Altered metabolism in cancer: insights into energy pathways and therapeutic targets
Open accessAbstract
Cancer cells undergo significant metabolic reprogramming to support their rapid growth and survival. This study examines important metabolic pathways like glycolysis, oxidative phosphorylation, glutaminolysis, and lipid metabolism, focusing on how they are regulated and their contributions to the development of tumors. The interplay between oncogenes, tumor suppressors, epigenetic modifications, and the tumor microenvironment in modulating these pathways is examined. Furthermore, we discuss the therapeutic potential of targeting cancer metabolism, presenting inhibitors of glycolysis, glutaminolysis, the TCA cycle, fatty acid oxidation, LDH, and glucose transport, alongside emerging strategies targeting oxidative phosphorylation and lipid synthesis. Despite the promise, challenges such as metabolic plasticity and the need for combination therapies and robust biomarkers persist, underscoring the necessity for continued research in this dynamic field.
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Malignant cells exhibit a metabolic phenotype characterized by increased glycolysis, even under aerobic conditions.
“It is well established that malignant cells exhibit a metabolic phenotype characterized by increased glycolysis, even under aerobic conditions (22).”
From Bioinformatics-based identification of glycolysis-related signatures associated with drug resistance and prognosis in lung adenocarcinoma (2026) · cites this paper as [22]
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Metabolic reprogramming: The driving force behind cancer drug resistance
El-Sehrawy, A. A. M. A., Hsu, C.-Y., Alkhathami, A. G., Chandra, M., Basunduwah, T. S., Malathi, H., Senapati, J. N., Gautam, A., Kadhem, M., & Yasin, H. A. (2025) · Seminars in Oncology · doi:10.1016/j.seminoncol.2025.152392 · Cited by 11 · see citing works
Zheng, Q., Liu, Y., Li, T., Zhang, X., Geng, Y., Chen, Z., Zhou, J., Fan, W., Wang, Y., Zhang, L., et al. (2026) · Frontiers in Oncology · doi:10.3389/fonc.2026.1871582
“It is well established that malignant cells exhibit a metabolic phenotype characterized by increased glycolysis, even under aerobic conditions (22).”
- Authors
- Tufail, M., Jiang, C.-H., & Li, N.
- Affiliations
- Central South University (CN)
- Corresponding author
- Tufail, Muhammad
- Li, Ning
- Venue
- Molecular Cancer
- Published
- 2024-09-18
- Volume
- 23
- Issue
- 1
- Pages
- 203-203
- ISSN
- 1476-4598 (ISSN-L)
- PMC
- PMC11409553
- OpenAlex
- W4402639721
- Cited by
- 534
- References
- 23
- Citations by year
- 2026: 276 · 2025: 252 · 2024: 6
- FWCI
- 26.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecular Cancer (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Sciences Foundation of China (82170974)
- Central South University Research Program of Advanced Interdisciplinary Studies (2023QYJC038)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Keywords
- cancer metabolism, metabolic reprogramming, glycolysis, oxidative phosphorylation, glutaminolysis, lipid metabolism, TCA cycle, fatty acid oxidation, lactate dehydrogenase, glucose transport, oncogenes, tumor suppressor, epigenetic modifications, tumor microenvironment, metabolic therapy, metabolic plasticity, combination therapy, biomarkers
- MeSH terms
- Animals, Antineoplastic Agents, Energy Metabolism, Glycolysis, Humans, Neoplasms, Oxidative Phosphorylation, Lipid Metabolism, Metabolic Networks and Pathways, Molecular Targeted Therapy, Tumor Microenvironment
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