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Metabolic traits of cancer stem cells
Joana Peixoto1,2,3,4, Jorge Lima5,2,3
1Cancer Signalling and Metabolism Group, Instituto de Investigação e Inovação em Saúde (I3S), Universidade do Porto, 4200-135 Porto, Portugal.
Abstract:
Cancer stem cells are a subpopulation of cells within a tumour believed to confer resistance to standard cancer therapies. Although many studies have addressed the specific mechanisms of tumour recurrence driven by cancer stem cells, cellular metabolism is an often-neglected attribute. The metabolic features of cancer stem cells are still poorly understood, and they thus constitute a promising field in cancer research. The findings published so far point to a distinct metabolic phenotype in cancer stem cells, which might depend on the cancer type, the model system used or even the experimental design, and several controversies still need to be tackled. This Review describes the metabolic phenotype of cancer stem cells by addressing the main metabolic traits in different tumours, including glycolysis and oxidative, glutamine, fatty acid and amino acid metabolism. In the context of these pathways, we also mention the specific alterations in metabolic enzymes and metabolite levels that have a role in the regulation of cancer stemness. Determining the role of metabolism in supporting resistance to therapy driven by cancer stem cells can raise the opportunity for novel therapeutic targets, which might not only eliminate this resistant population, but, more importantly, eradicate the whole tumour in a relapse-free scenario.
Insights
Cancer stem cells (CSCs) possess unique metabolic features driving therapy resistance. Understanding CSC metabolism offers new therapeutic targets to eliminate resistant cells and prevent cancer relapse.
Area of Science:
- Oncology
- Cancer Biology
- Cellular Metabolism
Background:
- Cancer stem cells (CSCs) are implicated in tumor recurrence and resistance to conventional therapies.
- The metabolic characteristics of CSCs remain largely unexplored, representing a critical knowledge gap in cancer research.
- Existing research suggests CSCs exhibit distinct metabolic phenotypes, though variations exist based on cancer type and experimental models.
Purpose of the Study:
- To review and synthesize current knowledge on the metabolic phenotype of cancer stem cells.
- To explore the role of specific metabolic pathways, including glycolysis, oxidative metabolism, and amino/fatty acid metabolism, in CSCs.
- To identify how metabolic alterations regulate cancer stemness and contribute to therapeutic resistance.
Main Methods:
- Comprehensive literature review of studies investigating cancer stem cell metabolism.
- Analysis of metabolic pathways, including glycolysis, oxidative phosphorylation, glutaminolysis, and fatty acid metabolism.
- Examination of altered metabolic enzymes and metabolite levels associated with cancer stemness.
Main Results:
- CSCs display a distinct metabolic profile that differs from bulk tumor cells.
- Key metabolic pathways such as glycolysis, glutaminolysis, and fatty acid metabolism are significantly altered in CSCs.
- Specific metabolic enzymes and metabolite concentrations are identified as regulators of cancer stem cell properties.
Conclusions:
- Metabolic reprogramming is a crucial factor supporting the survival and resistance of cancer stem cells.
- Targeting CSC-specific metabolic vulnerabilities presents a promising strategy for developing novel cancer therapies.
- Interventions aimed at CSC metabolism could lead to more effective treatments, potentially eradicating tumors and preventing relapse.
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