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靶向癌细胞中的脂肪酸摄取与代谢:一种有前景的癌症治疗策略。

Targeting fatty acid uptake and metabolism in cancer cells: A promising strategy for cancer treatment.

作者信息

Mallick Rahul, Bhowmik Prasenjit, Duttaroy Asim K

机构信息

A.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Finland.

Department of Chemistry, Uppsala Biomedical Centre, Uppsala University, Sweden.

出版信息

Biomed Pharmacother. 2023 Nov;167:115591. doi: 10.1016/j.biopha.2023.115591. Epub 2023 Sep 27.

Abstract

Despite scientific development, cancer is still a fatal disease. The development of cancer is thought to be significantly influenced by fatty acids. Several mechanisms that control fatty acid absorption and metabolism are reported to be altered in cancer cells to support their survival. Cancer cells can use de novo synthesis or uptake of extracellular fatty acid if one method is restricted. This factor makes it more difficult to target one pathway while failing to treat the disease properly. Side effects may also arise if several inhibitors simultaneously target many targets. If a viable inhibitor could work on several routes, the number of negative effects might be reduced. Comparative investigations against cell viability have found several potent natural and manmade substances. In this review, we discuss the complex roles that fatty acids play in the development of tumors and the progression of cancer, newly discovered and potentially effective natural and synthetic compounds that block the uptake and metabolism of fatty acids, the adverse side effects that can occur when multiple inhibitors are used to treat cancer, and emerging therapeutic approaches.

摘要

尽管科学不断发展,但癌症仍然是一种致命疾病。人们认为脂肪酸对癌症的发展有显著影响。据报道,癌细胞中几种控制脂肪酸吸收和代谢的机制发生了改变,以支持其存活。如果一种方法受到限制,癌细胞可以利用从头合成或摄取细胞外脂肪酸。这一因素使得针对一条途径进行治疗而又无法妥善治疗该疾病变得更加困难。如果几种抑制剂同时作用于多个靶点,也可能会产生副作用。如果一种可行的抑制剂能够作用于多条途径,那么负面影响的数量可能会减少。针对细胞活力的比较研究已经发现了几种有效的天然和人造物质。在这篇综述中,我们讨论了脂肪酸在肿瘤发生和癌症进展中所起的复杂作用、新发现的以及可能有效的阻断脂肪酸摄取和代谢的天然和合成化合物、使用多种抑制剂治疗癌症时可能出现的不良副作用,以及新兴的治疗方法。

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