Department of Biochemistry, College of Life Science and Biotechnology, Yonsei University, Seoul 03722, Korea.
Cells. 2020 Oct 16;9(10):2308. doi: 10.3390/cells9102308.
Aberrant metabolism is a major hallmark of cancer. Abnormal cancer metabolism, such as aerobic glycolysis and increased anabolic pathways, has important roles in tumorigenesis, metastasis, drug resistance, and cancer stem cells. Well-known oncogenic signaling pathways, such as phosphoinositide 3-kinase (PI3K)/AKT, Myc, and Hippo pathway, mediate metabolic gene expression and increase metabolic enzyme activities. Vice versa, deregulated metabolic pathways contribute to defects in cellular signal transduction pathways, which in turn provide energy, building blocks, and redox potentials for unrestrained cancer cell proliferation. Studies and clinical trials are being performed that focus on the inhibition of metabolic enzymes by small molecules or dietary interventions (e.g., fasting, calorie restriction, and intermittent fasting). Similar to genetic heterogeneity, the metabolic phenotypes of cancers are highly heterogeneous. This heterogeneity results from diverse cues in the tumor microenvironment and genetic mutations. Hence, overcoming metabolic plasticity is an important goal of modern cancer therapeutics. This review highlights recent findings on the metabolic phenotypes of cancer and elucidates the interactions between signal transduction pathways and metabolic pathways. We also provide novel rationales for designing the next-generation cancer metabolism drugs.
代谢异常是癌症的一个主要特征。异常的癌症代谢,如有氧糖酵解和增加的合成代谢途径,在肿瘤发生、转移、耐药性和癌症干细胞中具有重要作用。众所周知的致癌信号通路,如磷脂酰肌醇 3-激酶 (PI3K)/AKT、Myc 和 Hippo 通路,介导代谢基因表达并增加代谢酶活性。相反,失调的代谢途径导致细胞信号转导途径的缺陷,进而为不受控制的癌细胞增殖提供能量、构建块和氧化还原电势。目前正在进行研究和临床试验,重点是通过小分子或饮食干预(例如禁食、热量限制和间歇性禁食)抑制代谢酶。与遗传异质性类似,癌症的代谢表型高度异质。这种异质性源于肿瘤微环境中的各种线索和基因突变。因此,克服代谢可塑性是现代癌症治疗的一个重要目标。本文综述了癌症代谢表型的最新发现,并阐明了信号转导途径和代谢途径之间的相互作用。我们还为设计下一代癌症代谢药物提供了新的依据。
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