Role of Glucose Metabolic Reprogramming in Breast Cancer Progression and Drug Resistance

Pan Lei1,2, Wenzhou Wang1, Marisela Sheldon3

  • 1Hubei Hongshan Laboratory, College of Biomedicine and Health, Huazhong Agricultural University, Wuhan 430070, China.

Cancers
|July 14, 2023
PubMed

Insights

Glucose metabolic reprogramming fuels breast cancer progression and drug resistance. Targeting these pathways offers potential therapeutic strategies, but challenges remain in developing approved drugs.

Area of Science:

  • Oncology
  • Metabolic pathways
  • Cancer biology

Background:

  • Glucose metabolic reprogramming is increasingly recognized for its role in breast cancer progression, metastasis, and therapy resistance.
  • Recent studies have elucidated molecular mechanisms linking glucose metabolism to breast cancer regulation.

Purpose of the Study:

  • To review the roles and mechanisms of glucose metabolic reprogramming in breast cancer.
  • To summarize metabolic inhibitors targeting glucose metabolism for breast cancer treatment.
  • To discuss challenges and opportunities in targeting glucose metabolism for breast cancer therapy.

Main Methods:

  • Literature review of studies on glucose metabolism in breast cancer.
  • Analysis of molecular mechanisms driving metabolic reprogramming.
  • Summary of current metabolic inhibitors and clinical trial status.

Main Results:

  • Glucose metabolic reprogramming significantly impacts breast cancer progression, metastasis, and drug resistance.
  • Several molecular mechanisms underlying this reprogramming have been identified.
  • No drugs specifically targeting glucose metabolism pathways are currently approved for breast cancer treatment.

Conclusions:

  • Understanding glucose metabolic reprogramming is crucial for breast cancer treatment.
  • Metabolic inhibitors targeting glucose pathways show promise but require further development and clinical validation.
  • Overcoming challenges in targeting these pathways presents opportunities for novel breast cancer therapies.

Related Concept Videos

Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.8K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.8K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
Overview of Carbohydrate Metabolism01:19

Overview of Carbohydrate Metabolism

Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
1.2K
Glucose Homeostasis: Regulation of Blood Glucose01:02

Glucose Homeostasis: Regulation of Blood Glucose

Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
1.8K
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
5.0K