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Translating Metabolic Interventions into Breast Cancer Therapy: A Comprehensive Review
Luxi Chen1, Stephen L Shiao2, Yuan Yuan1
1Department of Medicine, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Abstract:
Breast cancer remains a leading cause of morbidity and mortality in women worldwide. Despite significant advances in targeted therapies, therapeutic resistance, metabolic toxicities, and disease recurrence continue to limit long-term efficacy. Metabolic syndrome is a major epidemiologic risk factor for the development of breast cancer, with metabolic dysregulation strongly linked to tumor progression, recurrence, and mortality. Crosstalk between insulin and insulin-like growth factor (IGF) signaling and oncogenic pathways such as PI3K/AKT/mTOR provides a mechanistic basis for these associations, highlighting the interplay between metabolism and tumor biology. Given this context, anti-diabetic and anti-obesity agents are being investigated as novel therapeutic strategies in breast cancer. Beyond their established metabolic benefits, these agents can directly modulate tumor cell growth, immune responses, and signaling pathways central to breast cancer pathogenesis. In this review, we summarize the current knowledge on the intersection of metabolic dysregulation and breast cancer as well as critically evaluate preclinical and clinical evidence supporting the use of metabolic therapies in this space.
Insights
Metabolic dysregulation is linked to breast cancer progression and recurrence. Anti-diabetic and anti-obesity drugs show promise as novel breast cancer therapies by targeting metabolic pathways and tumor growth.
Area of Science:
- Oncology
- Metabolic Syndrome
- Pharmacology
Background:
- Breast cancer is a major global health concern with limited long-term efficacy of current therapies.
- Therapeutic resistance, metabolic toxicities, and recurrence remain significant challenges.
- Metabolic syndrome and dysregulation are key risk factors for breast cancer development, progression, and mortality.
Purpose of the Study:
- To review the intersection of metabolic dysregulation and breast cancer.
- To evaluate preclinical and clinical evidence for metabolic therapies in breast cancer treatment.
Main Methods:
- Literature review of current knowledge.
- Critical evaluation of preclinical and clinical studies.
- Analysis of signaling pathways (e.g., insulin/IGF, PI3K/AKT/mTOR) linking metabolism and cancer.
Main Results:
- Metabolic dysregulation is strongly associated with breast cancer progression, recurrence, and mortality.
- Anti-diabetic and anti-obesity agents demonstrate potential beyond metabolic benefits.
- These agents can directly impact tumor cell growth, immune responses, and key oncogenic pathways.
Conclusions:
- Metabolic syndrome and dysregulation are critical factors in breast cancer.
- Metabolic therapies, including anti-diabetic and anti-obesity agents, represent a promising novel therapeutic strategy.
- Further research and clinical evaluation are warranted to integrate metabolic therapies into breast cancer treatment paradigms.
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