Immunonutrition, Metabolism, and Programmed Cell Death in Lung Cancer: Translating Bench to Bedside

Palma Fedele1, Anna Natalizia Santoro1, Francesca Pini1

  • 1Oncology Unit, Dario Camberlingo Hospital, 72021 Francavilla Fontana, Italy.

Biology
|June 27, 2024
PubMed

Insights

Novel lung cancer treatments explore programmed cell death (PCD) and immunonutrition. Omega-3 fatty acids and metabolic targeting show promise in enhancing PCD and improving patient outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Lung cancer poses significant therapeutic challenges, with programmed cell death (PCD) pathways playing a critical role in its progression and response to treatment.
  • Dysregulation of apoptosis, autophagy, and programmed necrosis contributes to tumor growth and resistance to therapies.
  • Metabolic reprogramming and immune modulation are key hallmarks of cancer cells offering potential intervention points.

Purpose of the Study:

  • To review the interplay between immunonutrition, metabolic reprogramming, and PCD mechanisms in lung cancer.
  • To highlight the therapeutic potential of targeting these pathways for improved lung cancer management.
  • To explore the role of specific nutrients and compounds in modulating cancer cell death.

Main Methods:

  • Literature review focusing on studies investigating immunonutrition, cancer metabolism, and programmed cell death in lung cancer.
  • Analysis of research on nutritional interventions like omega-3 fatty acids and compounds such as resveratrol.
  • Examination of clinical evidence supporting immunonutritional strategies in lung cancer treatment.

Main Results:

  • Immunonutrition, particularly omega-3 fatty acids, can modulate PCD pathways in lung cancer cells.
  • Targeting cancer cell metabolism offers a promising strategy for inducing apoptosis.
  • Clinical data suggests immunonutritional interventions can enhance PCD and treatment outcomes in lung cancer patients.
  • Resveratrol and similar compounds show potential by influencing apoptotic signaling.

Conclusions:

  • The convergence of immunonutrition, metabolism, and PCD pathways presents a promising area for novel lung cancer therapies.
  • Further research into the molecular mechanisms underlying these interactions is crucial for clinical translation.
  • Integrating nutritional and metabolic strategies could significantly improve lung cancer treatment and patient outcomes.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
510
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,...
5.7K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
3.5K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
7.4K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.5K