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Updated: Oct 15, 2025

Fluorescence Microscopy for ATP Internalization Mediated by Macropinocytosis in Human Tumor Cells and Tumor-xenografted Mice
Published on: June 30, 2021
Defueling the cancer: ATP synthase as an emerging target in cancer therapy
Ting Wang1,2, Fei Ma3, Hai-Li Qian1
1State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Abstract:
Reprogramming of cellular metabolism is a hallmark of cancer. Mitochondrial ATP synthase (MAS) produces most of the ATP that drives the cell. High expression of the MAS-composing proteins is found during cancer and is linked to a poor prognosis in glioblastoma, ovarian cancer, prostate cancer, breast cancer, and clear cell renal cell carcinoma. Cell surface-expressed ATP synthase, translocated from mitochondrion to cell membrane, involves the angiogenesis, tumorigenesis, and metastasis of cancer. ATP synthase has therefore been considered a therapeutic target. We review recent various ATP synthase inhibitors that suppress tumor growth and are being tested for the clinic.
Insights
Cancer cells reprogram metabolism, often overexpressing mitochondrial ATP synthase (MAS). This enzyme
Area of Science:
- Biochemistry
- Oncology
- Molecular Biology
Background:
- Reprogramming of cellular metabolism is a hallmark of cancer.
- Mitochondrial ATP synthase (MAS) is crucial for cellular ATP production.
- High MAS expression correlates with poor prognosis in multiple cancers, including glioblastoma, ovarian, prostate, breast, and renal cell carcinoma.
Purpose of the Study:
- To review the role of ATP synthase in cancer.
- To discuss ATP synthase as a therapeutic target.
- To summarize recent ATP synthase inhibitors for cancer treatment.
Main Methods:
- Literature review of studies on ATP synthase in cancer.
- Analysis of the link between MAS expression and cancer prognosis.
- Examination of cell surface ATP synthase involvement in tumorigenesis.
- Review of current ATP synthase inhibitors and their clinical testing.
Main Results:
- Mitochondrial ATP synthase (MAS) is highly expressed in various cancers, correlating with poor prognosis.
- Cell surface-localized ATP synthase contributes to angiogenesis, tumorigenesis, and metastasis.
- ATP synthase inhibitors show potential in suppressing tumor growth.
Conclusions:
- ATP synthase is a critical enzyme in cancer metabolism and progression.
- Targeting ATP synthase presents a promising therapeutic strategy for cancer.
- Ongoing research and clinical trials are evaluating ATP synthase inhibitors for cancer treatment.
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