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Mapping metabolic reprogramming in lung and breast cancer through integrative bioinformatics
Nosayba Al-Damook1,2, Molham Sakkal1,2, Mostafa Khair3
1College of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates.
Abstract:
Metabolic reprogramming is central to cancer biology, enabling tumor cells to sustain rapid proliferation, resist stress, and adapt to therapy. However, these alterations are highly heterogeneous across cancer types, and current treatments rarely exploit subtype-specific metabolic vulnerabilities. To address this gap, we developed a unified bioinformatics framework that integrates transcriptomic profiling (UALCAN), drug-gene interactions (DGIdb), gene-disease associations (Open Targets), pathway enrichment (Enrichr), and protein-protein interaction networks (STRING/Cytoscape). This pipeline was applied to lung adenocarcinoma (LUAD), lung squamous cell carcinoma (LSCC), breast cancer (BRCA), and metastatic breast tumors (MET500) to uncover cancer type-specific metabolic programs and prioritize translational targets. Our analysis revealed distinct signatures: LUAD showed glycolytic activation, LSCC coupled glycolysis with oxidative phosphorylation, BRCA favored anabolic and lipogenic pathways, and MET500 tumors adopted stress-adaptive states with elevated antioxidant and autophagy programs. Integration of pharmacological evidence highlighted clinically actionable interactions between metabolic genes and FDA-approved drugs, including ASNS-asparaginase, DHODH-teriflunomide, and G6PD-rasburicase. Gene-disease associations further prioritized G6PD, SLC2A1, and TK1 as robust targets strongly linked to lung and breast cancers. Pathway enrichment pinpointed the pentose phosphate pathway, pyrimidine metabolism, and glutathione metabolism as conserved axes sustaining tumor survival, while network analysis positioned the G6PD-PGD hub as a central metabolic node connecting glucose uptake, redox balance, and nucleotide biosynthesis. To place these bioinformatics-derived findings within a functional and clinical context, we complemented the computational analyses with patient survival assessment, clinical trial screening, and targeted literature appraisal. Survival analysis demonstrated cancer type-specific prognostic relevance for selected metabolic genes, while clinical and literature-based screening revealed both ongoing translational efforts and substantial gaps between computational target prioritization and experimental or clinical validation. This integrative analysis shows that cancer metabolism is altered in subtype-specific ways that can be systematically mapped to reveal potential therapeutic targets. By linking transcriptomic evidence with drug-gene interactions and clinical context, this framework provides a scalable approach for cancer metabolism research and supports the prioritization of pathways with potential translational relevance.
Insights
Cancer cells reprogram metabolism differently depending on the tumor type, creating unique vulnerabilities. Our bioinformatics framework identifies these subtype-specific metabolic targets, linking them to drugs for potential new cancer therapies.
Area of Science:
- Oncology
- Bioinformatics
- Metabolic Engineering
Background:
- Metabolic reprogramming is a hallmark of cancer, crucial for tumor growth, stress resistance, and therapeutic adaptation.
- Significant heterogeneity exists in cancer metabolism across different tumor types, limiting the effectiveness of current treatments that do not target subtype-specific vulnerabilities.
Purpose of the Study:
- To develop and apply a unified bioinformatics framework for identifying cancer type-specific metabolic vulnerabilities.
- To prioritize potential therapeutic targets by integrating transcriptomic data, drug-gene interactions, gene-disease associations, pathway enrichment, and network analysis.
Main Methods:
- Integrated transcriptomic profiling (UALCAN), drug-gene interactions (DGIdb), gene-disease associations (Open Targets), pathway enrichment (Enrichr), and protein-protein interaction networks (STRING/Cytoscape).
- Applied the pipeline to lung adenocarcinoma (LUAD), lung squamous cell carcinoma (LSCC), breast cancer (BRCA), and metastatic breast tumors (MET500).
- Complemented computational findings with patient survival analysis, clinical trial screening, and literature review.
Main Results:
- Identified distinct metabolic signatures for LUAD (glycolysis), LSCC (glycolysis + oxidative phosphorylation), BRCA (anabolic/lipogenic), and MET500 (stress-adaptive).
- Highlighted actionable drug-metabolic gene interactions (e.g., ASNS-asparaginase, DHODH-teriflunomide, G6PD-rasburicase) and prioritized key targets like G6PD, SLC2A1, and TK1.
- Revealed the pentose phosphate pathway, pyrimidine metabolism, and glutathione metabolism as critical for tumor survival, with G6PD-PGD as a central metabolic node.
Conclusions:
- Cancer metabolism is highly subtype-specific, offering opportunities for targeted therapies.
- The developed bioinformatics framework systematically maps these metabolic alterations, prioritizing targets with translational potential.
- Bridging computational predictions with clinical data is essential for advancing cancer metabolism-based therapeutics.
