Abstract

Metabolic reprogramming has been suggested as a hallmark of cancer progression. Metabolomic analysis of various metabolic profiles represents a powerful and technically feasible method to monitor dynamic changes in tumor metabolism and response to treatment over the course of the disease. To date, numerous original studies have highlighted the application of metabolomics to various aspects of tumor metabolic reprogramming research. In this review, we summarize how metabolomics techniques can help understand the effects that changes in the metabolic profile of the tumor microenvironment on the three major metabolic pathways of tumors. Various non-invasive biofluids are available that produce accurate and useful clinical information on tumor metabolism to identify early biomarkers of tumor development. Similarly, metabolomics can predict individual metabolic differences in response to tumor drugs, assess drug efficacy, and monitor drug resistance. On this basis, we also discuss the application of stable isotope tracer technology as a method for the study of tumor metabolism, which enables the tracking of metabolite activity in the body and deep metabolic pathways. We summarize the multifaceted application of metabolomics in cancer metabolic reprogramming to reveal its important role in cancer development and treatment.

Highlights

  • In recent years, metabolism, as an important link between environmental factors, metabolic small molecules, host genes and diseases, has gained increasing interest regarding its relationship with tumors

  • In a study that investigated significant metabolomic changes in plasma in the early and late stages of 4T1 metastatic breast cancer in mice, the plasma arginine concentration was higher during the early stage of metastasis but gradually decreased, and the urine-arginine/arginine ratio increased in the late stages (Kus et al, 2018)

  • The biomarker signature could be identified as a differential diagnosis between pancreatic ductal adenocarcinoma (PDAC) and chronic pancreatitis (CP)

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Summary

Recent Metabolomics Analysis in Tumor Metabolism Reprogramming

Reviewed by: Stefana Cacciatore, International Centre for Genetic Engineering and Biotechnology (ICGEB), South Africa Christos K. Metabolomic analysis of various metabolic profiles represents a powerful and technically feasible method to monitor dynamic changes in tumor metabolism and response to treatment over the course of the disease. We summarize how metabolomics techniques can help understand the effects that changes in the metabolic profile of the tumor microenvironment on the three major metabolic pathways of tumors. Metabolomics can predict individual metabolic differences in response to tumor drugs, assess drug efficacy, and monitor drug resistance. On this basis, we discuss the application of stable isotope tracer technology as a method for the study of tumor metabolism, which enables the tracking of metabolite activity in the body and deep metabolic pathways.

INTRODUCTION
Metabolomics in Tumor Metabolism Reprogramming
METABOLOMICS ANALYSIS OF THE THREE MAJOR METABOLIC PATHWAYS OF TUMOR
Glucose Metabolism Reprogramming in Cancer Progression
Lipid Metabolic Reprogramming in Cancer Cells
Amino Acid Metabolism Reprogramming in Tumor Growth
METABOLOMIC MARKERS IN CANCER PROGRESSION
Breast cancer
Ovarian cancer
TCA cycle of glucose metabolism
Fatty acid and carnitine metabolism
Malignant gliomas
Fatty acid and glucose metabolism
Polyamines and amino acid metabolism
Polyamine metabolism
Metabolites from the aerobic glycolysis
Amino acids and citrate metabolism
Blood Biomarkers
Urine Biomarkers
Salivary Biomarkers
Cerebrospinal Fluid Biomarkers
Application of Metabolomics in the Evaluation of Tumor Drug Efficacy
Application of Metabolomics in the Evaluation of Drug Resistance in Cancer
METABOLIC FLUX ANALYSIS AND FLUXOMICS IN CANCER METABOLISM EXPLORATIONS
Findings
SUMMARY AND FUTURE DIRECTIONS
Full Text
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