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Updated: Nov 27, 2025

Hyperpolarized 13C Metabolic Magnetic Resonance Spectroscopy and Imaging
Published on: December 30, 2016
Revisiting prostate cancer metabolism: From metabolites to disease and therapy
Henrique J Cardoso1, Tiago M A Carvalho1, Lara R S Fonseca1
1CICS-UBI-Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.
Abstract:
Prostate cancer (PCa), one of the most commonly diagnosed cancers worldwide, still presents important unmet clinical needs concerning treatment. In the last years, the metabolic reprogramming and the specificities of tumor cells emerged as an exciting field for cancer therapy. The unique features of PCa cells metabolism, and the activation of specific metabolic pathways, propelled the use of metabolic inhibitors for treatment. The present work revises the knowledge of PCa metabolism and the metabolic alterations that underlie the development and progression of the disease. A focus is given to the role of bioenergetic sources, namely, glucose, lipids, and glutamine sustaining PCa cell survival and growth. Moreover, it is described as the action of oncogenes/tumor suppressors and sex steroid hormones in the metabolic reprogramming of PCa. Finally, the status of PCa treatment based on the inhibition of metabolic pathways is presented. Globally, this review updates the landscape of PCa metabolism, highlighting the critical metabolic alterations that could have a clinical and therapeutic interest.
Insights
Prostate cancer cell metabolism is reprogrammed, offering new therapeutic targets. This review details metabolic pathways and inhibitors for advanced prostate cancer treatment.
Area of Science:
- Oncology
- Cancer Metabolism
- Biochemistry
Background:
- Prostate cancer (PCa) is a leading global cancer with significant unmet treatment needs.
- Tumor cell metabolic reprogramming is a promising area for cancer therapy development.
- PCa exhibits unique metabolic characteristics and activated pathways, suggesting metabolic inhibitors as a treatment strategy.
Purpose of the Study:
- To review current knowledge of PCa metabolism and its alterations.
- To highlight the role of glucose, lipids, and glutamine in PCa cell survival and growth.
- To examine the influence of oncogenes, tumor suppressors, and hormones on PCa metabolic reprogramming.
Main Methods:
- Literature review of PCa metabolism.
- Analysis of metabolic pathways critical to PCa development and progression.
- Examination of therapeutic strategies targeting PCa metabolic pathways.
Main Results:
- PCa cells exhibit specific metabolic alterations supporting survival and growth.
- Bioenergetic sources like glucose, lipids, and glutamine are crucial for PCa.
- Oncogenes, tumor suppressors, and sex steroid hormones significantly impact PCa metabolic reprogramming.
Conclusions:
- Understanding PCa metabolism provides critical insights for clinical and therapeutic advancements.
- Targeting specific metabolic pathways represents a viable therapeutic approach for prostate cancer.
- This review updates the understanding of PCa metabolism, emphasizing its therapeutic potential.
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