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挖掘胰腺癌代谢的潜力:挑战与机遇。

Exploiting pancreatic cancer metabolism: challenges and opportunities.

机构信息

Department of Molecular Biotechnology and Health Sciences, University of Turin, Torino, Italy.

BIDMC Department of Medicine, Harvard Medical School, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.

出版信息

Trends Mol Med. 2024 Jun;30(6):592-604. doi: 10.1016/j.molmed.2024.03.008. Epub 2024 Apr 10.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive form of pancreatic cancer, known for its challenging diagnosis and limited treatment options. The focus on metabolic reprogramming as a key factor in tumor initiation, progression, and therapy resistance has gained prominence. In this review we focus on the impact of metabolic changes on the interplay among stromal, immune, and tumor cells, as glutamine and branched-chain amino acids (BCAAs) emerge as pivotal players in modulating immune cell functions and tumor growth. We also discuss ongoing clinical trials that explore metabolic modulation for PDAC, targeting mitochondrial metabolism, asparagine and glutamine addiction, and autophagy inhibition. Overcoming challenges in understanding nutrient effects on immune-stromal-tumor interactions holds promise for innovative therapeutic strategies.

摘要

胰腺导管腺癌(PDAC)是一种极具侵袭性的胰腺癌,其诊断具有挑战性,治疗选择有限。代谢重编程作为肿瘤发生、进展和治疗耐药的关键因素受到了广泛关注。在这篇综述中,我们重点讨论了代谢变化对基质、免疫和肿瘤细胞相互作用的影响,因为谷氨酰胺和支链氨基酸(BCAAs)作为调节免疫细胞功能和肿瘤生长的关键因素而出现。我们还讨论了正在进行的临床试验,这些试验探讨了代谢调节在胰腺导管腺癌中的应用,包括靶向线粒体代谢、天冬酰胺和谷氨酰胺成瘾以及自噬抑制。克服理解营养素对免疫-基质-肿瘤相互作用影响的挑战,为创新的治疗策略提供了希望。

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