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The ATF4-glutamine axis: a central node in cancer metabolism, stress adaptation, and therapeutic targeting
1The Second Affiliated Hospital of Dalian Medical University Thoracic surgery, DaLian, Liaoning, PR China.
Abstract:
At the center of tumor(neoplasm) metabolic adaptation lies activating transcription factor 4 (ATF4), a key regulator that orchestrates Glutamine (Gln) uptake, utilization, and redox balance under conditions of nutrient deprivation and oxidative stress. This review explores how ATF4 integrates environmental and cellular stress signals to drive Gln metabolic processes, enabling tumor survival, metabolic reprogramming, and immune evasion. The ATF4-Gln axis emerges as a pivotal vulnerability in cancer metabolic processes. Preclinical studies of small-molecule inhibitors and synthetic derivatives disrupting this pathway show promising results. Understanding the intricate interplay between ATF4, Gln metabolic processes, and cancer progression provides valuable insights for novel therapeutic strategies. Future research must address tumor heterogeneity and metabolic flexibility to fully harness the potential of ATF4-centered therapies. However, challenges such as off-target effects of ATF4 inhibitors and metabolic plasticity in tumors remain critical barriers. Future studies integrating multi-omics approaches and AI-driven drug discovery are warranted to overcome these hurdles.
Insights
Activating transcription factor 4 (ATF4) drives cancer cell survival by regulating Glutamine (Gln) metabolism. Targeting the ATF4-Gln axis offers a promising therapeutic strategy for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Metabolic Pathways
Background:
- Activating transcription factor 4 (ATF4) is a central regulator of tumor metabolic adaptation.
- ATF4 controls Glutamine (Gln) uptake, utilization, and redox balance during nutrient deprivation and oxidative stress.
Purpose of the Study:
- To review the role of ATF4 in integrating stress signals to regulate Gln metabolism in cancer.
- To highlight the ATF4-Gln axis as a potential therapeutic vulnerability.
Main Methods:
- Literature review of preclinical studies on ATF4 and Gln metabolism in cancer.
- Analysis of ATF4's role in tumor survival, metabolic reprogramming, and immune evasion.
Main Results:
- The ATF4-Gln axis is crucial for tumor survival and metabolic adaptation.
- Preclinical inhibitors targeting this pathway show therapeutic promise.
- Understanding this axis provides insights into novel cancer therapies.
Conclusions:
- The ATF4-Gln axis represents a significant vulnerability in cancer metabolism.
- Targeting ATF4 offers potential for novel therapeutic strategies.
- Future research should address tumor heterogeneity and plasticity for effective ATF4-centered therapies.
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