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A hormetic response model for glutamine stress in cancer
Shea F Grenier1, Cosimo Commisso1
1Cancer Metabolism and Microenvironment Program, NCI-Designated Cancer Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, USA.
Abstract:
Glutamine metabolism supports the development and progression of many cancers and is considered a therapeutic target. Attempts to inhibit glutamine metabolism have resulted in limited success and have not translated into clinical benefit. The outcomes of these clinical studies, along with preclinical investigations, suggest that cellular stress responses to glutamine deprivation or targeting may be modeled as a biphasic hormetic response. By recognizing the multifaceted aspects of glutamine metabolism inhibition within a more comprehensive biological framework, the adoption of this model may guide future fundamental and translational studies. To achieve clinical efficacy, we posit that as a field we will need to anticipate the hormetic effects of glutamine stress and consider how best to co-target cancer cell adaptive mechanisms.
Insights
Targeting cancer
Area of Science:
- Oncology
- Cancer Metabolism
- Cellular Biology
Background:
- Glutamine metabolism is crucial for cancer development and progression.
- Current glutamine metabolism inhibitors show limited clinical success.
- Cancer cells exhibit stress responses to glutamine targeting.
Purpose of the Study:
- To propose a new model for understanding cancer cell responses to glutamine metabolism inhibition.
- To guide future research towards more effective cancer therapies.
- To address the limited clinical benefit of current glutamine-targeting strategies.
Main Methods:
- Review of clinical studies on glutamine metabolism inhibitors.
- Analysis of preclinical investigations into cancer cell stress responses.
- Conceptual modeling of cellular responses as a biphasic hormetic effect.
Main Results:
- Glutamine deprivation or targeting can induce biphasic hormetic responses in cancer cells.
- Existing therapeutic strategies may not fully account for these adaptive mechanisms.
- A deeper understanding of hormesis is needed for effective cancer treatment.
Conclusions:
- A biphasic hormetic response model can explain observed outcomes of glutamine metabolism inhibition.
- Future cancer therapies should anticipate and counteract hormetic effects.
- Co-targeting cancer adaptive mechanisms alongside glutamine metabolism is essential for clinical efficacy.
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