Glucose Metabolism Intervention-Facilitated Nanomedicine Therapy

Int J Nanomedicine. 2022 Jun 17:17:2707-2731. doi: 10.2147/IJN.S364840. eCollection 2022.

Abstract

Ordinarily, cancer cells possess features of abnormally increased nutrient intake and metabolic pathways. The disorder of glucose metabolism is the most important among them. Therefore, starvation therapy targeting glucose metabolism specifically, which results in metabolic disorders, restricted synthesis, and inhibition of tumor growth, has been developed for cancer therapy. However, issues such as inadequate targeting effectiveness and drug tolerance impede their clinical transformation. In recent years, nanomaterial-assisted starvation treatment has made significant progress in addressing these challenges, whether as a monotherapy or in combination with other medications. Herein, representative researches on the construction of nanosystems conducting starvation therapy are introduced. Elaborate designs and interactions between different treatment mechanisms are meticulously mentioned. Not only are traditional treatments based on glucose oxidase involved, but also newly sprung small molecule agents targeting glucose metabolism. The obstacles and potential for advancing these anticancer therapies were also highlighted in this review.

Keywords: cancer metabolism; combined therapy; nanomedicine; starvation therapy.

Publication types

  • Review

MeSH terms

  • Glucose / metabolism
  • Glucose Oxidase
  • Humans
  • Nanomedicine*
  • Neoplasms* / pathology

Substances

  • Glucose Oxidase
  • Glucose

Grants and funding

This work was supported by the National Natural Science Foundation of China (81602103 and 82172645), the Natural Science Foundation of Jiangsu Province (BK20200052), and Clinical Trials from the Affiliated Drum Tower Hospital, Medical School of Nanjing University (2021-LCYJ-MS-09 and 2021-LCYJ-PY-17).