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.

Life (Basel, Switzerland)
|October 29, 2025
PubMed

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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