Metabolic Remodelling: An Accomplice for New Therapeutic Strategies to Fight Lung Cancer
Open accessAbstract
Metabolic remodelling is a hallmark of cancer, however little has been unravelled in its role in chemoresistance, which is a major hurdle to cancer control. Lung cancer is a leading cause of death by cancer, mainly due to the diagnosis at an advanced stage and to the development of resistance to therapy. Targeted therapeutic agents combined with comprehensive drugs are commonly used to treat lung cancer. However, resistance mechanisms are difficult to avoid. In this review, we will address some of those therapeutic regimens, resistance mechanisms that are eventually developed by lung cancer cells, metabolic alterations that have already been described in lung cancer and putative new therapeutic strategies, and the integration of conventional drugs and genetic and metabolic-targeted therapies. The oxidative stress is pivotal in this whole network. A better understanding of cancer cell metabolism and molecular adaptations underlying resistance mechanisms will provide clues to design new therapeutic strategies, including the combination of chemotherapeutic and targeted agents, considering metabolic intervenients. As cancer cells undergo a constant metabolic adaptive drift, therapeutic regimens must constantly adapt.
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There are ongoing efforts to utilize metabolic reprogramming in NSCLC as a therapeutic opportunity.
“There are a lot of ongoing efforts to utilize the process of metabolic reprogramming in Non-Small Cell Lung Cancer (NSCLC) as a therapeutic opportunity [21,22,23,24].”
From 20-Hydroxyecdysone Confers Antioxidant and Antineoplastic Properties in Human Non-Small Cell Lung Cancer Cells (2023) · cites this paper as [21]
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References 233 · Cited by 21
- Authors
- Mendes, C., & Serpa, J.
- Affiliations
- Instituto Português de Oncologia Francisco Gentil (PT)
- Corresponding author
- Serpa, Jacinta
- Venue
- Antioxidants
- Publisher
- MDPI AG
- Published
- 2019-11-29
- Volume
- 8
- Issue
- 12
- Pages
- 603
- ISSN
- 2076-3921 (ISSN-L)
- PMC
- PMC6943435
- OpenAlex
- W2990657115
- Cited by
- 21
- References
- 233
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 1
- Type
- dissertation
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Antioxidants (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Funders
- Ministério da Educação e Ciência (PT 2020)
- Ministério da Ciência, Tecnologia e Ensino Superior (PT2020)
- Ministério da Educação (PT2020)
- Fundação para a Ciência e a Tecnologia (PT2020, iNOVA4Health)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- lung cancer, chemoresistance, oxidative stress, metabolic changes, targeted therapy, combination chemotherapy, cancer metabolism, resistance mechanisms
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