It has been long recognized that cancer cells reprogram their metabolism under hypoxia conditions due to a shift from oxidative phosphorylation (OXPHOS) to glycolysis in order to meet elevated requirements in energy and nutrients for proliferation, migration, and survival. However, data accumulated over recent years has increasingly provided evidence that cancer cells can revert from glycolysis to OXPHOS and maintain both reprogrammed and oxidative metabolism, even in the same tumor. This phenomenon, denoted as cancer cell metabolic plasticity or hybrid metabolism, depends on a tumor micro-environment that is highly heterogeneous and influenced by an intensity of vasculature and blood flow, oxygen concentration, and nutrient and energy supply, and requires regulatory interplay between multiple oncogenes, transcription factors, growth factors, and reactive oxygen species (ROS), among others. Hypoxia-inducible factor-1 (HIF-1) and AMP-activated protein kinase (AMPK) represent key modulators of a switch between reprogrammed and oxidative metabolism. The present review focuses on cross-talks between HIF-1, glucose transporters (GLUTs), and AMPK with other regulatory proteins including oncogenes such as c-Myc, p53, and KRAS; growth factor-initiated protein kinase B (PKB)/Akt, phosphatydyl-3-kinase (PI3K), and mTOR signaling pathways; and tumor suppressors such as liver kinase B1 (LKB1) and TSC1 in controlling cancer cell metabolism. The multiple switches between metabolic pathways can underlie chemo-resistance to conventional anti-cancer therapy and should be taken into account in choosing molecular targets to discover novel anti-cancer drugs.

译文

长期以来,人们已经认识到,由于从氧化磷酸化 (OXPHOS) 向糖酵解的转变,癌细胞在缺氧条件下重新编程其代谢,以满足对增殖,迁移和存活的能量和营养的更高需求。然而,近年来积累的数据越来越多地提供证据表明,即使在同一肿瘤中,癌细胞也可以从糖酵解恢复为OXPHOS,并维持重编程和氧化代谢。这种现象表示为癌细胞代谢可塑性或混合代谢,取决于高度异质性的肿瘤微环境,并受脉管系统和血流强度,氧气浓度以及营养和能量供应的影响,并且需要多种癌基因,转录因子,生长因子之间的调节相互作用,和活性氧 (ROS) 等。缺氧诱导因子-1 (HIF-1) 和AMP激活的蛋白激酶 (AMPK) 代表了重编程和氧化代谢之间切换的关键调节剂。本综述着重于HIF-1,葡萄糖转运蛋白 (glut) 和AMPK与其他调节蛋白 (包括癌基因,如c-Myc,p53和KRAS) 之间的相互作用; 生长因子启动的蛋白激酶B (PKB)/Akt,phosphatydyl-3-kinase (PI3K) 和mTOR信号通路; 以及诸如肝激酶B1 (LKB1) 和TSC1等肿瘤抑制剂在控制癌细胞代谢中的作用。代谢途径之间的多重转换可能是对常规抗癌治疗的化学耐药性的基础,在选择分子靶标以发现新型抗癌药物时应予以考虑。

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