Research Papers:

Dietary protein restriction inhibits tumor growth in human xenograft models of prostate and breast cancer

Luigi Fontana, Remi M. Adelaiye, Antonella L. Rastelli, Kiersten Marie Miles, Eric Ciamporcero, Valter D. Longo, Holly Nguyen, Robert Vessella and Roberto Pili _

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Oncotarget. 2013; 4:2451-2461. https://doi.org/10.18632/oncotarget.1586

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Luigi Fontana1,2,3,*, Remi M. Adelaiye4,5,*, Antonella L. Rastelli1, Kiersten Marie Miles4, Eric Ciamporcero4,6, Valter D. Longo7, Holly Nguyen8, Robert Vessella8, and Roberto Pili4,5

1 Department of Medicine, Washington University in St. Louis, MO, USA;

2 Department of Medicine, Salerno University Medical School, Salerno, Italy;

3 CEINGE Biotecnologie Avanzate, Napoli, Italy;

4 Genitourinary Program, Roswell Park Cancer Institute, Buffalo NY;

5 Department of Cancer Pathology and Prevention, Roswell Park Cancer Institute Division, University at Buffalo, NY;

6 Medicine and Experimental Oncology, University of Turin, Turin Italy;

7 Longevity Institute School of Gerontology and Department of Biological Sciences, University of Southern California, Los Angeles, CA, USA;

8 Department of Urology, University of Washington Medical Center, USA

* These authors contributed equally to this research


Luigi Fontana, email:

Roberto Pili, email:

Keywords: protein restriction, mTOR, prostate and breast cancer

Received: November 8, 2013 Accepted: November 21, 2013 Published: November 23, 2013


Purpose: Data from epidemiological and experimental studies suggest that dietary protein intake may play a role in inhibiting prostate and breast cancer by modulating the IGF/AKT/mTOR pathway. In this study we investigated the effects of diets with different protein content or quality on prostate and breast cancer.

Experimental Design: To test our hypothesis we assessed the inhibitory effect of protein diet restriction on prostate and breast cancer growth, serum PSA and IGF-1 concentrations, mTOR activity and epigenetic markers, by using human xenograft cancer models.

Results: Our results showed a 70% inhibition of tumor growth in the castrate-resistant LuCaP23.1 prostate cancer model and a 56% inhibition in the WHIM16 breast cancer model fed with a 7% protein diet when compared to an isocaloric 21% protein diet. Inhibition of tumor growth correlated, in the LuCaP23.1 model, with decreased serum PSA and IGF-1 levels, down-regulation of mTORC1 activity, decreased cell proliferation as indicated by Ki67 staining, and reduction in epigenetic markers of prostate cancer progression, including the histone methyltransferase EZH2 and the associated histone mark H3K27me3. In addition, we observed that modifications of dietary protein quality, independently of protein quantity, decreased tumor growth. A diet containing 20% plant protein inhibited tumor weight by 37% as compared to a 20% animal dairy protein diet.

Conclusions: Our findings suggest that a reduction in dietary protein intake is highly effective in inhibiting tumor growth in human xenograft prostate and breast cancer models, possibly through the inhibition of the IGF/AKT/mTOR pathway and epigenetic modifications.

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