Is Cancer a Metabolic Disease?

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Is Cancer a Metabolic Disease? Hilary A. Coller  The American Journal of Pathology  Volume 184, Issue 1, Pages 4-17 (January 2014) DOI: 10.1016/j.ajpath.2013.07.035 Copyright © 2014 American Society for Investigative Pathology Terms and Conditions

Figure 1 Cancer metabolism. Scheme shows central carbon metabolism. Metabolic reactions that tend to be faster in tumors are identified in red, whereas reactions that tend to be slower in tumors are identified in green. DHAP, dihydroxyacetone phosphate; GAP, glyceraldehyde 3-phosphate; KG, α-ketoglutarate; OAA, oxaloacetate; PEP, phosphoenolpyruvate. The American Journal of Pathology 2014 184, 4-17DOI: (10.1016/j.ajpath.2013.07.035) Copyright © 2014 American Society for Investigative Pathology Terms and Conditions

Figure 2 Metabolic approaches to treating cancer. Scheme shows some of the compounds being explored as anticancer agents and the metabolic reactions that they target. Red lines indicate inhibition; green lines, activation. BPTES, bis-2-(5-phenylacetamido-1,2,4-thiadiazol-2-yl)ethyl sulfide; DHAP, dihydroxyacetone phosphate; GAP, glyceraldehyde 3-phosphate; GLS, glutamine synthetase; GOT, glutamate oxaloacetate transaminase; HK, hexokinase; MCT, monocarboxylate transporters; OAA, oxaloacetate; PD, pyruvate dehydrogenase; PEP, phosphoenolpyruvate; PK, pyruvate kinase. The American Journal of Pathology 2014 184, 4-17DOI: (10.1016/j.ajpath.2013.07.035) Copyright © 2014 American Society for Investigative Pathology Terms and Conditions

Figure 3 Metabolic effects of oncogenes and tumor suppressors. Scheme shows the metabolic reactions in central carbon metabolism affected by AKT (orange), MYC (blue), HIF (green) and p53 (red). Arrows indicate activation; lines, repression. DHAP, dihydroxyacetone phosphate; GAP, glyceraldehyde 3-phosphate; GDH, glutamate dehydrogenase; GLS, glutamine synthetase; HK, hexokinase; KG, α-ketoglutarate; LDH, lactate dehydrogenase; OAA, oxaloacetate; PEP, phosphoenolpyruvate. The American Journal of Pathology 2014 184, 4-17DOI: (10.1016/j.ajpath.2013.07.035) Copyright © 2014 American Society for Investigative Pathology Terms and Conditions