肾癌中的代谢重编程:代谢疾病事件。
Metabolic reprogramming in renal cancer: Events of a metabolic disease.
机构信息
Division of Nephrology, Boston Children's Hospital, MA 02115, United States of America; Harvard Medical School, Boston, MA 02115, United States of America.
Dana Farber Cancer Institute, Boston, MA 02115, United States of America; Harvard Medical School, Boston, MA 02115, United States of America.
出版信息
Biochim Biophys Acta Rev Cancer. 2021 Aug;1876(1):188559. doi: 10.1016/j.bbcan.2021.188559. Epub 2021 May 6.
Recent studies have established that tumors can reprogram the pathways involved in nutrient uptake and metabolism to withstand the altered biosynthetic, bioenergetics and redox requirements of cancer cells. This phenomenon is called metabolic reprogramming, which is promoted by the loss of tumor suppressor genes and activation of oncogenes. Because of alterations and perturbations in multiple metabolic pathways, renal cell carcinoma (RCC) is sometimes termed as a "metabolic disease". The majority of metabolic reprogramming in renal cancer is caused by the inactivation of von Hippel-Lindau (VHL) gene and activation of the Ras-PI3K-AKT-mTOR pathway. Hypoxia-inducible factor (HIF) and Myc are other important players in the metabolic reprogramming of RCC. All types of RCCs are associated with reprogramming of glucose and fatty acid metabolism and the tricarboxylic acid (TCA) cycle. Metabolism of glutamine, tryptophan and arginine is also reprogrammed in renal cancer to favor tumor growth and oncogenesis. Together, understanding these modifications or reprogramming of the metabolic pathways in detail offer ample opportunities for the development of new therapeutic targets and strategies, discovery of biomarkers and identification of effective tumor detection methods.
最近的研究已经证实,肿瘤可以重新编程参与营养摄取和代谢的途径,以耐受癌细胞改变的生物合成、生物能量学和氧化还原需求。这种现象被称为代谢重编程,它是由肿瘤抑制基因的失活和癌基因的激活所促进的。由于多种代谢途径的改变和干扰,肾细胞癌(RCC)有时被称为“代谢疾病”。肾癌细胞中大多数的代谢重编程是由 von Hippel-Lindau(VHL)基因失活和 Ras-PI3K-AKT-mTOR 通路激活引起的。缺氧诱导因子(HIF)和 Myc 也是 RCC 代谢重编程的其他重要参与者。所有类型的 RCC 都与葡萄糖和脂肪酸代谢以及三羧酸(TCA)循环的重编程有关。谷氨酰胺、色氨酸和精氨酸的代谢在肾癌细胞中也被重新编程,以促进肿瘤生长和致癌作用。总之,详细了解这些代谢途径的改变或重编程为开发新的治疗靶点和策略、发现生物标志物以及确定有效的肿瘤检测方法提供了充分的机会。
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