Metabolic vulnerabilities in cancer: A new therapeutic strategy

Crit Rev Oncol Hematol. 2024 Sep:201:104438. doi: 10.1016/j.critrevonc.2024.104438. Epub 2024 Jul 6.

Abstract

Cancer metabolism is now a key area for therapeutic intervention, targeting unique metabolic reprogramming crucial for tumor growth and survival. This article reviews the therapeutic potential of addressing metabolic vulnerabilities through glycolysis and glutaminase inhibitors, which disrupt cancer cell metabolism. Challenges such as tumor heterogeneity and adaptive resistance are discussed, with strategies including personalized medicine and predictive biomarkers to enhance treatment efficacy. Additionally, integrating diet and lifestyle changes with metabolic targeting underscores a holistic approach to improving therapy outcomes. The article also examines the benefits of incorporating these strategies into standard care, highlighting the potential for more tailored, safer treatments. In conclusion, exploiting metabolic vulnerabilities promises a new era in oncology, positioning metabolic targeting at the forefront of personalized cancer therapy and transforming patient care.

Keywords: Adaptive resistance; Cancer metabolism; Glutaminase inhibitors; Glycolysis inhibitors; Metabolic reprogramming; Personalized medicine; Predictive biomarkers; Tumor heterogeneity.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / therapeutic use
  • Glutaminase* / antagonists & inhibitors
  • Glutaminase* / metabolism
  • Glycolysis / drug effects
  • Humans
  • Neoplasms* / drug therapy
  • Neoplasms* / metabolism
  • Neoplasms* / therapy
  • Precision Medicine / methods

Substances

  • Glutaminase
  • Antineoplastic Agents