The clinical treatment of glioma remains relatively immature.
Commonly
used clinical treatments for gliomas are surgery combined with chemotherapy
and radiotherapy, but there is a problem of drug resistance. In addition,
immunotherapy and targeted therapies also suffer from the problem
of immune evasion. The advent of metabolic therapy holds immense potential
for advancing more efficacious and tolerable therapies against this
aggressive disease. Metabolic therapy alters the metabolic processes
of tumor cells at the molecular level to inhibit tumor growth and
spread, and lead to better outcomes for patients with glioma that
are insensitive to conventional treatments. Moreover, compared with
conventional therapy, it has less impact on normal cells, less toxicity
and side effects, and higher safety. The objective of this review
is to examine the changes in metabolic characteristics throughout
the development of glioma, enumerate the current methodologies employed
for studying tumor metabolism, and highlight the metabolic reprogramming
pathways of glioma along with their potential molecular mechanisms.
Importantly, it seeks to elucidate potential metabolic targets for
glioblastoma (GBM) therapy and summarize effective combination treatment
strategies based on various studies.