2021
DOI: 10.3390/metabo11050264
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Metabolic Classification and Intervention Opportunities for Tumor Energy Dysfunction

Abstract: A comprehensive view of cell metabolism provides a new vision of cancer, conceptualized as tissue with cellular-altered metabolism and energetic dysfunction, which can shed light on pathophysiological mechanisms. Cancer is now considered a heterogeneous ecosystem, formed by tumor cells and the microenvironment, which is molecularly, phenotypically, and metabolically reprogrammable. A wealth of evidence confirms metabolic reprogramming activity as the minimum common denominator of cancer, grouping together a wi… Show more

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Cited by 8 publications
(4 citation statements)
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References 178 publications
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“…Tumours can have different areas with disparate TME features, which could reflect differing genomic aberrations in tumour cells. It is well-known that the centre of the tumour typically has fewer blood vessels and more hypoxia than tumour borders [35], which can influence pH and metabolism, and also induce genomic and epigenomic changes between zones [36]. However, tissue areas of tumours submitted to genetic diagnostics yield little information even without taking ITH into account and this could be among the principal reasons for low reproducibility, not only in diagnostics and treatment but also in bio-medical research [1,37].…”
Section: Discussionmentioning
confidence: 99%
“…Tumours can have different areas with disparate TME features, which could reflect differing genomic aberrations in tumour cells. It is well-known that the centre of the tumour typically has fewer blood vessels and more hypoxia than tumour borders [35], which can influence pH and metabolism, and also induce genomic and epigenomic changes between zones [36]. However, tissue areas of tumours submitted to genetic diagnostics yield little information even without taking ITH into account and this could be among the principal reasons for low reproducibility, not only in diagnostics and treatment but also in bio-medical research [1,37].…”
Section: Discussionmentioning
confidence: 99%
“… 21 , 22 Recent studies have showed that some cancer cell lines tend to rely on glycose instead of other nutriments for energy supply. 23 These cells exhibit rapid glucose consumption and lactate secretion. Oncogenic TP53 mutation promotes glucose metabolism in many types of cancer.…”
Section: Discussionmentioning
confidence: 99%
“…This review is focused on the regulatory metabolic pathways of both immune and tumor cells, the metabolic differences between stromal and tumor cells and especially the effector and immunosuppressive metabolic pathways of T effectors (T eff ) and memory lymphocytes, M1 and M2 macrophages and myeloid-derived suppressor cells (MDSCs), as well as the role of acidosis and hypoxia in all of these factors. This approach consolidates the hypothesis of cancer as an energy dysfunction [13], where alterations can be found in the metabolic pathways of fatty acids (FAs), amino acids, nucleic acids and carbohydrates that affect immune dysfunction, allowing clinical tumor development. We conclude by discussing the extraordinary plasticity of the immune response, its role in immunotherapy efficacy and measures to modulate energy metabolism that should be implemented in cancer treatment.…”
Section: Introductionmentioning
confidence: 85%