Bost F, Decoux-Poullot A-G, Tanti J F, Clavel S
INSERM, C3M, U1065, Team Cellular and Molecular Physiopathology of Obesity and Diabetes, Nice, France.
Univ. Nice Sophia Antipolis, C3M, U1065, Nice, France.
Oncogenesis. 2016 Jan 18;5(1):e188. doi: 10.1038/oncsis.2015.46.
The metabolic features of tumor cells diverge from those of normal cells. Otto Warburg was the first to observe that cancer cells dramatically increase their glucose consumption to generate ATP. He also claimed that cancer cells do not have functional mitochondria or oxidative phosphorylation (OXPHOS) but simply rely on glycolysis to provide ATP to the cell, even in the presence of oxygen (aerobic glycolysis). Several studies have revisited this observation and demonstrated that most cancer cells contain metabolically efficient mitochondria. Indeed, to sustain high proliferation rates, cancer cells require functional mitochondria to provide ATP and intermediate metabolites, such as citrate and cofactors, for anabolic reactions. This difference in metabolism between normal and tumors cells causes the latter to be more sensitive to agents that can disrupt energy homeostasis. In this review, we focus on energy disruptors, such as biguanides, 2-deoxyglucose and 5-aminoimidazole-4-carboxamide ribonucleotide, that interfere with the main metabolic pathways of the cells, OXPHOS, glycolysis and glutamine metabolism. We discuss the preclinical data and the mechanisms of action of these disruptors at the cellular and molecular levels. Finally, we consider whether these drugs can reasonably contribute to the antitumoral therapeutic arsenal in the future.
肿瘤细胞的代谢特征与正常细胞不同。奥托·瓦尔堡首先观察到癌细胞会显著增加其葡萄糖消耗以生成三磷酸腺苷(ATP)。他还声称癌细胞没有功能性线粒体或氧化磷酸化(OXPHOS),而是仅依靠糖酵解为细胞提供ATP,即使在有氧存在的情况下(有氧糖酵解)。多项研究重新审视了这一观察结果,并证明大多数癌细胞含有代谢高效的线粒体。事实上,为了维持高增殖率,癌细胞需要功能性线粒体来提供ATP以及用于合成代谢反应的中间代谢物,如柠檬酸和辅因子。正常细胞与肿瘤细胞之间的这种代谢差异使得后者对能够破坏能量稳态的药物更为敏感。在本综述中,我们重点关注能量干扰剂,如双胍类、2-脱氧葡萄糖和5-氨基咪唑-4-甲酰胺核糖核苷酸,它们会干扰细胞的主要代谢途径,即氧化磷酸化、糖酵解和谷氨酰胺代谢。我们在细胞和分子水平上讨论这些干扰剂的临床前数据及其作用机制。最后,我们思考这些药物未来是否能合理地纳入抗肿瘤治疗药物库。