Hyder Fahmeed, Coman Daniel
Department of Biomedical Engineering, Yale University, New Haven, CT, USA.
Department of Radiology & Biomedical Imaging, Yale University, New Haven, CT, USA.
Curr Opin Biomed Eng. 2021 Jun;18. doi: 10.1016/j.cobme.2021.100278. Epub 2021 Mar 5.
Metabolism reveals pathways by which cells, in healthy and disease tissues, use nutrients to fuel their function and (re)growth. However, gene-centric views have dominated cancer hallmarks, relegating metabolic reprogramming that all cells in the tumor niche undergo as an incidental phenomenon. Aerobic glycolysis in cancer is well known, but recent evidence suggests that diverse symbolic traits of cancer cells are derived from oncogene-directed metabolism required for their sustenance and evolution. Cells in the tumor milieu actively metabolize different nutrients, but proficiently secrete acidic by-products using diverse mechanisms to create a hostile ecosystem for host cells, and where local immune cells suffer collateral damage. Since metabolic interactions between cancer and immune cells hold promise for future cancer therapies, here we focus on translational magnetic resonance methods enabling and simultaneous detection of tumor habitat acidification and immune activation - innovations for monitoring personalized treatments.
新陈代谢揭示了健康组织和疾病组织中的细胞利用营养物质为其功能和(再)生长提供能量的途径。然而,以基因为中心的观点主导了癌症的特征,将肿瘤微环境中所有细胞都经历的代谢重编程视为一种偶然现象。癌症中的有氧糖酵解是众所周知的,但最近的证据表明,癌细胞的各种标志性特征源自其维持和进化所需的癌基因导向的代谢。肿瘤微环境中的细胞积极代谢不同的营养物质,但通过多种机制有效地分泌酸性副产物,为宿主细胞创造一个恶劣的生态系统,导致局部免疫细胞受到附带损害。由于癌症与免疫细胞之间的代谢相互作用为未来的癌症治疗带来了希望,因此我们在此重点关注能够实现肿瘤微环境酸化和免疫激活同时检测的转化磁共振方法——这是监测个性化治疗的创新方法。
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