Program in Cancer Biology and Department of Pharmacology, Vanderbilt University, Nashville, TN, USA.
Clin Exp Metastasis. 2019 Jun;36(3):211-224. doi: 10.1007/s10585-019-09967-0. Epub 2019 May 9.
Metabolic alterations are established as a hallmark of cancer. Such hallmark changes in cancer metabolism are characterized by reprogramming of energy-producing pathways and increases in the generation of biosynthetic intermediates to meet the needs of rapidly proliferating tumor cells. Various metabolic phenotypes such as aerobic glycolysis, increased glutamine consumption, and lipolysis have also been associated with the process of metastasis. However, in addition to the energy and biosynthetic alterations, a number of secondary functions of enzymes and metabolites are emerging that specifically contribute to metastasis. Here, we describe atypical intracellular roles of metabolic enzymes, extracellular functions of metabolic enzymes, roles of metabolites as signaling molecules, and epigenetic regulation mediated by altered metabolism, all of which can affect metastatic progression. We highlight how some of these mechanisms are already being exploited for therapeutic purposes, and discuss how others show similar potential.
代谢改变被确定为癌症的一个标志。癌症代谢中的这种标志性变化的特点是能量产生途径的重新编程,以及生物合成中间体的产生增加,以满足快速增殖的肿瘤细胞的需求。各种代谢表型,如有氧糖酵解、增加的谷氨酰胺消耗和脂肪分解,也与转移过程有关。然而,除了能量和生物合成的改变外,酶和代谢物的许多次要功能正在出现,这些功能专门有助于转移。在这里,我们描述了代谢酶的非典型细胞内作用、代谢酶的细胞外作用、代谢物作为信号分子的作用以及代谢改变介导的表观遗传调控,所有这些都可能影响转移进展。我们强调了其中一些机制如何已经被用于治疗目的,并讨论了其他机制显示出类似的潜力。