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Abstract #0841

Differential Metabolism of Glucose and Acetate in Mitochondria of Early Stage Breast Cancer In Vivo

Elizabeth Maher1, Kumar Pichumani2, Venetia Sarode3, Tomoyuki Mashimo1, Manoj Cheriyan1, Vamsidhara Vemireddy1, Barbara Haley1, Dean Sherry2, Roshni Rao4, Craig Malloy2, and Robert Bachoo5

1Internal Medicine, UT Southwestern Medical Center, Dallas, TX, United States, 2Advanced Imaging Research Center, UT Southwestern Medical Center, Dallas, TX, United States, 3Pathology, UT Southwestern Medical Center, Dallas, TX, United States, 4Surgery, UT Southwestern Medical Center, Dallas, TX, United States, 5Neurology and Neurotherapeutics, UT Southwestern Medical Center, Dallas, TX, United States

Metabolic reprogramming of bioenergetic substrate utilization was shown in primary and metastatic brain tumors. Whether the use of substrates other than glucose to fuel the citric acid cycle is a property of cancer cell growth in the brain or a fundamental property of a transformed cell is not known. To address this question we studied early stage breast cancer patients using infusion of 13C-glucose or 13C-acetate during initial surgery. 13C-NMR spectra of resected tumors show that acetate but not glucose is oxidized in the citric acid cycle, suggesting that acetate may contribute to energy production in these early stage cancers.

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