condition found tbRes List
Citrate, Citric Acid: Click to Expand ⟱
Features:
Citric acid is the acid form, and citrate is the salt or conjugate base form. The two terms are often used interchangeably in casual conversation, but chemically they refer to different states depending on the pH of the environment.
Citrate is a naturally occurring compound found in various forms in nature. It is a conjugate base of citric acid, a weak organic acid that is commonly found in citrus fruits, such as lemons and oranges.
Citrate plays a crucial role in the production of energy in cells. It is a key intermediate in the citric acid cycle (also known as the Krebs cycle or tricarboxylic acid cycle), which is a series of chemical reactions that occur in the mitochondria of cells.
Naturally found in citrus fruits and many other plants.
Citric acid is a key metabolic intermediate in the tricarboxylic acid (TCA) cycle.
• Citric acid is central to cellular energy metabolism as part of the TCA cycle. Changes in its concentration can affect the flux through the cycle and the overall cellular redox state.
• Enhanced TCA activity may lead to increased production of reducing equivalents (NADH, FADH₂) and subsequent electron transport chain (ETC) activity. If the ETC becomes overloaded or dysfunctional, it can lead to electron leakage and increased ROS production.
• Although citric acid itself is not a classical antioxidant, it can act as a chelating agent for certain metal ions. By binding transition metals (such as iron and copper), citrate can potentially reduce metal-catalyzed ROS formation.
• This chelating property can indirectly protect cells from oxidative damage, especially under conditions where free metal ions might otherwise catalyze ROS-generating reactions.
-Crucial role of citrate to supply the acetyl-CoA pool for fatty acid synthesis and histone acetylation in tumors

-Citrate is a major product of mitochondria, the engine of the cell.
-The more Citrate builds up in the cell, the more the cell will think it has enough of what it needs and will reduce or even shut down the glycolisis process.
Citrate is produced inside the mitochondria within the Krebs cycle. When the cell has excess energy, citrate is transported out of the mitochondrial matrix across the inner membrane via the mitochondrial citrate transport protein (CTP). In the cytoplasm, is then broken down by the ACLY (ACL) enzyme into
   acetyl-CoA: for fatty acid synthesis and cholesterol production
   oxaloacetate: to be converted back to pyruvate and enter mitochondria again
(might be desirable to inhibit ACYL with HCA) and maybe Statins.
-May also synergize with Metformin?

Sodium citrate is the sodium salt of citric acid, used as a buffer and food additive, while citric acid is a weak organic acid, naturally found in citrus fruits.
Summary:
-Citrate is considered to play a crucial role in cancer metabolism by virtue of its production in the reverse Krebs cycle from glutamine
-Chelation of Ca2+ by sodium citrate resulted in inactivation of CAMKK2 and AMPK (inhibited the Ca2+/CAMKK2/AKT/mTOR signaling)
-”promoter of cell proliferation (at lower concentrations) and as an anticancer agent (at higher concentrations)”
-”ACLY, which has been found to be overexpressed in many cancers, converts citrate into acetyl-CoA and OAA.“
-”administration of citrate at high level mimics a strong inhibition of ACLY” (HCA is a known natural ACLY inhibitor)
-Citrate is a well-known physiological inhibitor of PFK1.
-Some reduction in Mcl-1 expression
-May low ROS by decreasing oxygen consumption (ie not compatible with proxidant treatment?)
-Deactivation of the NF-κB signaling ?

-Lemons: 5–8% citric acid by weight
-Limes: 4–7% citric acid.
-Grapefruits: 2–5% in the juice
-Oranges (and Tangerines/Mandarins): 1–2% in the juice
Many commercially prepared beverages (like some soft drinks, citrus-based jams, and preserves) and sour candies have citric acid added as a flavoring agent or preservative. In these products, the citric acid concentration can sometimes be higher than that in the unprocessed fruit juice.

Acid Reflux & Dental Health: Increasing citric acid, especially from highly concentrated sources (like pure citric acid or very sour juices), may exacerbate symptoms in individuals with acid reflux or cause enamel erosion on teeth. Drinking water after consuming citrus products or using a straw (when drinking acidic beverages) can help reduce the direct contact of acid with your teeth.

• Low/Moderate Doses: In some models, low to moderate citrate supplementation can actually help cells maintain redox balance.
• High Doses: At higher concentrations, citrate can overload certain metabolic pathways. An excess supply of citrate may drive the TCA cycle at a rate that overwhelms the electron transport chain, potentially increasing the leakage of electrons and therefore raising ROS production.
• Cancer vs. Non-Cancer Cells: Cancer cells frequently have reprogrammed metabolism. In some cases, citrate supplementation in cancer cells can have different effects compared to healthy cells. For instance, due to the metabolic alterations in cancer cells, a high dose of citrate might exacerbate mitochondrial dysfunction, leading to higher ROS levels. Conversely, in a non-cancer context or cells with robust metabolic flexibility, the same dose might be better tolerated or even beneficial for redox balance.

ROS:
Antioxidant Role:
• In some contexts, citrate can act as an antioxidant. It has the capacity to chelate metal ions (like iron and copper), which can catalyze ROS formation via reactions such as the Fenton reaction.
• Moreover, as a key intermediate in the tricarboxylic acid (TCA) cycle, citrate contributes to cellular energy metabolism, which, when properly balanced, may help maintain homeostasis and limit excessive ROS production.
Potential Pro-Oxidant Effects:
• At high doses or under certain conditions, an overload of citrate might alter normal cellular metabolic pathways. For example, excess citrate can affect mitochondrial function and the TCA cycle’s balance, potentially leading to metabolic disturbances that contribute to increased ROS formation in some in vitro models or under pathological conditions.
• In certain experimental settings, drastic changes in cellular intermediate concentrations can trigger compensatory mechanisms that might inadvertently lead to oxidative stress.
Context Matters:
• The net effect of high-dose citrate on ROS largely depends on the experimental model and the presence of additional factors (such as the concentration of available metal ions, the oxidative state of the cell, and the cell’s overall metabolic status).
• In a well-regulated physiological environment, moderate levels of citrate may support antioxidant defenses, whereas in stress or disease states, high doses might tip the balance toward increased ROS production.
-High doses of citric acid/citrate in cancer cells are generally associated with an increase in ROS due to metabolic and mitochondrial stress. However, because the effect is highly context-specific, the overall outcome may depend on multiple factors related to the cancer cell type and its existing metabolic state. (Note this statement might not be supported by research papers-but rather chat ai)


DoseCitric acid: 4g-30g/day. 4g-8g/day most common? split 3-4 times/day? with meals


selectivity, selectivity: Click to Expand ⟱
Source:
Type:
The selectivity of cancer products (such as chemotherapeutic agents, targeted therapies, immunotherapies, and novel cancer drugs) refers to their ability to affect cancer cells preferentially over normal, healthy cells. High selectivity is important because it can lead to better patient outcomes by reducing side effects and minimizing damage to normal tissues.

Achieving high selectivity in cancer treatment is crucial for improving patient outcomes. It relies on pinpointing molecular differences between cancerous and normal cells, designing drugs or delivery systems that exploit these differences, and overcoming intrinsic challenges like tumor heterogeneity and resistance

Factors that affect selectivity:
1. Ability of Cancer cells to preferentially absorb a product/drug
-EPR-enhanced permeability and retention of cancer cells
-nanoparticle formations/carriers may target cancer cells over normal cells
-Liposomal formations. Also negatively/positively charged affects absorbtion

2. Product/drug effect may be different for normal vs cancer cells
- hypoxia
- transition metal content levels (iron/copper) change probability of fenton reaction.
- pH levels
- antiOxidant levels and defense levels

3. Bio-availability


Scientific Papers found: Click to Expand⟱
1586- Citrate,    Extracellular Citrate Is a Trojan Horse for Cancer Cells
- in-vitro, Liver, HepG2
Dose?, At low concentration, citrate increased both histone H4 acetylation and lipid deposition; at high concentration, citrate inhibited both
ac‑H4↓,
lipidDe↓,
ACLY↓, Considering the strong demand for acetyl-CoA but not for OAA in tumor cells, the exogenous citrate would behave like a trojan horse that carries OAA inside the cells and reduces ACLY expression and cellular metabolism.
selectivity↑, in non-tumor cells, changes of acetylated histone level do not correspond to a change of ACLY expression, as instead shown by HepG2 cells.
*ACLY∅, In contrast, ACLY expression in IHH (normal)cells was not modified after citrate exposure, suggesting that, in this case, ACLY expression was not regulated by histone H4 acetylation
Glycolysis↓, strong inhibition of glycolysis, which leads to a decrease in NADH necessary for OAA reduction
NADH↓,
OAA↑, exogenous citrate would behave like a trojan horse that releases OAA in the cells, where it could exert its therapeutic effect also on hepatoma cells.
other↑, most important discovery is undoubtedly the demonstration that high concentrations of citrate decrease the availability of acetyl-CoA, a key molecule both in the metabolism of sugars and lipids

1580- Citrate,    Citrate activates autophagic death of prostate cancer cells via downregulation CaMKII/AKT/mTOR pathway
- in-vitro, Pca, PC3 - in-vivo, PC, NA - in-vitro, Pca, LNCaP - in-vitro, Pca, WPMY-1
Apoptosis↑,
Ca+2↓, Ca2+-chelating property of citrate
Akt↓, downregulation CaMKII/AKT/mTOR pathway
mTOR↓,
selectivity↑, citrate (0-3 mM) did not affect the cell growth of normal prostate epithelial cells (WPMY-1).
TumCP↓, also verified that citrate significantly inhibited the proliferation of PCa cells (PC3 and LNCaP).
cl‑Casp3↑,
cl‑PARP↑, increased the levels of Cleaved caspase3 and Cleaved PARP in prostate cancer cells
LC3‑Ⅱ/LC3‑Ⅰ↑, ratio of LC3-II/I was markedly increased and the expression of p62 was significantly decreased after the treatment of citrate in PCa cells (PC3 and LNCaP).
p62↓,
ATG5↑, citrate also promoted the protein expression of Atg5, Atg7 and Beclin-1 in PCa cells (PC3 and LNCaP).
ATG7↑,
Beclin-1↑,
TumAuto↑, citrate induces autophagy of prostate cancer cells
CaMKII ↓, citrate suppresses the activation of the CaMKI

1574- Citrate,    Citrate Suppresses Tumor Growth in Multiple Models through Inhibition of Glycolysis, the Tricarboxylic Acid Cycle and the IGF-1R Pathway
- in-vitro, Lung, A549 - in-vitro, Melanoma, WM983B - in-vivo, NA, NA
TumCG↓,
eff↑, additional benefit accrued in combination with cisplatin
T-Cell↑, significantly higher infiltrating T-cells
p‑IGF-1R↓, citrate inhibited IGF-1R phosphorylation
p‑Akt↓, inhibited AKT phosphorylation
PTEN↑, activated PTEN
p‑eIF2α↑, increased expression of p-eIF2a p-eIF2a was decreased when PTEN was depleted
OCR↓, citrate treatment of A549 cells dramatically reduced oxygen consumption
ROS↓, observed a decrease in ROS in A549
ECAR∅, acidification rate (ECAR) and found it to be unchanged
IL1↑, s (e.g. interleukin-1, tumor necrosis factor-alpha, etc) and anti-inflammatory cytokines (e.g. interleukin-10 and interleukin 1 receptor antagonist) are activated
TNF-α↑,
IL10↑,
IGF-1R↓, Citrate Inhibits IGF-1R Activation And Its Downstream Pathway
eIF2α↑, eIF2α activity was increased in A549 cells after citrate treatment
PTEN↑, PTEN was activated
TCA↓,
Glycolysis↓, citrate may inhibit tumor growth via inhibiting glycolysis and the TCA cycle and that this effect appears to be selective to tumor tissue.
selectivity↑, citrate may inhibit tumor growth via inhibiting glycolysis and the TCA cycle and that this effect appears to be selective to tumor tissue.
*toxicity∅, Chronic citrate treatment was non-toxic as evidenced by gross pathology in numerous organs (liver, lung, spleen and kidney)
Dose∅, corresponding to approximately 56 g of citrate in a 70 kg person


* indicates research on normal cells as opposed to diseased cells
Total Research Paper Matches: 3

Results for Effect on Cancer/Diseased Cells:
ACLY↓,1,   Akt↓,1,   p‑Akt↓,1,   Apoptosis↑,1,   ATG5↑,1,   ATG7↑,1,   Beclin-1↑,1,   Ca+2↓,1,   CaMKII ↓,1,   cl‑Casp3↑,1,   Dose?,1,   Dose∅,1,   ECAR∅,1,   eff↑,1,   eIF2α↑,1,   p‑eIF2α↑,1,   Glycolysis↓,2,   ac‑H4↓,1,   IGF-1R↓,1,   p‑IGF-1R↓,1,   IL1↑,1,   IL10↑,1,   LC3‑Ⅱ/LC3‑Ⅰ↑,1,   lipidDe↓,1,   mTOR↓,1,   NADH↓,1,   OAA↑,1,   OCR↓,1,   other↑,1,   p62↓,1,   cl‑PARP↑,1,   PTEN↑,2,   ROS↓,1,   selectivity↑,3,   T-Cell↑,1,   TCA↓,1,   TNF-α↑,1,   TumAuto↑,1,   TumCG↓,1,   TumCP↓,1,  
Total Targets: 40

Results for Effect on Normal Cells:
ACLY∅,1,   toxicity∅,1,  
Total Targets: 2

Scientific Paper Hit Count for: selectivity, selectivity
3 Citric Acid
Filter Conditions: Pro/AntiFlg:%  IllCat:%  CanType:%  Cells:%  prod#:211  Target#:1110  State#:%  Dir#:%
wNotes=on sortOrder:rid,rpid

 

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