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Mitotane Targets Lipid Droplets to Induce Lipolysis in Adrenocortical Carcinoma
Author(s) -
Kate Warde,
Yi Jan Lim,
Eduardo Ribes Martínez,
Felix Beuschlein,
Paula O’Shea,
Constanze Hantel,
Michael Conall Dennedy
Publication year - 2022
Publication title -
endocrinology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.674
H-Index - 257
eISSN - 1945-7170
pISSN - 0013-7227
DOI - 10.1210/endocr/bqac102
Subject(s) - mitotane , adrenocortical carcinoma , lipolysis , lipid droplet , chemistry , endocrinology , medicine , cancer research , biochemistry , biology , adipose tissue
Adrenocortical carcinoma (ACC) is a rare aggressive cancer with low overall survival. Adjuvant mitotane improves survival but is limited by poor response rates and resistance. Mitotane's efficacy is attributed to the accumulation of toxic free cholesterol, predominantly through cholesterol storage inhibition. However, targeting this pathway has proven unsuccessful. We hypothesize that mitotane-induced free-cholesterol accumulation is also mediated through enhanced breakdown of lipid droplets.

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