Mg. Vander Heiden et al., Growth factors can influence cell growth and survival through effects on glucose metabolism, MOL CELL B, 21(17), 2001, pp. 5899-5912
Cells from multicellular organisms are dependent upon exogenous signals for
survival, growth, and proliferation. The relationship among these three pr
ocesses was examined using an interleukin-3 (IL-3) -dependent cell line. No
fixed dose of IL-3 determined the threshold below which cells underwent ap
optosis. Instead, increasing growth factor concentrations resulted in progr
essive shortening of the G(1) phase of the cell cycle and more rapid prolif
erative expansion. Increased growth factor concentrations also resulted in
proportional increases in glycolytic rates. Paradoxically, cells growing in
high concentrations of growth factor had an increased susceptibility to ce
ll death upon growth factor withdrawal. This susceptibility correlated with
the magnitude of the change in the glycolytic rate following growth factor
withdrawal. To investigate whether changes in the availability of glycolyt
ic products influence mitochondrion-initiated apoptosis, we artificially li
mited glycolysis by manipulating the glucose levels in the medium. Like gro
wth factor withdrawal, glucose limitation resulted in Bax translocation, a
decrease in mitochondrial membrane potential, and cytochrome c redistributi
on to the cytosol. In contrast, increasing cell autonomous glucose uptake b
y overexpression of Glut1 significantly delayed apoptosis following growth
factor withdrawal. These data suggest that a primary function of growth fac
tors is to regulate glucose uptake and metabolism and thus maintain mitocho
ndrial homeostasis and enable anabolic pathways required for cell growth. C
onsistent with this hypothesis, expression of the three genes involved in g
lucose uptake and glycolytic commitment, those for Glut1, hexokinase 2, and
phosphofructokinase 1, was found to rapidly decline to nearly undetectable
levels following growth factor withdrawal.