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PPARs: Interference with Warburg' Effect and Clinical Anticancer Trials
Joseph Vamecq1, Jean-Marie Colet, Jean Jacques Vanden Eynde
1Inserm, HMNO, CBP, CHRU Lille, 59037 Lille, France.
Abstract:
The metabolic/cell signaling basis of Warburg's effect ("aerobic glycolysis") and the general metabolic phenotype adopted by cancer cells are first reviewed. Several bypasses are adopted to provide a panoramic integrated view of tumoral metabolism, by attributing a central signaling role to hypoxia-induced factor (HIF-1) in the expression of aerobic glycolysis. The cancer metabolic phenotype also results from alterations of other routes involving ras, myc, p53, and Akt signaling and the propensity of cancer cells to develop signaling aberrances (notably aberrant surface receptor expression) which, when present, offer unique opportunities for therapeutic interventions. The rationale for various emerging strategies for cancer treatment is presented along with mechanisms by which PPAR ligands might interfere directly with tumoral metabolism and promote anticancer activity. Clinical trials using PPAR ligands are reviewed and followed by concluding remarks and perspectives for future studies. A therapeutic need to associate PPAR ligands with other anticancer agents is perhaps an important lesson to be learned from the results of the clinical trials conducted to date.
Insights
Cancer cells exhibit altered metabolism, including aerobic glycolysis driven by hypoxia-induced factor (HIF-1). PPAR ligands show promise in targeting tumoral metabolism for cancer treatment, potentially combined with other agents.
Area of Science:
- Oncology
- Cancer Metabolism
- Molecular Signaling
Background:
- The Warburg effect (aerobic glycolysis) and general cancer cell metabolic phenotypes are reviewed.
- Hypoxia-induced factor (HIF-1) plays a central role in aerobic glycolysis expression.
- Cancer metabolism is influenced by signaling pathways like ras, myc, p53, and Akt.
Purpose of the Study:
- To provide an integrated view of tumoral metabolism.
- To explore emerging cancer treatment strategies.
- To examine the role of PPAR ligands in cancer therapy.
Main Methods:
- Review of metabolic and cell signaling pathways in cancer.
- Analysis of signaling aberrances and their therapeutic implications.
- Examination of PPAR ligand mechanisms and clinical trial data.
Main Results:
- Cancer metabolic phenotype involves aerobic glycolysis and altered signaling routes.
- Aberrant signaling in cancer cells presents therapeutic intervention opportunities.
- PPAR ligands demonstrate potential to interfere with tumoral metabolism and exhibit anticancer activity.
Conclusions:
- Emerging cancer treatment strategies target tumoral metabolism.
- PPAR ligands offer a direct mechanism to impact cancer metabolism.
- Combining PPAR ligands with other anticancer agents may be crucial for effective treatment.
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