Targeting metabolic changes in cancer: novel therapeutic approaches

Ekaterina Bobrovnikova-Marjon1, Jonathan B Hurov

  • 1Agios Pharmaceuticals, Cambridge, Massachusetts 02139; email: katya.marjon@agios.com , jonathan.hurov@agios.com.

Annual Review of Medicine
|January 16, 2014
PubMed

Insights

Cancer metabolism therapies are crucial. This research explores improved antimetabolite strategies and novel metabolic drug targets, including those with genetic anchors like isocitrate dehydrogenase 1/2 and Enolase 2, for enhanced cancer treatment.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Drug Discovery

Background:

  • Targeting cancer metabolism is a key research area.
  • Antimetabolites represent an early successful strategy in cancer therapy.
  • Existing antimetabolite approaches can be improved.

Purpose of the Study:

  • To review advanced therapeutic strategies targeting cancer metabolism.
  • To highlight novel metabolic drug targets and their potential.
  • To discuss approaches leveraging genetic anchors and tumor-specific metabolic dependencies.

Main Methods:

  • Literature review of current and emerging cancer metabolism therapies.
  • Analysis of strategies improving on antimetabolite approaches.
  • Identification of new metabolic targets based on genetic and systems biology insights.

Main Results:

  • Several novel metabolic drug targets are identified.
  • Targets with strong genetic anchors (e.g., isocitrate dehydrogenase 1/2, Enolase 2) facilitate patient selection.
  • Hypothesis-driven and systems biology approaches reveal exploitable tumor metabolic dependencies (e.g., fatty acid oxidation, NAD+ synthesis, glutamine metabolism).

Conclusions:

  • Advances in targeting cancer metabolism offer promising therapeutic avenues.
  • Combining genetic insights with systems biology enhances the development of novel metabolic drugs.
  • Exploiting specific tumor metabolic vulnerabilities is a viable strategy for cancer treatment.

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