Compared to normal human tissues, many common human cancers, including carc
inoma of the colon, prostate, ovary, breast, and endometrium, express high
levels of fatty acid synthase (FAS, EC 2.3.1.85), the primary enzyme respon
sible for the synthesis of fatty acids. This differential expression of FAS
between normal tissues and cancer has led to the notion that FAS is a targ
et for anticancer drug development. Recent studies with C75, an inhibitor o
f fatty acid synthesis, have shown significant antitumor activity with conc
omitant inhibition of fatty acid synthesis in tumor tissue and normal liver
. importantly, histopathological analysis of normal tissues after C75 treat
ment showed no adverse effects on proliferating cellular compartments. such
as bone marrow, gastrointestinal tract, skin, or lymphoid tissues. In this
study, we describe the de novo synthesis of C75 based on the known mechani
sm of action of cerulenin and the theoretical reaction intermediates of the
beta-ketoacyl synthase moiety of FAS. In addition, we demonstrate that C75
is a synthetic, chemically stable inhibitor of FAS. C75 inhibits purified
mammalian FAS with characteristics of a slow-binding inhibitor and also inh
ibits fatty acid synthesis in human cancer cells. Treatment of human breast
cancer cells with [5(3)H]C75 demonstrates that C75 reacts preferentially w
ith FAS in whole cells. Therefore, we have shown that the primary mechanism
of the antitumor activity of C75 is likely mediated through its interactio
n with, and inhibition of, FAS. This development will enable the in vivo st
udy of FAS inhibition in human cancer and other metabolic diseases.