Department of Neurology (ZC), Yale University School of Medicine, New Haven, CT, 06520, USA.
Department of Radiology (DS), Stanford University School of Medicine, Palo Alto, CA, 94305, USA.
Curr Oncol Rep. 2017 Nov 2;19(12):84. doi: 10.1007/s11912-017-0637-y.
Cancers are "reprogrammed" to use a much higher rate of glycolysis (GLY) relative to oxidative phosphorylation (OXPHOS), even in the presence of adequate amounts of oxygenation. Originally identified by Nobel Laureate Otto Warburg, this hallmark of cancer has recently been termed metabolic reprogramming and represents a way for the cancer tissue to divert carbon skeletons to produce biomass. Understanding the mechanisms that underlie this metabolic shift should lead to better strategies for cancer treatments. Malignant gliomas, cancers that are very resistant to conventional treatments, are highly glycolytic and seem particularly suited to approaches that can subvert this phenotype.
癌症细胞“重编程”,使糖酵解(GLY)的速率相对于氧化磷酸化(OXPHOS)大大提高,即使在有足够的氧合作用的情况下也是如此。这一标志性特征最初由诺贝尔奖得主奥托·瓦尔堡(Otto Warburg)发现,最近被称为代谢重编程,代表了癌症组织将碳骨架转移以产生生物量的一种方式。了解这种代谢转变的机制应该会为癌症治疗带来更好的策略。恶性神经胶质瘤是对传统治疗方法非常有抵抗力的癌症,具有高度的糖酵解特性,似乎特别适合采用可以颠覆这种表型的方法。