Pathophysiological Integration of Metabolic Reprogramming in Breast Cancer.

Roberto Corchado-Cobos, Natalia García-Sancha, Marina Mendiburu-Eliçabe, Aurora Gómez-Vecino, Alejandro Jiménez-Navas, Manuel Jesús Pérez-Baena, Marina Holgado-Madruga, Jian-Hua Mao, Javier Cañueto, Sonia Castillo-Lluva, Jesús Pérez-Losada
Author Information
  1. Roberto Corchado-Cobos: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID
  2. Natalia García-Sancha: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID
  3. Marina Mendiburu-Eliçabe: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain.
  4. Aurora Gómez-Vecino: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain.
  5. Alejandro Jiménez-Navas: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID
  6. Manuel Jesús Pérez-Baena: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID
  7. Marina Holgado-Madruga: Instituto de Investigación Biosanitaria de Salamanca (IBSAL), 37007 Salamanca, Spain.
  8. Jian-Hua Mao: Biological Systems and Engineering Division, Lawrence Berkeley National Laboratory, Berkeley, CA 94720, USA. ORCID
  9. Javier Cañueto: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID
  10. Sonia Castillo-Lluva: Departamento de Bioquímica y Biología Molecular, Facultad de Ciencias Químicas, Universidad Complutense, 28040 Madrid, Spain. ORCID
  11. Jesús Pérez-Losada: Instituto de Biología Molecular y Celular del Cáncer (IBMCC-CIC), Universidad de Salamanca/CSIC, 37007 Salamanca, Spain. ORCID

Abstract

Metabolic changes that facilitate tumor growth are one of the hallmarks of cancer. The triggers of these metabolic changes are located in the tumor parenchymal cells, where oncogenic mutations induce an imperative need to proliferate and cause tumor initiation and progression. Cancer cells undergo significant metabolic reorganization during disease progression that is tailored to their energy demands and fluctuating environmental conditions. Oxidative stress plays an essential role as a trigger under such conditions. These metabolic changes are the consequence of the interaction between tumor cells and stromal myofibroblasts. The metabolic changes in tumor cells include protein anabolism and the synthesis of cell membranes and nucleic acids, which all facilitate cell proliferation. They are linked to catabolism and autophagy in stromal myofibroblasts, causing the release of nutrients for the cells of the tumor parenchyma. Metabolic changes lead to an interstitium deficient in nutrients, such as glucose and amino acids, and acidification by lactic acid. Together with hypoxia, they produce functional changes in other cells of the tumor stroma, such as many immune subpopulations and endothelial cells, which lead to tumor growth. Thus, immune cells favor tissue growth through changes in immunosuppression. This review considers some of the metabolic changes described in breast cancer.

Keywords

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Grants

  1. PID2020-118527RB-I00/Ministerio de Ciencia e Innovación
  2. PDC2021-121735-I00/Ministerio de Ciencia e Innovación
  3. PIE14/00066/Carlos III Health Institute
  4. CSI234P18/Regional Government of Castile and León
  5. CSI144P20/Regional Government of Castile and León
  6. RTI2018-094130-B-100/Ministerio de Ciencia e Innovación
  7. SAF2014-56989-R/Ministerio de Economía, Industria y Competitividad
  8. SAF2017-88854R/Ministerio de Economía, Industria y Competitividad
  9. GRS2139/A/20/Gerencia Regional de Salud de Castilla y León
  10. PI18/00587/Instituto de Salud Carlos III
  11. PI21/01207/Instituto de Salud Carlos III

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