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Published on: July 20, 2019
Arginine deprivation in cancer therapy
Lynn G Feun1, Macus Tien Kuo, Niramol Savaraj
1aSylvester Comprehensive Cancer Center, University of Miami, Miami, Florida bDepartment of Translational Molecular Pathology, The University of Texas MD, Anderson Cancer Center, Houston, Texas cSylvester Comprehensive Cancer Center, University of Miami, VA Medical Center, Miami, Florida, USA.
Purpose Of Review:
There has been an increased and renewed interest in metabolic therapy for cancer, particularly Arg deprivation. The purpose of this review is to highlight recent studies that focus on Arg-dependent malignancies with Arginine (Arg)-degrading enzymes, including arginase and Arg deiminase.
Recent Findings:
New developments in this area include understanding of the role of most significantly downregulated gene regulating amino acid metabolism, argininosuccinate synthetase and its expression and therapeutic relevance in different tumors. Recent studies have also shed light on the mechanism of tumor cell death with Arg deprivation, with arginase and pegylated Arg deiminase. Particularly important is understanding the mechanism of resistance that cancers develop after such drug exposure. Finally, recent clinical trials have been performed or are ongoing to use Arg deprivation as treatment for advanced malignancies.
Summary:
Arg deprivation is a promising approach for the treatment of various malignancies.
Insights
Arginine (Arg) deprivation shows promise for treating cancers by targeting Arg-dependent tumors. Research highlights new enzymes, resistance mechanisms, and ongoing clinical trials for this metabolic therapy.
Area of Science:
- Oncology
- Metabolic Therapy
- Biochemistry
Background:
- Metabolic therapy for cancer, specifically arginine (Arg) deprivation, is gaining renewed interest.
- Arg-dependent malignancies are a focus, utilizing enzymes like arginase and Arg deiminase.
Purpose of the Study:
- To review recent studies on Arg-dependent cancers and Arg-degrading enzymes.
- To highlight advancements in understanding Arg metabolism in tumors.
Main Methods:
- Review of recent scientific literature and clinical trials.
- Analysis of gene expression, specifically argininosuccinate synthetase.
- Investigation of tumor cell death mechanisms and resistance pathways.
Main Results:
- Identification of argininosuccinate synthetase as a key downregulated gene in amino acid metabolism.
- Elucidation of tumor cell death mechanisms induced by arginase and pegylated Arg deiminase.
- Understanding of cancer resistance mechanisms to Arg deprivation therapy.
Conclusions:
- Arginine deprivation represents a promising therapeutic strategy for various malignancies.
- Ongoing clinical trials are evaluating Arg deprivation for advanced cancers.
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