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Targeting lipid reprogramming in the tumor microenvironment by traditional Chinese medicines as a potential cancer
Qian Zuo1,2, Yingchao Wu1, Yuyu Hu2,3
1State Key Laboratory of Traditional Chinese Medicine Syndrome, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Abstract:
In the last ten years, there has been a notable rise in the study of metabolic abnormalities in cancer cells. However, compared to glucose or glutamine metabolism, less attention has been paid to the importance of lipid metabolism in tumorigenesis. Recent developments in lipidomics technologies have allowed for detailed analysis of lipid profiles within cancer cells and other cellular players present within the tumor microenvironment (TME). Traditional Chinese medicine (TCM) and its bioactive components have a long history of use in cancer treatments and are also being studied for their potential role in regulating metabolic reprogramming within TME. This review focuses on four core abnormalities altered by lipid reprogramming in cancer cells: de novo synthesis and exogenous uptake of fatty acids (FAs), upregulated fatty acid oxidation (FAO), cholesterol accumulation, which offer benefits for tumor growth and metastasis. The review also discusses how altered lipid metabolism impacts infiltrating immune cell function and phenotype as these interactions between cancer-stromal become more pronounced during tumor progression. Finally, recent literature is highlighted regarding how cancer cells can be metabolically reprogrammed by specific Chinese herbal components with potential therapeutic benefits related to lipid metabolic and signaling pathways.
Insights
Cancer cells reprogram lipid metabolism, affecting growth and immune cells. Traditional Chinese medicine components show potential for regulating these metabolic shifts.
Area of Science:
- Oncology
- Cancer Metabolism
- Lipidomics
Background:
- Cancer cells exhibit metabolic reprogramming, with lipid metabolism gaining attention.
- Lipidomics technologies enable detailed analysis of lipid profiles in tumors and the tumor microenvironment (TME).
- Traditional Chinese Medicine (TCM) has historical use in cancer treatment and is explored for metabolic regulation.
Purpose of the Study:
- To review key alterations in cancer lipid metabolism.
- To discuss the impact of lipid reprogramming on tumor growth, metastasis, and immune cells within the TME.
- To highlight TCM's role in modulating cancer lipid metabolism.
Main Methods:
- Literature review focusing on lipid metabolism in cancer.
- Analysis of lipidomics data and its implications.
- Exploration of TCM's bioactive components and their mechanisms.
Main Results:
- Key lipid reprogramming events include fatty acid synthesis, uptake, oxidation (FAO), and cholesterol accumulation.
- Altered lipid metabolism influences tumor growth, metastasis, and immune cell function within the TME.
- Specific TCM components demonstrate potential in targeting cancer lipid metabolic pathways.
Conclusions:
- Lipid metabolism is a critical, yet understudied, aspect of cancer progression.
- Targeting cancer lipid metabolism presents therapeutic opportunities.
- TCM offers promising avenues for developing novel anti-cancer strategies by modulating lipid metabolism.
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