RT Journal Article T1 Fatty acids homeostasis during fasting predicts protection from chemotherapy toxicity A1 Barradas, Marta A1 Plaza, Adrián A1 Colmenarejo, Gonzalo A1 Lázaro, Iolanda A1 Costa-Machado, Luis Filipe A1 Martín-Hernández, Roberto A1 Micó, Victor A1 López-Aceituno, José Luis A1 Herranz, Jesús A1 Pantoja, Cristina A1 Tejero, Hector A1 Diaz-Ruiz, Alberto A1 Al-Shahrour, Fatima A1 Daimiel, Lidia A1 Loria Kohen, Viviana Constanza A1 Ramírez de Molina, Ana A1 Efeyan, Alejo A1 Serrano, Manuel A1 Pozo, Oscar J. A1 Sala-Vila, Aleix A1 Fernández-Marcos, Pablo J. A2 Springer Science and Business Media LLC, AB Fasting exerts beneficial effects in mice and humans, including protection from chemotherapy toxicity. To explore the involved mechanisms, we collect blood from humans and mice before and after 36 or 24 hours of fasting, respectively, and measure lipid composition of erythrocyte membranes, circulating micro RNAs (miRNAs), and RNA expression at peripheral blood mononuclear cells (PBMCs). Fasting coordinately affects the proportion of polyunsaturated versus saturated and monounsaturated fatty acids at the erythrocyte membrane; and reduces the expression of insulin signaling-related genes in PBMCs. When fasted for 24 hours before and 24 hours after administration of oxaliplatin or doxorubicin, mice show a strong protection from toxicity in several tissues. Erythrocyte membrane lipids and PBMC gene expression define two separate groups of individuals that accurately predict a differential protection from chemotherapy toxicity, with important clinical implications. Our results reveal a mechanism of fasting associated with lipid homeostasis, and provide biomarkers of fasting to predict fasting-mediated protection from chemotherapy toxicity. PB Nature Portfolio SN 2041-1723 YR 2022 FD 2022-09-27 LK https://hdl.handle.net/20.500.14352/104101 UL https://hdl.handle.net/20.500.14352/104101 LA eng NO Barradas M, Plaza A, Colmenarejo G, Lázaro I, Costa-Machado LF, Martín-Hernández R, Micó V, López-Aceituno JL, Herranz J, Pantoja C, Tejero H, Diaz-Ruiz A, Al-Shahrour F, Daimiel L, Loria-Kohen V, Ramirez de Molina A, Efeyan A, Serrano M, Pozo OJ, Sala-Vila A, Fernandez-Marcos PJ. Fatty acids homeostasis during fasting predicts protection from chemotherapy toxicity. Nat Commun. 2022 Sep 27;13(1):5677. NO Gobierno Regional de la Comunidad de Madrid NO Asociación Española contra el Cáncer NO Ministerio de Ciencia, Innovación y Universidades NO Fundación Ramón Areces NO Hospital Ramón y Cajal NO Fundación “laCaixa” NO Portuguese Foundation for Science and Technology DS Docta Complutense RD 17 abr 2025