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重编程葡萄糖代谢的潜在作用:甲状腺癌中新出现的可操作的共依赖靶点。

The potential role of reprogrammed glucose metabolism: an emerging actionable codependent target in thyroid cancer.

机构信息

Department of General Surgery, Xiangya Hospital Central South University, Changsha, 410008, Hunan, People's Republic of China.

Xiangya Hospital, National Clinical Research Center for Geriatric Disorders, Changsha, 410008, Hunan, People's Republic of China.

出版信息

J Transl Med. 2023 Oct 18;21(1):735. doi: 10.1186/s12967-023-04617-2.

Abstract

Although the incidence of thyroid cancer is increasing year by year, most patients, especially those with differentiated thyroid cancer, can usually be cured with surgery, radioactive iodine, and thyroid-stimulating hormone suppression. However, treatment options for patients with poorly differentiated thyroid cancers or radioiodine-refractory thyroid cancer have historically been limited. Altered energy metabolism is one of the hallmarks of cancer and a well-documented feature in thyroid cancer. In a hypoxic environment with extreme nutrient deficiencies resulting from uncontrolled growth, thyroid cancer cells utilize "metabolic reprogramming" to satisfy their energy demand and support malignant behaviors such as metastasis. This review summarizes past and recent advances in our understanding of the reprogramming of glucose metabolism in thyroid cancer cells, which we expect will yield new therapeutic approaches for patients with special pathological types of thyroid cancer by targeting reprogrammed glucose metabolism.

摘要

尽管甲状腺癌的发病率逐年上升,但大多数患者,尤其是分化型甲状腺癌患者,通常可以通过手术、放射性碘和甲状腺刺激素抑制来治愈。然而,历史上,对于低分化甲状腺癌或放射性碘难治性甲状腺癌患者的治疗选择有限。改变的能量代谢是癌症的标志之一,也是甲状腺癌的一个有充分文献记载的特征。在由于不受控制的生长而导致极度营养缺乏的缺氧环境中,甲状腺癌细胞利用“代谢重编程”来满足其能量需求,并支持转移等恶性行为。这篇综述总结了我们过去和最近对甲状腺癌细胞葡萄糖代谢重编程的理解进展,我们期望通过靶向重编程的葡萄糖代谢,为具有特殊病理类型的甲状腺癌患者提供新的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/316c/10585934/d5c176760c88/12967_2023_4617_Fig1_HTML.jpg

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