Prostate Cancer Discovery and Development Program and Immunology, Microenvironment and Metastasis Program, The Wistar Institute, 3601 Spruce Street, Philadelphia, PA, 19104, USA.
Cell Mol Life Sci. 2019 Mar;76(5):827-835. doi: 10.1007/s00018-018-2961-2. Epub 2018 Nov 10.
Changes in cellular metabolism are now a recognized hallmark of cancer. Although this process is ripe with therapeutic potential in the clinic, its complexity and extraordinary plasticity have systematically defied dogmas and oversimplifications. Perhaps, best exemplifying this intricacy is the role of mitochondria in cancer, which in just a few years has gone from largely unnoticed to pivotal disease driver. The underlying mechanisms are only beginning to emerge. However, there is now clear evidence linking the dynamic nature of mitochondria to the machinery of tumor cell motility and metastatic spreading. These studies may open fresh therapeutic options for patients with disseminated cancer, currently an incurable and mostly lethal condition.
细胞代谢的变化现在是癌症的一个公认特征。尽管这一过程在临床上具有很大的治疗潜力,但它的复杂性和非凡的可塑性系统地打破了教条和过于简单化的观念。也许,线粒体在癌症中的作用最能说明这种复杂性,它在短短几年内从很大程度上被忽视到成为关键的疾病驱动因素。其潜在机制才刚刚开始显现。然而,现在有确凿的证据将线粒体的动态性质与肿瘤细胞运动和转移扩散的机制联系起来。这些研究可能为目前无法治愈且大多致命的转移性癌症患者开辟新的治疗选择。