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Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
Metabolic Crosstalk Between Host and Tumor as a Circuit of Resilience in Cancer Therapy
Jingwen Wang1, Hongyi Wu2, Tianqi Wang2
1School of Public Health, Capital Medical University, Beijing 100069, China.
Abstract:
Therapeutic resistance in cancer arises not only from intrinsic metabolic plasticity within the tumor, but also from the systemic metabolic state of the host organism. This review advances an integrated framework centered on the metabolic network between the host and tumor to examine how host-related factors-particularly aging, nutrition, and psychological stress-remodel systemic metabolism and thereby influence the efficacy of diverse cancer therapies. We highlight a bidirectional metabolic interplay: host physiology establishes a permissive context for tumor metabolic adaptation, whereas anticancer therapies, in turn, perturb host metabolic homeostasis, accelerating aging and compromising neurocognitive health. Ultimately, we propose that overcoming therapeutic resistance will require strategies that simultaneously target tumor metabolic dependencies and reprogram the host metabolic milieu-a systemic approach poised to redefine precision oncology.
Insights
Cancer treatment resistance is influenced by both tumor and host metabolism. Targeting this host-tumor metabolic network, considering factors like aging and nutrition, is key to improving cancer therapy efficacy and patient outcomes.
Area of Science:
- Oncology
- Metabolic Biology
- Cancer Research
Background:
- Therapeutic resistance in cancer is a complex challenge.
- It stems from both intrinsic tumor metabolic plasticity and the host's systemic metabolic state.
- Host factors significantly influence cancer progression and treatment response.
Purpose of the Study:
- To present an integrated framework of the host-tumor metabolic network.
- To examine how host factors (aging, nutrition, stress) remodel metabolism and affect cancer therapy.
- To explore the bidirectional interplay between host physiology and anticancer therapies.
Main Methods:
- Review of existing literature on cancer metabolism and host-tumor interactions.
- Analysis of how aging, nutrition, and psychological stress impact systemic metabolism.
- Examination of the consequences of anticancer therapies on host metabolic homeostasis.
Main Results:
- Host physiology creates a permissive environment for tumor metabolic adaptation.
- Anticancer therapies disrupt host metabolic homeostasis, potentially accelerating aging and cognitive decline.
- A bidirectional metabolic interplay exists between the host and the tumor.
Conclusions:
- Overcoming therapeutic resistance requires targeting both tumor metabolism and the host metabolic milieu.
- A systemic approach is necessary to redefine precision oncology.
- Integrated strategies addressing host-tumor metabolic interactions are crucial for enhancing cancer treatment efficacy.
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