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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.
Abstract:
Tumor metabolic reprogramming is a highly complex process that enables tumor survival in the presence of limited nutrients, involving multiple signaling pathways, non-coding RNAs (ncRNAs), and transcription factors. Lately, glutamine has been found to enhance the growth, spread, and drug resistance of cancer cells, while also fostering an immunosuppressive microenvironment that aids tumor development. However, in some tumors, such as pancreatic cancer and melanoma, additional glutamine can inhibit the proliferation of tumor cells, and this mechanism is closely related to the regulation of the immune microenvironment. Therefore, further exploration of glutamine metabolism in tumors is essential for understanding the pathogenesis of cancer and for developing new metabolically targeted therapies. We systematically review the latest research on the reprogramming of glutamine metabolism and its role of tumor growth, spread, and immune system regulation. Additionally, we review the clinical research progress on targeted glutamine therapies and their application in combination with current anti-tumor treatments. Ultimately, we address the challenges and prospects involved in resistance to anti-cancer strategies aimed at glutamine metabolism.
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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