Department of Experimental and Clinical Biomedical Sciences, University of Florence, Viale Morgagni 50, 50134 Florence, Italy.
Laboratory of Cellular Metabolism and Metabolic Regulation, VIB-KU Leuven Center for Cancer Biology, VIB, Herestraat 49, 3000 Leuven, Belgium; Laboratory of Cellular Metabolism and Metabolic Regulation, Department of Oncology, KU Leuven and Leuven Cancer Institute (LKI), Herestraat 49, 3000 Leuven, Belgium.
Trends Cancer. 2021 Aug;7(8):682-699. doi: 10.1016/j.trecan.2021.02.004. Epub 2021 Mar 15.
Overcoming anticancer drug resistance is a major challenge in cancer therapy, requiring innovative strategies that consider the extensive tumor heterogeneity and adaptability. We provide recent evidence highlighting the key role of amino acid (AA) metabolic reprogramming in cancer cells and the supportive microenvironment in driving resistance to anticancer therapies. AAs sustain the acquisition of anticancer resistance by providing essential building blocks for biosynthetic pathways and for maintaining a balanced redox status, and modulating the epigenetic profile of both malignant and non-malignant cells. In addition, AAs support the reduced intrinsic susceptibility of cancer stem cells to antineoplastic therapies. These findings shed new light on the possibility of targeting nonresponding tumors by modulating AA availability through pharmacological or dietary interventions.
克服抗癌药物耐药性是癌症治疗的一个主要挑战,需要创新的策略,考虑到广泛的肿瘤异质性和适应性。我们提供了最近的证据,强调了氨基酸(AA)代谢重编程在癌细胞和支持性微环境中驱动抗癌治疗耐药性的关键作用。AA 通过为生物合成途径提供必需的构建块和维持平衡的氧化还原状态,以及调节恶性和非恶性细胞的表观遗传特征,来维持抗癌耐药性的获得。此外,AA 支持肿瘤干细胞对抗肿瘤治疗的内在敏感性降低。这些发现为通过药理学或饮食干预来调节 AA 的可用性来靶向无反应性肿瘤提供了新的可能性。