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Amino Acid Degrading Enzymes and Autophagy in Cancer Therapy
Ziyu Wang1,2, Qinghong Xie3, Haifeng Zhou1
1Department of Pharmacy, Huadong Hospital, Fudan University, Shanghai, China.
Abstract:
Recently, there has been renewed interest in metabolic therapy for cancer, particularly in amino acid deprivation by enzymes. L-asparaginase was approved for the treatment of acute lymphoblastic leukemia by the U.S. Food and Drug Administration. Arginine deiminase and recombinant human arginase have been developed into clinical trials as potential cancer therapeutic agents for the treatment of arginine-auxotrophic tumors. Moreover, other novel amino acid degrading enzymes, such as glutaminase, methionase, lysine oxidase, phenylalanine ammonia lyase, have been developed for the treatment of malignant cancers. One of the greatest obstacles faced by anticancer drugs is the development of drug resistance, which is reported to be associated with autophagy. Autophagy is an evolutionarily conserved catabolic process that is responsible for the degradation of dysfunctional proteins and organelles. There is a growing body of literature revealing that, in response to metabolism stress, autophagy could be induced by amino acid deprivation. The manipulation of autophagy in combination with amino acid degrading enzymes is actively being investigated as a potential therapeutic approach in preclinical studies. Importantly, shedding light on how autophagy fuels tumor metabolism during amino acid deprivation will enable more potential combinational therapeutic strategies. This study summarizes recent advances, discussing several potential anticancer enzymes, and highlighting the promising combined therapeutic strategy of amino acid degrading enzymes and autophagy modulators in tumors.
Insights
Metabolic therapy using amino acid-degrading enzymes shows promise for cancer treatment. Combining these enzymes with autophagy modulators may overcome drug resistance and enhance therapeutic strategies.
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Metabolic therapy, specifically amino acid deprivation using enzymes, is gaining traction for cancer treatment.
- Enzymes like L-asparaginase are FDA-approved, while others like arginase are in clinical trials for specific tumors.
- Drug resistance, often linked to autophagy, is a significant challenge in cancer therapy.
Purpose of the Study:
- To review recent advancements in enzyme-based amino acid deprivation for cancer therapy.
- To explore the role of autophagy in tumor metabolism under amino acid-deprived conditions.
- To highlight the potential of combining amino acid-degrading enzymes with autophagy modulators for enhanced cancer treatment.
Main Methods:
- Literature review of recent studies on amino acid-degrading enzymes in cancer.
- Analysis of the interplay between autophagy and tumor metabolism during amino acid deprivation.
- Discussion of preclinical findings on combination therapies.
Main Results:
- Several novel amino acid-degrading enzymes (glutaminase, methionase, etc.) are being developed for cancer treatment.
- Autophagy can be induced by amino acid deprivation, potentially fueling tumor metabolism.
- Preclinical studies suggest that manipulating autophagy alongside enzyme therapy is a promising strategy.
Conclusions:
- Amino acid-degrading enzymes represent a viable metabolic therapy for various cancers.
- Understanding and modulating autophagy is crucial for overcoming drug resistance in enzyme-based cancer therapies.
- Combination strategies involving amino acid-degrading enzymes and autophagy modulators hold significant therapeutic potential.
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