vol. 22, no. 1, pp. 1–7, 2001. View at Publisher · View at Google Scholar · View at Scopus
  33. B. P. Bode, B. C. Fuchs, B. P. Hurley et al., “Molecular and functional analysis of glutamine uptake in human hepatoma and liver-derived cells,” American Journal of Physiology, vol. 283, no. 5, pp. G1062–G1073, 2002. View at Scopus
  34. D. R. Wise, R. J. DeBerardinis, A. Mancuso et al., “Myc regulates a transcriptional program that stimulates mitochondrial glutaminolysis and leads to glutamine addiction,” Proceedings of the National Academy of Sciences of the United States of America, vol. 105, no. 48, pp. 18782–18787, 2008. View at Publisher · View at Google Scholar · View at Scopus
  35. Y.-P. Du, J.-S. Peng, A. Sun, Z.-H. Tang, W.-H. Ling, and H.-L. Zhu, “Assessment of the effect of betaine on p16 and c-myc DNA methylation and mRNA expression in a chemical induced rat liver cancer model,” BMC Cancer, vol. 9, article 261, 2009. View at Publisher · View at Google Scholar · View at Scopus
  36. R. Lu, X. Wang, D. F. Sun et al., “Folic acid and sodium butyrate prevent tumorigenesis in a mouse model of colorectal cancer,” Epigenetics, vol. 3, no. 6, pp. 330–335, 2008. View at Scopus
  37. Y. Su and R. C. M. Simmen, “Soy isoflavone genistein upregulates epithelial adhesion molecule E-cadherin expression and attenuates β-catenin signaling in mammary epithelial cells,” Carcinogenesis, vol. 30, no. 2, pp. 331–339, 2009. View at Publisher · View at Google Scholar · View at Scopus
  38. N. Kobayashi, R. J. Barnard, J. Said et al., “Effect of low-fat diet on development of prostate cancer and Akt phosphorylation in the Hi-Myc transgenic mouse model,” Cancer Research, vol. 68, no. 8, pp. 3066–3073, 2008. View at Publisher · View at Google Scholar · View at Scopus
  39. K.-K. Cheng, G. M. Benson, D. C. Grimsditch, D. G. Reid, S. C. Connor, and J. L. Griffin, “Metabolomic study of the LDL receptor null mouse fed a high-fat diet reveals profound perturbations in choline metabolism that are shared with ApoE null mice,” Physiological Genomics, vol. 41, no. 3, pp. 224–231, 2010. View at Publisher · View at Google Scholar
  40. J. L. Griffin and R. A. Kauppinen, “A metabolomics perspective of human brain tumours,” FEBS Journal, vol. 274, no. 5, pp. 1132–1139, 2007. View at Publisher · View at Google Scholar · View at Scopus
  41. T. Puig Miquel, J. Relat, P. F. Marrero, D. Haro, J. Brunet, and R. Colomer, “Green tea catechin inhibits fatty acid synthase without stimulating carnitine palmitoyltransferase-1 or inducing weight loss in experimental animals,” Anticancer Research, vol. 28, no. 6, pp. 3671–3676, 2008. View at Scopus
  42. N. Gotoh, K. Nagao, S. Onoda et al., “Effects of three different highly purified n-3 series highly unsaturated fatty acids on lipid metabolism in C57BL/KsJ-dbl db mice,” Journal of Agricultural and Food Chemistry, vol. 57, no. 22, pp. 11047–11054, 2009. View at Publisher · View at Google Scholar
  43. J. S. Choi, H. Kim, M. H. Jung, S. Hong, and J. Song, “Consumption of barley β-glucan ameliorates fatty liver and insulin resistance in mice fed a high-fat diet,” Molecular Nutrition and Food Research, vol. 54, no. 7, pp. 1004–1013, 2010. View at Publisher · View at Google Scholar
  44. G. V. Gnoni and G. Paglialonga, “Resveratrol inhibits fatty acid and triacylglycerol synthesis in rat hepatocytes,” European Journal of Clinical Investigation, vol. 39, no. 3, pp. 211–218, 2009. View at Publisher · View at Google Scholar · View at Scopus
  45. K. Brusselmans, R. Vrolix, G. Verhoeven, and J. V. Swinnen, “Induction of cancer cell apoptosis by flavonoids is associated with their ability to inhibit fatty acid synthase activity,” Journal of Biological Chemistry, vol. 280, no. 7, pp. 5636–5645, 2005. View at Publisher · View at Google Scholar · View at Scopus
  46. D. S. Y. Lau and M. C. Archer, “The 10t,12c isomer of conjugated linoleic acid inhibits fatty acid synthase expression and enzyme activity in human breast, colon, and prostate cancer cells,” Nutrition and Cancer, vol. 62, no. 1, pp. 116–121, 2010. View at Publisher · View at Google Scholar
  47. L. P. S. de Carvalho, H. Zhao, C. E. Dickinson et al., “Activity-based metabolomic profiling of enzymatic function: identification of Rv1248c as a mycobacterial 2-hydroxy-3-oxoadipate synthase,” Chemistry and Biology, vol. 17, no. 4, pp. 323–332, 2010. View at Publisher · View at Google Scholar
  48. L. D. Roberts, D. G. Hassall, D. A. Winegar, J. N. Haselden, A. W. Nicholls, and J. L. Griffin, “Increased hepatic oxidative metabolism distinguishes the action of peroxisome proliferator-activated receptor delta from Peroxisome proliferator-activated receptor gamma in the ob/ob mouse,” Genome Medicine, vol. 1, p. 115, 2009.
  49. J. Boren, W.-N. P. Lee, S. Bassilian et al., “The stable isotope-based dynamic metabolic profile of butyrate-induced HT29 cell differentiation,” Journal of Biological Chemistry, vol. 278, no. 31, pp. 28395–28402, 2003. View at Publisher · View at Google Scholar · View at Scopus
  50. T. W. M. Fan, A. N. Lane, R. M. Higashi et al., “Altered regulation of metabolic pathways in human lung cancer discerned by 13C stable isotope-resolved metabolomics (SIRM),” Molecular Cancer, vol. 8, article 41, 2009. View at Publisher · View at Google Scholar · View at Scopus
  51. S. Marin, W.-N. P. Lee, S. Bassilian et al., “Dynamic profiling of the glucose metabolic network in fasted rat hepatocytes using [1,2-13C2]glucose,” Biochemical Journal, vol. 381, part 1, pp. 287–294, 2004. View at Publisher · View at Google Scholar · View at Scopus
  52. J. Boren, W.-N. P. Lee, S. Bassilian et al., “The stable isotope-based dynamic metabolic profile of butyrate-induced HT29 cell differentiation,” Journal of Biological Chemistry, vol. 278, no. 31, pp. 28395–28402, 2003. View at Publisher · View at Google Scholar · View at Scopus
  53. J. Xu, G. Xiao, C. Tirujillo et al., “Peroxisome proliferator-activated receptor α (PPARα) influences: substrate utilization for hepatic glucose production,” Journal of Biological Chemistry, vol. 277, no. 52, pp. 50237–50244, 2002. View at Publisher · View at Google Scholar
  54. S. Ando and Y. Tanaka, “Mass spectrometric studies on brain metabolism, using stable isotopes,” Mass Spectrometry Reviews, vol. 24, no. 6, pp. 865–886, 2005. View at Publisher · View at Google Scholar · View at Scopus
  55. P. J. Turnbaugh, V. K. Ridaura, J. J. Faith, F. E. Rey, R. Knight, and J. I. Gordon, “The effect of diet on the human gut microbiome: a metagenomic analysis in humanized gnotobiotic mice,” Science Translational Medicine, vol. 1, no. 6, p. 6ra14, 2009. View at Publisher · View at Google Scholar
  56. C. D. Davis and J. A. Milner, “Gastrointestinal microflora, food components and colon cancer prevention,” Journal of Nutritional Biochemistry, vol. 20, no. 10, pp. 743–752, 2009. View at Publisher · View at Google Scholar · View at Scopus
  57. M. Li, B. Wang, M. Zhang et al., “Symbiotic gut microbes modulate human metabolic phenotypes,” Proceedings of the National Academy of Sciences of the United States of America, vol. 105, no. 6, pp. 2117–2122, 2008. View at Publisher · View at Google Scholar · View at Scopus
  58. D. Del Rio, L. Calani, C. Cordero, S. Salvatore, N. Pellegrini, and F. Brighenti, “Bioavailability and catabolism of green tea flavan-3-ols in humans,” Nutrition, vol. 26, no. 11-12, pp. 1110–1116, 2010. View at Publisher · View at Google Scholar
  59. J.-S. Wang, H. Luo, P. Wang et al., “Validation of green tea polyphenol biomarkers in a phase II human intervention trial,” Food and Chemical Toxicology, vol. 46, no. 1, pp. 232–240, 2008. View at Publisher · View at Google Scholar · View at Scopus
  60. L. Guy, N. Védrine, M. Urpi-Sarda et al., “Orally administered isoflavones are present as glucuronides in the human prostate,” Nutrition and Cancer, vol. 60, no. 4, pp. 461–468, 2008. View at Publisher · View at Google Scholar · View at Scopus
  61. M. Kano, T. Takayanagi, K. Harada, S. Sawada, and F. Ishikawa, “Bioavailability of isoflavones after ingestion of soy beverages in healthy adults,” Journal of Nutrition, vol. 136, no. 9, pp. 2291–2296, 2006. View at Scopus
  62. G. A. Reed, D. W. Arneson, W. C. Putnam et al., “Single-dose and multiple-dose administration of indole-3-carbinol to women: pharmacokinetics based on 3,3-diindolylmethane,” Cancer Epidemiology Biomarkers and Prevention, vol. 15, no. 12, pp. 2477–2481, 2006. View at Publisher · View at Google Scholar · View at Scopus
  63. M. J. Anderton, M. M. Manson, R. D. Verschoyle et al., “Pharmacokinetics and tissue disposition of indole-3-carbinol and its acid condensation products after oral administration to mice,” Clinical Cancer Research, vol. 10, no. 15, pp. 5233–5241, 2004. View at Publisher · View at Google Scholar · View at Scopus
  64. A. Burkon and V. Somoza, “Quantification of free and protein-bound trans-resveratrol metabolites and identification of trans-resveratrol-C/O-conjugated diglucuronides—two novel resveratrol metabolites in human plasma,” Molecular Nutrition and Food Research, vol. 52, no. 5, pp. 549–557, 2008. View at Publisher · View at Google Scholar · View at Scopus
  65. D. J. Boocock, K. R. Patel, G. E. S. Faust et al., “Quantitation of trans-resveratrol and detection of its metabolites in human plasma and urine by high performance liquid chromatography,” Journal of Chromatography B, vol. 848, no. 2, pp. 182–187, 2007. View at Publisher · View at Google Scholar · View at Scopus
  66. P. A. Egner, T. W. Kensler, J.-G. Chen, S. J. Gange, J. D. Groopman, and M. D. Friesen, “Quantification of sulforaphane mercapturic acid pathway conjugates in human urine by high-performance liquid chromatography and isotope-dilution tandem mass spectrometry,” Chemical Research in Toxicology, vol. 21, no. 10, pp. 1991–1996, 2008. View at Publisher · View at Google Scholar · View at Scopus
  67. A. A. Al Janobi, R. F. Mithen, A. V. Gasper et al., “Quantitative measurement of sulforaphane, iberin and their mercapturic acid pathway metabolites in human plasma and urine using liquid chromatography-tandem electrospray ionisation mass spectrometry,” Journal of Chromatography B, vol. 844, no. 2, pp. 223–234, 2006. View at Publisher · View at Google Scholar · View at Scopus
  68. J. M. W. van den Ouweland, A. M. Beijers, P. N. M. Demacker, and H. van Daal, “Measurement of 25-OH-vitamin D in human serum using liquid chromatography tandem-mass spectrometry with comparison to radioimmunoassay and automated immunoassay,” Journal of Chromatography B, vol. 878, no. 15-16, pp. 1163–1168, 2010. View at Publisher · View at Google Scholar
  69. P. Wang, W. J. Aronson, M. Huang et al., “Green tea polyphenols and metabolites in prostatectomy tissue: implications for cancer prevention,” Cancer Prevention Research, vol. 3, no. 8, pp. 985–993, 2010. View at Publisher · View at Google Scholar
  70. S. G. Kasimsetty, D. Blalonska, M. K. Reddy, G. Ma, S. I. Khan, and D. Ferreira, “Colon cancer chemopreventive activities of pomegranate ellagitannins and urolithins,” Journal of Agricultural and Food Chemistry, vol. 58, no. 4, pp. 2180–2187, 2010. View at Publisher · View at Google Scholar
  71. M. Larrosa, A. González-Sarrías, M. T. García-Conesa, F. A. Tomás-Barberán, and J. C. Espín, “Urolithins, ellagic acid-derived metabolites produced by human colonic microflora, exhibit estrogenic and antiestrogenic activities,” Journal of Agricultural and Food Chemistry, vol. 54, no. 5, pp. 1611–1620, 2006. View at Publisher · View at Google Scholar · View at Scopus