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乳腺癌的代谢改变及治疗策略概况

Landscape of metabolic alterations and treatment strategies in breast cancer.

作者信息

Wu Xiujuan, Tan Xuanni, Bao Yangqiu, Yan Wenting, Zhang Yi

机构信息

Department of Breast and Thyroid Surgery, Southwest Hospital, Army Medical University, Key Laboratory of Chongqing Health Commission for Minimally Invasive and Precise Diagnosis and Treatment of Breast Cancer, Chongqing 400038, China.

出版信息

Genes Dis. 2025 Jan 8;12(5):101521. doi: 10.1016/j.gendis.2025.101521. eCollection 2025 Sep.

Abstract

Breast cancer, the most prevalent cancer in women, poses a significant threat to their health. One of the prominent characteristics of malignant transformation in breast cancer cells is metabolic reprogramming, which encompasses glucose, lipid, and amino acid metabolism. Notably, breast cancer cells exhibit augmented energy metabolism and heightened glycolysis. In addition, there is an escalated demand for glutamine, which is met through intrinsic synthesis, uptake from extracellular sources via membrane transport proteins, or up-regulation of key metabolic enzymes in the glutamine metabolism pathway. Lipids not only serve as an energy source for tumor cells but also function as signaling molecules for intercellular communication. Extensive research in recent years has focused on unraveling the intricate mechanisms underlying metabolic reprogramming. Consequently, genes implicated in these processes have emerged as clinical therapeutic targets for cancer treatment. This review provides a comprehensive summary of the common metabolic alterations observed in cancer cells, discusses the factors and regulatory mechanisms influencing these changes, and explores potential therapeutic targets and strategies within the realm of cancer metabolism.

摘要

乳腺癌是女性中最常见的癌症,对她们的健康构成重大威胁。乳腺癌细胞恶性转化的一个突出特征是代谢重编程,它包括葡萄糖、脂质和氨基酸代谢。值得注意的是,乳腺癌细胞表现出能量代谢增强和糖酵解增加。此外,对谷氨酰胺的需求也在增加,这可以通过内源性合成、通过膜转运蛋白从细胞外来源摄取或上调谷氨酰胺代谢途径中的关键代谢酶来满足。脂质不仅作为肿瘤细胞的能量来源,还作为细胞间通讯的信号分子。近年来,广泛的研究集中在揭示代谢重编程背后的复杂机制。因此,参与这些过程的基因已成为癌症治疗的临床治疗靶点。本综述全面总结了癌细胞中常见的代谢改变,讨论了影响这些变化的因素和调节机制,并探索了癌症代谢领域的潜在治疗靶点和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3d4/12179608/fab80095c288/gr1.jpg

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