In 1913 JDR established the Rockefeller Foundation to "promote the well-being of mankind throughout the world." In keeping with this broad commitment, the foundation has given important global assistance to public health, medical education, improved food production, scientific advancement, social research, and the arts. A heterogeneous response to 2-DG (half maximal effective concentrations [EC50s] ranging from 0.9 mM to >100 mM) was observed, which did not differ significantly between the BCL subtypes, although it is noteworthy that MM1.S (an HMCL) and Namalwa (a BLCL) showed a marked resistance (EC50 >100 mM) (Figure1B & supplemental Figure1B). Guikema, Department of Pathology, Amsterdam University Medical Centers, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands; e-mail: j.e.guikema@amsterdamumc.nl. Her mother would play piano and they would all sing. The increased reliance of cancer cells on glycolysis is often associated with decreased mitochondrial respiration, suggesting that aerobic glycolysis occurs at the expense of oxidative phosphorylation (OXPHOS).4 However, many tumors exhibit increased glycolysis and OXPHOS.7-9. Couric invited Lavender to attend the Stand Up to Cancer telethon in Los Angeles, which Couric had co-founded to raise money for cancer research. Basal ECAR values from the Seahorse XF glycolysis stress test are depicted, and means SEM are shown (ttest,n=5-6 measurements). This is further substantiated by our GEP results showing that AKT inhibition resulted in the FOXO-dependent decreased expression of metabolic genes and gene sets. Furthermore, we provide evidence that AKT sustains glycolysis and OXPHOS in MM by restricting FOXO. In agreement, we found that the FOXO-mediated repression of key metabolic genes is lost in MM plasma cells in comparison with plasma cells from healthy donors, patients with monoclonal gammopathy of undetermined significance, and patients with smoldering MM, suggesting that the progressive loss of FOXO-dependent gene regulation accompanies the malignant transformation of plasma cells. Moreover, the FOXO-dependent repression of glycolysis- and TCA-associated genes correlates with a favorable prognosis in a large cohort of patients with MM. In the multivariate stepwise Cox regression analysis, the LE TCA (high)defined high-risk status remained an adverse variable that predicted inferior OS, along with age (>65 years), increased LDH levels (190 U/L), GEP70 score,33 GEP-derived delTP53,34 and gain of chromosome 1q (Figure6B). The gene set enrichment analysis (GSEA) software (http://www.broad.mit.edu/gsea)26 and the Molecular Signature Database were used for GSEAs and leading edge (LE) analyses. She was a member of both the Young Democrats group and the Teenage Republicans. (C) Heatmaps showing (z-score transformed) expression of Reactome glycolysis genes (upper panels) and KEGG_TCA cycle genes (lower panels) in LME-1 CTRL clones and LME-1 FOXO1-knockout (FOXO1-/-) clones (left panels), MM1.S CTRL clones and FOXO3-KO (FOXO3-/-) (middle panels), and XG-3 CTRL clones and FOXO3-KO clones (right panels) that were treated overnight with 2.5 M MK2206 or left untreated. New York: St. Martin's Press, 1995. John D. Rockefeller, Sr. Rockefeller Archive Center. Also, tours of the MammoVan, UAMS' mobile mammography unit, will be offered. "It was a fabulous environment that day," Lavender says, noting that more than 1,000 people participated in 2022. [11] She returned to America in 1921 after an eightyear stay. To continue their mission today, Shah says the RF must "directly confront climate change." She also took on a new role to raise awareness of colorectal cancer and promote screening for the disease. Established in 1913, the foundation used the Rockefeller family wealth to ostensibly promote "public health" by funding mass vaccination campaigns and the founding of public health authorities around the world. Our data suggest that repression of FOXO by AKT is essential to sustain glycolysis and the TCA cycle activity in MM cells and, as such, predicts patient survival. (A) Immunoblot analysis of HK2 and PKM2 in LME-1, MM1.S, and LP-1 HMCLs treated overnight with 2.5 M MK2206 AKT inhibitor or left untreated. In 1912, they hired prominent architect Charles A. Platt to build a mansion on their large country estate, located directly on Lake Michigan in Lake Forest, Illinois, which they named Villa Turicum, and which had extensive architecturally landscaped gardens. In that respect, (combinatorial) targeting of signaling pathways that regulate metabolic plasticity may be a preferred approach, placing the AKT kinase in the limelight again, where the prevention of feedback regulation and/or activation of salvage pathways will be key for a successful therapeutic modality. For the glycolysis pathway, red, blue, and yellow symbols indicate >1.5-fold (FOXO-dependent) decrease in gene expression in LME-1, MM1.S, and XG-3, respectively. However, our results suggest that acetyl-CoA is not limiting for OXPHOS in MM cells because an increased acetyl-CoA formation caused by DCA treatment did not boost basal mitochondrial respiration. "It was a great place to grow up." The first International Congress in Human Genetics to convene after WWII was held in Copenhagen in 1956. Enzymes (purple boxes), metabolites, and conversions (arrows) are indicated. After being treated for depression by Jung, she became a successful Jungian psycho-analyst herself. Her friend won. The American Cancer Society suggests that people with average risk for colorectal cancer should get screened starting at age 45. Search for other works by this author on: Metabolic signature identifies novel targets for drug resistance in multiple myeloma, Dichloroacetate inhibits aerobic glycolysis in multiple myeloma cells and increases sensitivity to bortezomib, On respiratory impairment in cancer cells, An HK2 antisense oligonucleotide induces synthetic lethality in HK1-HK2+ multiple myeloma, Cyclin D1 targets hexokinase 2 to control aerobic glycolysis in myeloma cells, Metabolic heterogeneity in human lung tumors, The metabolic profile of tumors depends on both the responsible genetic lesion and tissue type, Targeting the metabolic plasticity of multiple myeloma with FDA-approved ritonavir and metformin, Bortezomib resistance in multiple myeloma is associated with increased serine synthesis, Modulation of cell metabolic pathways and oxidative stress signaling contribute to acquired melphalan resistance in multiple myeloma cells, The AKT kinase is activated in multiple myeloma tumor cells, Biologic sequelae of interleukin-6 induced PI3-K/Akt signaling in multiple myeloma, The phosphatidylinositol 3-kinase/AKT kinase pathway in multiple myeloma plasma cells: roles in cytokine-dependent survival and proliferative responses, PI3-K/AKT/FKHR and MAPK signaling cascades are redundantly stimulated by a variety of cytokines and contribute independently to proliferation and survival of multiple myeloma cells, Loss of PTEN expression leading to high Akt activation in human multiple myelomas, AKT signaling restrains tumor suppressive functions of FOXO transcription factors and GSK3 kinase in multiple myeloma, Is Akt the Warburg kinase?-Akt-energy metabolism interactions and oncogenesis, The PI3K-AKT network at the interface of oncogenic signalling and cancer metabolism, Analysis of PTEN deletions and mutations in multiple myeloma, Pharmacogenomics of bortezomib test-dosing identifies hyperexpression of proteasome genes, especially PSMD4, as novel high-risk feature in myeloma treated with Total Therapy 3, Molecular dissection of hyperdiploid multiple myeloma by gene expression profiling, Prognostic value of cyclin D2 mRNA expression in newly diagnosed multiple myeloma treated with high-dose chemotherapy and tandem autologous stem cell transplantations, Frequent gain of chromosome band 1q21 in plasma-cell dyscrasias detected by fluorescence in situ hybridization: incidence increases from MGUS to relapsed myeloma and is related to prognosis and disease progression following tandem stem-cell transplantation, Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles, Mitochondrial spare respiratory capacity: Mechanisms, regulation, and significance in non-transformed and cancer cells, Under normoxia, 2-deoxy-D-glucose elicits cell death in select tumor types not by inhibition of glycolysis but by interfering with N-linked glycosylation, Dichloroacetate enhances apoptotic cell death via oxidative damage and attenuates lactate production in metformin-treated breast cancer cells, Circumventing the Crabtree effect: replacing media glucose with galactose increases susceptibility of HepG2 cells to mitochondrial toxicants, Galactose enhances oxidative metabolism and reveals mitochondrial dysfunction in human primary muscle cells, The role of FOXO in the regulation of metabolism, Avalidated gene expression model of high-risk multiple myeloma is defined by deregulated expression of genes mapping to chromosome 1, TP53 deletion is not an adverse feature in multiple myeloma treated with total therapy 3, Metabolic effects of recurrent genetic aberrations in multiple myeloma, Lactate dehydrogenase production and release in a newly established human myeloma cell line, Lactate, a putative survival factor for myeloma cells, is incorporated by myeloma cells through monocarboxylate transporters 1, Dichloroacetic acid (DCA) synergizes with the SIRT2 inhibitor Sirtinol and AGK2 to enhance anti-tumor efficacy in non-small cell lung cancer, Dichloroacetate and PX-478 exhibit strong synergistic effects in a various number of cancer cell lines, Catabolic efficiency of aerobic glycolysis: the Warburg effect revisited, Perturbational profiling of a cell-line model of tumorigenesis by using metabolic measurements, Characterization of MYC translocations in multiple myeloma cell lines, Regulation of cancer cell metabolism: oncogenic MYC in the drivers seat, Activation of PI3K/Akt and MAPK pathways regulates Myc-mediated transcription by phosphorylating and promoting the degradation of Mad1, Myc-induced proliferation and transformation require Akt-mediated phosphorylation of FoxO proteins, Akt stimulates aerobic glycolysis in cancer cells, Hexokinase-II positively regulates glucose starvation induced autophagy through TORC1 inhibition, The identification of ATP-citrate lyase as a protein kinase B (Akt) substrate in primary adipocytes, Stabilization of phosphofructokinase 1 platelet isoform by AKT promotes tumorigenesis, FoxO3 coordinates metabolic pathways to maintain redox balance in neural stem cells, Mitochondria define intestinal stem cell differentiation downstream of a FOXO/notch axis, FOXO3a regulates reactive oxygen metabolism by inhibiting mitochondrial gene expression, FOXO3a-SIRT6 axis suppresses aerobic glycolysis in melanoma, Anti-apoptotic MCL-1 localizes to the mitochondrial matrix and couples mitochondrial fusion to respiration, 2023 by The American Society of Hematology. ); and the Translational Research Institute (TRI) and grant KL2 TR003108 through the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH) (T.C.A.). "We would go to different countries.". Her father had surgery there, and the experience was good. (B) Half maximal effective concentrations (EC50) of 2-DG for cell death in HMCLs and BCLs after 3 days of treatment. Gates open and registration begins at 6:30 p.m. By helping with projects such as the walk, Lavender is doing her part to help build momentum for UAMS as it prepares to apply for the NCI Designation from the National Cancer Institute. Nov. 5, 2018. When evidence began to emerge that petroleum based medicine was causing cancer, Rockefeller founded the American Cancer Society, through which he suppressed that information. "[18] Newspaper articles mention organizing troubles that caused it to be cancelled in 1929. HR (diamond symbols) and 95% CI (lines) are indicated. No striking differences in the extracellular acidification rates (ECARs) or basal oxygen consumption rates (OCRs) were observed, indicating similar basal glycolysis and OXPHOS activity (Figure1A, supplemental Figure1A). To determine the metabolic adaptability, HMCLs were treated with dichloroacetate (DCA), which increases the activity of the pyruvate dehydrogenase complex and leads to to decreased production of lactate and increased decarboxylation of pyruvate to acetyl coenzyme A (acetyl-CoA), resulting in a shift of pyruvate toward mitochondrial metabolism.3,29 Phosphorylation of pyruvate dehydrogenase wasreduced upon DCA treatment, verifying on-target activity (supplemental Figure1D). She was the fourth daughter of schoolteacher Laura Celestia "Cettie" Spelman (18391915) and Standard Oil co-founder John Davison Rockefeller. Furthermore, AKT inhibition significantly decreased glycolysis, which required functional FOXO expression (Figure4B). It was not held thereafter. "It was a wonderful experience being on the 'Hill,'" she says. She is especially interested in raising awareness. The overall conclusion here, and of our previous work,18 is that metabolism, proliferation, and survival of MM cells critically converge on the tumor-suppressive function of FOXO, which is actively restrained by AKT signaling. She and Harold, along with other wealthy patrons, founded the Grand Opera Company, the first in Chicago, in 1909. The American Medical Association (AMA) was founded in 1847, and by the late 1800's it had heavy financial involvement by Rockefeller. We demonstrate that active FOXO diminished glycolysis and mitochondrial respiration in MM cell lines, and that the expression of glycolysis- and TCA cyclerelated genes in patients with MM negatively correlates with the transcriptional activity of FOXO. AKT inhibition suppresses glycolysis and OXPHOS in MM cells. | I drive everybody crazy.". (A) Immunoblot analysis of HK2 and PKM2 expression in LME-1, MM1.S, and XG-3 Cas9-CTRL clones CTRL and FOXO KO clones (FOXO1 for LME-1, and FOXO3 for MM1.S and XG-3) treated overnight with 2.5 M MK2206 or left untreated. At the time of her death, her estate, through the Edith Rockefeller McCormick Trust set up by her father in 1923, consisted mostly of real estate and no longer held much Standard Oil stock. After dinner, where they met Clinton and his wife, Hillary, they got back on the charter bus and headed home. It's sad to know how brainwashed breast cancer awareness is about chemotherapy, radiation, and surgery. The official, Dr . In addition to the walk, there will be drawings, games, entertainment and retail booths. Cell lines, cell culture conditions, and details on reagents are provided in the supplemental Materials and Methods. The 5.5-year survival rate was 54% in the LE glycolysis high group (n= 137) vs 71% in the LE glycolysis low group (n= 639). As one of the wealthiest and most influential families in North America in the last 200 years, headed up by patriarch John D. Rockefeller I (pictured), the Rockefellers played an integral role in . "So during Colon Cancer Month [March], I'm a beast about promoting screenings. In 2016, Lavender caught the attention of Katie Couric, the former co-anchor of NBC's Today Show, who led a national colorectal cancer awareness campaign in the late 1990s after her husband, Jay Monahan, died from the disease at age 42. Black Americans are about 20% more likely to get colorectal cancer and about 40% more likely to die from it than other ethnic groups. Moreover, our results suggest that AKT signaling sustains OXPHOS independently of its effects on glycolysis because AKT inhibition still decreased mitochondrial respiration when pyruvate was present as the sole carbon source, thereby obviating the need for pyruvate provided by glycolysis. Edith Rockefeller McCormick (August 31, 1872 August 25, 1932) was an American socialite, daughter of Standard Oil co-founder John D. Rockefeller. From hectic politics to the unexpected peril of colorectal cancer, Lavender just laces up her shoes and deals with whatever life throws at her. Although novel treatment strategies have improved the prognosis and outcome of MM, most patients eventually relapse and become refractory to further treatment.1 Cancer cells are characterized by metabolic alterations, which are driven by oncogenes. In the summers, she says, they went swimming, set up Kool-Aid stands and played wiffleball. Mean values of 3 individual experiments are depicted. Multiple myeloma (MM) is a malignancy characterized by the clonal expansion of plasma cells in the bone marrow. "The Rockefeller Women." We developed a strategy to covalently tether drug fragments adjacent to allosteric sites in GPCRs to enhance . Most HMCLs show an increased expression of the MYC proto-oncogene because of chromosomal rearrangements and/or mutations.42 An aberrant MYC expression is a major determinant of the metabolic phenotype of MM cells,35 and may drive glycolysis because it directly activates the expression of almost all glycolysis genes.43 Correspondingly, the glycolytic reserve was comparably low in BLCLs that represent archetypal MYC-driven lymphomas. Lavender had early-onset colorectal cancer. A local paper noted, of the first fair, that "One feature of the exhibit will be a collection of newspaper and magazine clippings, from various countries during the last 200 years emphasizing the storm of protest which greeted every suggestion for a freer social status for women. Her three elder sisters were Elizabeth (Bessie) (18661906), Alice (18691870), and Alta (18711962). The AP will not be held liable for any delays, inaccuracies, errors or omissions therefrom or in the transmission or delivery of all or any part thereof or for any damages arising from any of the foregoing. Last year, the walk raised about $250,000. Our results demonstrate that the expression of several key metabolic genes involved in glycolysis, the tricarboxylic acid (TCA) cycle, and OXPHOS are repressed by FOXO TFs. designed the study and wrote the manuscript; T.A.B. We have previously shown that AKT regulates the stability of the antiapoptotic Myeloid-cell leukemia 1 (MCL-1) protein, which is essential for the survival of MM cells.18 Consequently, HMCLs overexpressing MCL-1 were resistant to AKT inhibitorinduced cell death.18 However, MCL-1 overexpression did not prevent reduced glycolysis induced by MK2206 treatment, indicating that the effects of AKT inhibition on glycolysis were not related to the induction of apoptosis (supplemental Figure2C). And she returned to working on campaigns when a friend ran for student body president. Upon graduation from college, Lavender moved to Little Rock to work for Alltel's wireless company in customer service. For several years, he ran a college prep school in his home town of Louisville. provided analytical support; J.D.S., T.C.A., and F.Z. To continue their mission today, Shah says the RF must "directly confront climate change". Metabolic alterations are important cancer-associated features that allow cancer cell transformation and survival under stress conditions. Patient material was obtained according to the ethical standards of our institutional medical ethical committee, as well as in agreement with the 1975 declaration of Helsinki, as revised in1983. supervised the study; and all authors read and approved the final manuscript. Primary plasma cells from newly diagnosed patients with MM (n=2) and with a plasmacytosis of mononuclear cells being >80% were isolated as detailed in the supplemental Materials and Methods and as described previously.18 Primary MM cells were cultured overnight in supplemented Iscove modified Dulbecco medium with 10% fetal calf serum and 1 ng/mL interleukin-6 before experiments. Together, these results show that AKT crucially regulates the metabolic functioning of MM cells by controlling the activity of FOXO. Her mother would take them on trips in the summer while her father stayed home to work. She was born in Fayetteville in 1970 while her father, Bill Lavender, was finishing law school at the University of Arkansas. "I'm most grateful to have grown up in my family and in Texarkana," Lavender says. "It's awareness for the doctors out there that have people coming to them with issues to know that these people are not too young.". Only the other day, while glancing through an illustrated paper, I saw a picture of a chair removed from the King's chamber. However, this resulted in reduced proliferation and cell death in several HMCLs, suggesting that the ATP generated from mitochondrial respiration is not sufficient to meet the metabolic demands of MM cells. "UAMS is Arkansas' cancer center," Lavender says, adding that she encourages Arkansans with cancer to consider UAMS for treatment. AKT was shown to regulate the expression of metabolic genes, primarily by controlling FOXO TFs.20,32 Previously, we defined a gene set that became repressed by FOXO upon AKT inhibition in MM cells (shared FOXOrepressed).18 GSEA indicated that the expression of these genes was enriched in MM cells (n= 75) in comparison with healthy donor plasma cells (n= 15),23 suggesting that FOXO is less active in MM cells (Figure3A). After radiation, chemotherapy and surgery at UAMS, Lavender spent time recuperating in Texarkana at her family home. "She has a way of just making people's lives better," Merritt says. and G.H.K. The R2 genomics analysis and visualization platform (http://r2.amc.nl) was used for k-means clustering based on the GEP data and survival analysis using the Kaplan-Meier method. It will be her second year to participate in the walk, and she hopes to raise even more money than she did last year, when her team took top fundraising honors in the individuals category. Means of 3 to 6 measurements are shown, andvalues are normalized to the untreated control condition and depicted as a dotted line (one-sample t test). She was on student council and attended Girls' State and the Governor's School, a summer program then held at Hendrix College. To test this, the effects of the hexokinase inhibitor 2-deoxy-D-glucose (2-DG) on the survival of BCLs were determined. After that successful event, Lavender was offered a full-time campaign job, working with the media. 1 Cancer cells are characterized by metabolic alterations, which are driven by oncogenes. On November 26, 1895, she married Harold Fowler McCormick from Chicago, a son of Nancy Fowler and Cyrus Hall McCormick, the inventor of the mechanical reaper. Rockefeller then took control of the American Medical Association and began offering grants to top medical schools under the mandate that only his approved curriculum be taught. Neither these AP materials nor any portion thereof may be stored in a computer except for personal and noncommercial use. Second, these LE gene sets were used to partition patients with MM into 2 groups using k-means clustering, representing high or low expression of LE FOXOrepressed genes from glycolysis-, the TCA cycle or OXPHOS-associated gene sets. . (B) Multivariate analysis of subgroups (n= 525) for OS. These alterations may result in metabolic dependencies that can be exploited for therapeutic purposes. Seahorse extracellular flux (XF) metabolic profiling experiments were performed according to the manufacturers protocols. Bar graphs (right panels) depict basal glycolysis values, means SEM are shown (one-way ANOVA, with Bonferroni multiple comparison test). Also, basal respiration and spare respiratory capacity were similar in the primary MM cells and HMCLs. (B) Basal glycolysis in HMCLs and MMPCs (n= 2 patients) treated with 2.5 M MK2206 (blue bars) for 20 hours or untreated (red bars). But in recent years, there has been a rise in early-onset colorectal cancer, which refers to cases that occur before age 45. "My mother was a stay-at-home mom, but she was always involved in things," Lavender says, adding that her mother was "always the fun mom." All flow cytometry data were obtained using a FACSCanto or LSR Fortessa (BD Biosciences, Franklin Lakes, NJ) and analyzed using FlowJo software (FlowJo, Ashland, OR). [7], In 1913, she travelled to Zurich to be treated for depression by Carl Gustav Jung, and contributed generously to the Zrich Psychological Society. The American Cancer Society invests hundreds of millions of dollars every year to fight cancer on a global scale and has earned the public trust by demonstrating a history of careful and proven financial stewardship for over a century. (D) Schematic representation of the glycolysis metabolic pathway and the TCA cycle. They would go to the beach, to the Smoky Mountains, to Disney World, Cape Canaveral and more. . Similar to other cancer types, MM cells predominantly fulfill their energetic demands via glycolysis,2,3 a phenomenon known as the Warburg effect.4 In agreement, it was shown that the glycolysis rate-limiting enzyme, hexokinase II (HK2), is highly expressed in MM and is associated with poor prognosis.2,5,6. Established in 1913, the foundation used the Rockefeller family wealth to ostensibly promote "public health" by funding mass vaccination campaigns and the founding of public health authorities around the world. While in college, she also worked on what she calls her first "real" political campaign when Sheffield Nelson ran against the incumbent governor, Bill Clinton, in the 1990 gubernatorial campaign. Then, during her senior year, she caught the political bug big-time when she joined a group of students on a whirlwind trip to Iowa to support Clinton's campaign for president. This experiment further indicated that glutamine can be used by HMCLs to fuel OXPHOS, which requires AKT activity. Interestingly, our findings could be extended to patients with MM and have important prognostic implications. (C) Seahorse XF mitochondrial stress test profiles of CTRL clones (left panels, n= 2), and FOXO KO clones (middle panels, n= 2) treated for 20 hours with 2.5 M MK2206 (blue lines) or left untreated (red lines). In 1930, Edith had a growth removed from her breast and died of cancer two years later on August 25, 1932,[19] surrounded by her family. In addition, regular screening can prevent colorectal cancer by allowing doctors to find and remove polyps before they turn into cancer. For Lavender, staying positive is key to dealing with cancer and all of life's challenges. From this we conclude that AKT-mediated negative regulation of FOXO licenses the expression of glycolysis- and TCA-associated genes in MM but not in premalignant plasma cell disorders, most likely reflecting higher energetic demands due to the increased proliferation of MM cells. To further assess metabolic adaptability, HMCLs were cultured for 4 days in a medium in which glucose was replaced with galactose. She remained prominent after her divorce from McCormick and helped sponsor and organize several "Women's World Fairs" celebrating female achievement in the 1920s. Interestingly, the spare respiratory capacity and the maximum respiration increased in the majority of the HMCLs (5 out of 6) (Figure1D). SAID RICHES HURT CHILDREN Harold F. McCormick, Ex-Husband, Has Received $30,000 a Year Since Divorce. John D. Rockefeller is also the son of the founder of the pharmaceutical industry in the US. This result is surprising because it was previously shown that a shorter (36 kDa) MCL-1 isoform is required for normal mitochondrial bioenergetics in mouse embryonic fibroblasts.54 However, it is unlikely that the overexpression of the shorter MCL-1 isoform would rescue mitochondrial respiration because we found many OXPHOS-associated genes decreased in a FOXO-dependent fashion upon AKT inhibition.
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