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Effects of specific fatty acids on sphinganine ± GT-11-induced dihydroceramides and cytotoxicity. A, B) Effects on dihydroceramides. CCRF-CEM cells were treated with (A) sphinganine (1 µM), or (B) sphinganine (1 µM) + GT-11 (0.5 µM), and supplemented with the indicated fatty acids (5 µM) for six hours, followed by sphingolipid assay. To evaluate the effects resulting from addition of each fatty acid, data for (A) and (B) were normalized either to cells that received sphinganine-only with no fatty acid supplementation (A), or to sphinganine + GT-11 without fatty acid (B), and plotted as fold change (Z-axis). Fatty acids are identified by x:y, where x is the number of carbons and y is the number of double bonds in the fatty acid chain (Y-axis). Significant (P ≤ 0.05) differences from sphinganine-only are indicated by asterisks (*). C) Effects on cytotoxicity. CCRF-CEM cells were treated with sphinganine-only (0-4 µM), or sphinganine (0-4 µM) + GT-11 (0.5 µM), supplemented with the indicated fatty acids (5 µM). Cytotoxicity assayed by DIMSCAN cytotoxicity assay at +48 hours. Data were normalized to control and plotted as survival fraction (Y-axis). Error bar, SEM. Data, grouped by sphinganine dose, were analyzed by one-way ANOVA. doi: 10.1371/journal.pone.0074768.g003

Effects of specific fatty acids on sphinganine ± GT-11-induced dihydroceramides and cytotoxicity. A, B) Effects on dihydroceramides. CCRF-CEM cells were treated with (A) sphinganine (1 µM), or (B) sphinganine (1 µM) + GT-11 (0.5 µM), and supplemented with the indicated fatty acids (5 µM) for six hours, followed by sphingolipid assay. To evaluate the effects resulting from addition of each fatty acid, data for (A) and (B) were normalized either to cells that received sphinganine-only with no fatty acid supplementation (A), or to sphinganine + GT-11 without fatty acid (B), and plotted as fold change (Z-axis). Fatty acids are identified by x:y, where x is the number of carbons and y is the number of double bonds in the fatty acid chain (Y-axis). Significant (P ≤ 0.05) differences from sphinganine-only are indicated by asterisks (*). C) Effects on cytotoxicity. CCRF-CEM cells were treated with sphinganine-only (0-4 µM), or sphinganine (0-4 µM) + GT-11 (0.5 µM), supplemented with the indicated fatty acids (5 µM). Cytotoxicity assayed by DIMSCAN cytotoxicity assay at +48 hours. Data were normalized to control and plotted as survival fraction (Y-axis). Error bar, SEM. Data, grouped by sphinganine dose, were analyzed by one-way ANOVA. doi: 10.1371/journal.pone.0074768.g003

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We previously reported that fenretinide (4-HPR) was cytotoxic to acute lymphoblastic leukemia (ALL) cell lines in vitro in association with increased levels of de novo synthesized dihydroceramides, the immediate precursors of ceramides. However, the cytotoxic potentials of native dihydroceramides have not been defined. Therefore, we determined the...

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... • GT-11: this is a cyclopropene Cer molecule, where the C4-C5 double bond of Cer is replaced by a cyclopropene unit. GT-11 and its analogues act as DES1 inhibitors and have been studied mainly in cancer models, where they increase autophagy and apoptosis and inhibit tumor growth in mice models [101][102][103]. Interestingly, GT-11 is also able to inhibit flavivirus infection (e.g., West Nile virus) in a dose-dependent manner through DES inhibition [104]. ...
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... As ceramide has been studied for its apoptotic property, in most of these studies, dhCer has been considered as a precursor to ceramide [107,111,112]. Although some studies have focused on dhCer's potential role in cancer cell autophagy, [113][114][115]in cancer induced bone pain [116], and cell cytotoxicity [117]. The fluctuation in the dhCer and ceramide levels in cancer cells seem to differ according to the site of origin of the cancer. ...
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... An outstanding question relates to the mechanism by which DES1 promotes AIS and there are a couple of possibilities. Prior studies have shown that loss of DES1 activity can lead to activation of apoptosis, [66][67][68] autophagy, 46,67 and ER stress pathways. 69 Our studies here suggest that DES1 is not impacting classical anoikis pathways, as DES1 loss did not induce PARP cleavage or increase caspase activity. ...
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... However, its prolonged presence induces a concomitant increase in Cer levels, attributed to the activity of sphingomyelinase, which coincides with the promotion of cell death (18). A specificity of the acyl chain length of DhCer was revealed by a study showing that only the C22:0 and C24:0 DhCer were associated with increased autophagy and caspase-independent cell death of T cell acute lymphoblastic leukemia (ALL) cell lines (19). Furthermore, the importance of the membrane composition in DhCer in defining cellular behavior was highlighted when in glioma cells treatment with D 9 -tetrahydrocannabinol (THC) or DES1 inhibition led to an increase in the DhCer/Cer ratio composition of the ER membrane and induced ER stress. ...
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... Des1 is the target of the synthetic retinoid chemotherapeutic, fenretinide (4-hydroxyphenyl retinamide (4-HPR)) [365][366][367]. 4-HPR also increases activity of SPT, leading to the accumulation of cytotoxic dhCer [14,368,369]. In HEK293 cells, 4-HPR induced polyubiqutinylation of Des1, increasing enzymatic activity but targeting it for degradation, making Des1 activity dependent upon the rate of degradation induced by polyUb [310,370]. ...
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Intensive research in the field of sphingolipids has revealed diverse roles in cell biological responses and human health and disease. This immense molecular family is primarily represented by the bioactive molecules ceramide, sphingosine, and sphingosine 1-phosphate (S1P). The flux of sphingolipid metabolism at both the subcellular and extracellular levels provides multiple opportunities for pharmacological intervention. The caveat is that perturbation of any single node of this highly regulated flux may have effects that propagate throughout the metabolic network in a dramatic and sometimes unexpected manner. Beginning with S1P, the receptors for which have thus far been the most clinically tractable pharmacological targets, this review will describe recent advances in therapeutic modulators targeting sphingolipids, their chaperones, transporters, and metabolic enzymes.
... Previous reports showed that fenretinide-mediated cytotoxicity is associated with dysregulation of lipid metabolism. Specifically, fenretinide is able to increase the intracellular levels of dihydroceramides species by targeting the dihydroceramide desaturase [16,29,38,51]. Liquid chromatography-mass spectrometry (LC-MS), showed that Bio-nFeR treatment induced a marked increase of dihydroceramide and dihydrosphingolipids (glucosyldihydroceramide) species (Fig. 5c and Additional file 1: Figure S3). ...
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Background: An increasing number of anticancer agents has been proposed in recent years with the attempt to overcome treatment-resistant cancer cells and particularly cancer stem cells (CSC), the major culprits for tumour resistance and recurrence. However, a huge obstacle to treatment success is the ineffective delivery of drugs within the tumour environment due to limited solubility, short circulation time or inconsistent stability of compounds that, together with concomitant dose-limiting systemic toxicity, contribute to hamper the achievement of therapeutic drug concentrations. The synthetic retinoid Fenretinide (4-hydroxy (phenyl)retinamide; 4-HPR) formerly emerged as a promising anticancer agent based on pre-clinical and clinical studies. However, a major limitation of fenretinide is traditionally represented by its poor aqueous solubility/bioavailability due to its hydrophobic nature, that undermined the clinical success of previous clinical trials. Methods: Here, we developed a novel nano-micellar fenretinide formulation called bionanofenretinide (Bio-nFeR), based on drug encapsulation in an ion-pair stabilized lipid matrix, with the aim to raise fenretinide bioavailability and antitumour efficacy. Results: Bio-nFeR displayed marked antitumour activity against lung, colon and melanoma CSC both in vitro and in tumour xenografts, in absence of mice toxicity. Bio-nFeR is suitable for oral administration, reaching therapeutic concentrations within tumours and an unprecedented therapeutic activity in vivo as single agent. Conclusion: Altogether, our results indicate Bio-nFeR as a novel anticancer agent with low toxicity and high activity against tumourigenic cells, potentially useful for the treatment of solid tumours of multiple origin.