Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target

Abnormal energy metabolism is one of the ten hallmarks of tumors, and tumor cell metabolism provides energy and a suitable microenvironment for tumorigenesis and metastasis. Tumor cells can consume large amounts of glucose and produce large amounts of lactate through glycolysis even in the presence...

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Main Authors: Weimei Xing, Xiaowei Li, Yuli Zhou, Mengsen Li, Mingyue Zhu
Format: Article
Language:English
Published: Open Exploration Publishing Inc. 2023-08-01
Series:Exploration of Medicine
Subjects:
Online Access:https://www.explorationpub.com/Journals/em/Article/1001160
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author Weimei Xing
Xiaowei Li
Yuli Zhou
Mengsen Li
Mingyue Zhu
author_facet Weimei Xing
Xiaowei Li
Yuli Zhou
Mengsen Li
Mingyue Zhu
author_sort Weimei Xing
collection DOAJ
description Abnormal energy metabolism is one of the ten hallmarks of tumors, and tumor cell metabolism provides energy and a suitable microenvironment for tumorigenesis and metastasis. Tumor cells can consume large amounts of glucose and produce large amounts of lactate through glycolysis even in the presence of oxygen, a process called aerobic glycolysis, also known as the Warburg effect. Lactate is the end product of the aerobic glycolysis. Lactate dehydrogenase A (LDHA), which is highly expressed in cancer cells, promotes lactate production and transports lactate to the tumor microenvironment and is taken up by surrounding stromal cells under the action of monocarboxylate transporter 1/4 (MCT1/4), which in turn influences the immune response and enhances the invasion and metastasis of cancer cells. Therapeutic strategies targeting lactate metabolism have been intensively investigated, focusing on its metastasis-promoting properties and various target inhibitors; AZD3965, an MCT1 inhibitor, has entered phase I clinical trials, and the LDHA inhibitor N-hydroxyindole (NHI) has shown cancer therapeutic activity in pre-clinical studies. Interventions targeting lactate metabolism are emerging as a promising option for cancer therapy, with chemotherapy or radiotherapy combined with lactate-metabolism-targeted drugs adding to the effectiveness of cancer treatment. Based on current research, this article outlines the role of lactate metabolism in tumor metastasis and the potential value of inhibitors targeting lactate metabolism in cancer therapy.
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spelling doaj.art-404b70041f43494fbf7aa1979c67c2062023-09-06T08:01:59ZengOpen Exploration Publishing Inc.Exploration of Medicine2692-31062023-08-014454155910.37349/emed.2023.00160Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic targetWeimei Xing0https://orcid.org/0009-0000-3808-4471Xiaowei Li1https://orcid.org/0009-0003-9124-6208Yuli Zhou2https://orcid.org/0009-0007-1815-826XMengsen Li3https://orcid.org/0000-0003-2512-0386Mingyue Zhu4https://orcid.org/0000-0001-5997-4991Hainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical University, Haikou 571199, Hainan, ChinaHainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical University, Haikou 571199, Hainan, ChinaHainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical University, Haikou 571199, Hainan, ChinaHainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical University, Haikou 571199, Hainan, China; Department of Medical Oncology, Second Affiliated Hospital, Hainan Medical University, Haikou 570311, Hainan, China; Institution of Tumour, First Affiliated Hospital, Hainan Medical University, Haikou 570102, Hainan, ChinaHainan Provincial Key Laboratory of Carcinogenesis and Intervention, Hainan Medical University, Haikou 571199, Hainan, ChinaAbnormal energy metabolism is one of the ten hallmarks of tumors, and tumor cell metabolism provides energy and a suitable microenvironment for tumorigenesis and metastasis. Tumor cells can consume large amounts of glucose and produce large amounts of lactate through glycolysis even in the presence of oxygen, a process called aerobic glycolysis, also known as the Warburg effect. Lactate is the end product of the aerobic glycolysis. Lactate dehydrogenase A (LDHA), which is highly expressed in cancer cells, promotes lactate production and transports lactate to the tumor microenvironment and is taken up by surrounding stromal cells under the action of monocarboxylate transporter 1/4 (MCT1/4), which in turn influences the immune response and enhances the invasion and metastasis of cancer cells. Therapeutic strategies targeting lactate metabolism have been intensively investigated, focusing on its metastasis-promoting properties and various target inhibitors; AZD3965, an MCT1 inhibitor, has entered phase I clinical trials, and the LDHA inhibitor N-hydroxyindole (NHI) has shown cancer therapeutic activity in pre-clinical studies. Interventions targeting lactate metabolism are emerging as a promising option for cancer therapy, with chemotherapy or radiotherapy combined with lactate-metabolism-targeted drugs adding to the effectiveness of cancer treatment. Based on current research, this article outlines the role of lactate metabolism in tumor metastasis and the potential value of inhibitors targeting lactate metabolism in cancer therapy.https://www.explorationpub.com/Journals/em/Article/1001160lactate metabolismmetastasislactate dehydrogenase amonocarboxylate transporters
spellingShingle Weimei Xing
Xiaowei Li
Yuli Zhou
Mengsen Li
Mingyue Zhu
Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
Exploration of Medicine
lactate metabolism
metastasis
lactate dehydrogenase a
monocarboxylate transporters
title Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
title_full Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
title_fullStr Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
title_full_unstemmed Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
title_short Lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
title_sort lactate metabolic pathway regulates tumor cell metastasis and its use as a new therapeutic target
topic lactate metabolism
metastasis
lactate dehydrogenase a
monocarboxylate transporters
url https://www.explorationpub.com/Journals/em/Article/1001160
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AT yulizhou lactatemetabolicpathwayregulatestumorcellmetastasisanditsuseasanewtherapeutictarget
AT mengsenli lactatemetabolicpathwayregulatestumorcellmetastasisanditsuseasanewtherapeutictarget
AT mingyuezhu lactatemetabolicpathwayregulatestumorcellmetastasisanditsuseasanewtherapeutictarget