Glutamine's double-edged sword: fueling tumor growth and offering therapeutic hope

Liguang Fang1, Dandan Gao2, Zuomin Jiang2

  • 1College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.

PubMed

Insights

Tumor cells reprogram glutamine metabolism for survival and immune evasion. Targeting glutamine metabolism offers new cancer therapies, but challenges like resistance remain.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Immunology

Background:

  • Tumor metabolic reprogramming is crucial for cancer cell survival under nutrient stress.
  • Glutamine metabolism reprogramming enhances tumor growth, metastasis, and drug resistance.
  • Glutamine metabolism also influences the tumor immune microenvironment, with dual roles in cancer progression.

Purpose of the Study:

  • To systematically review the latest research on glutamine metabolism reprogramming in tumors.
  • To explore the role of glutamine metabolism in tumor growth, spread, and immune regulation.
  • To examine clinical progress and challenges in targeted glutamine therapies for cancer.

Main Methods:

  • Systematic literature review of recent studies on glutamine metabolism in cancer.
  • Analysis of research on glutamine's impact on tumor growth, metastasis, and immune microenvironment.
  • Review of clinical trials and research on glutamine-targeted therapies and resistance mechanisms.

Main Results:

  • Glutamine metabolism reprogramming is a key hallmark of cancer, affecting tumor progression and immune evasion.
  • While often promoting cancer, glutamine can inhibit proliferation in specific cancers (e.g., pancreatic cancer, melanoma) by modulating the immune microenvironment.
  • Targeted glutamine therapies show promise but face challenges related to treatment resistance.

Conclusions:

  • Understanding glutamine metabolism reprogramming is vital for cancer pathogenesis and developing novel therapies.
  • Targeting glutamine metabolism represents a promising therapeutic strategy, often in combination with existing treatments.
  • Addressing resistance mechanisms is crucial for the successful clinical application of glutamine-targeted cancer therapies.

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