The Public Experimental Center of Medicine, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Huichuan District, Zunyi, Guizhou, 563003, China.
Department of Pathology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Mol Biomed. 2024 Nov 29;5(1):63. doi: 10.1186/s43556-024-00229-4.
Tumor energy metabolism plays a crucial role in the occurrence, progression, and drug resistance of tumors. The study of tumor energy metabolism has gradually become an emerging field of tumor treatment. Recent studies have shown that epigenetic regulation is closely linked to tumor energy metabolism, influencing the metabolic remodeling and biological traits of tumor cells. This review focuses on the primary pathways of tumor energy metabolism and explores therapeutic strategies to target these pathways. It covers key areas such as glycolysis, the Warburg effect, mitochondrial function, oxidative phosphorylation, and the metabolic adaptability of tumors. Additionally, this article examines the role of the epigenetic regulator SWI/SNF complex in tumor metabolism, specifically its interactions with glucose, lipids, and amino acids. Summarizing therapeutic strategies aimed at these metabolic pathways, including inhibitors of glycolysis, mitochondrial-targeted drugs, exploitation of metabolic vulnerabilities, and recent developments related to SWI/SNF complexes as potential targets. The clinical significance, challenges, and future directions of tumor metabolism research are discussed, including strategies to overcome drug resistance, the potential of combination therapy, and the application of new technologies.
肿瘤能量代谢在肿瘤的发生、发展和耐药性中起着至关重要的作用。肿瘤能量代谢的研究逐渐成为肿瘤治疗的一个新兴领域。最近的研究表明,表观遗传调控与肿瘤能量代谢密切相关,影响肿瘤细胞的代谢重塑和生物学特征。本综述重点关注肿瘤能量代谢的主要途径,并探讨针对这些途径的治疗策略。它涵盖了糖酵解、沃伯格效应、线粒体功能、氧化磷酸化和肿瘤的代谢适应性等关键领域。此外,本文还研究了表观遗传调节剂 SWI/SNF 复合物在肿瘤代谢中的作用,特别是它与葡萄糖、脂质和氨基酸的相互作用。总结了针对这些代谢途径的治疗策略,包括糖酵解抑制剂、线粒体靶向药物、利用代谢脆弱性以及与 SWI/SNF 复合物作为潜在靶点相关的最新进展。还讨论了肿瘤代谢研究的临床意义、挑战和未来方向,包括克服耐药性的策略、联合治疗的潜力以及新技术的应用。