Li Juan, Ping Pengbin, Li Yanhua, Xu Xiaoying
Department of Radiotherapy Oncology, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China.
Department of International Medical, the Second Affiliated Hospital of Dalian Medical University, Dalian 116023, China.
Chin J Cancer Res. 2024 Dec 30;36(6):652-668. doi: 10.21147/j.issn.1000-9604.2024.06.05.
Lipid metabolic reprogramming is considered one of the most prominent metabolic abnormalities in cancer, and fatty acid metabolism is a key aspect of lipid metabolism. Recent studies have shown that fatty acid metabolism and its related lipid metabolic pathways play important roles in the malignant progression of nasopharyngeal carcinoma (NPC). NPC cells adapt to harsh environments by enhancing biological processes such as fatty acid metabolism, uptake, production, and oxidation, thereby accelerating their growth. In addition, the reprogramming of fatty acid metabolism plays a central role in the tumor microenvironment (TME) of NPC, and the phenotypic transformation of immune cells is closely related to fatty acid metabolism. Moreover, the reprogramming of fatty acid metabolism in NPC contributes to immune escape, which significantly affects disease treatment, progression, recurrence, and metastasis. This review explores recent advances in fatty acid metabolism in NPC and focuses on the interconnections among metabolic reprogramming, tumor immunity, and corresponding therapies. In conclusion, fatty acid metabolism represents a potential target for NPC treatment, and further exploration is needed to develop strategies that target the interaction between fatty acid metabolic reprogramming and immunotherapy.
脂质代谢重编程被认为是癌症中最显著的代谢异常之一,而脂肪酸代谢是脂质代谢的一个关键方面。最近的研究表明,脂肪酸代谢及其相关的脂质代谢途径在鼻咽癌(NPC)的恶性进展中起重要作用。NPC细胞通过增强脂肪酸代谢、摄取、产生和氧化等生物学过程来适应恶劣环境,从而加速其生长。此外,脂肪酸代谢重编程在NPC的肿瘤微环境(TME)中起核心作用,免疫细胞的表型转化与脂肪酸代谢密切相关。而且,NPC中脂肪酸代谢重编程有助于免疫逃逸,这显著影响疾病的治疗、进展、复发和转移。本综述探讨了NPC中脂肪酸代谢的最新进展,并重点关注代谢重编程、肿瘤免疫和相应治疗之间的相互联系。总之,脂肪酸代谢是NPC治疗的一个潜在靶点,需要进一步探索以制定针对脂肪酸代谢重编程与免疫治疗之间相互作用的策略。