title: Expanding the view of breast cancer metabolism: Promising molecular targets and therapeutic opportunities.
abstract: The changes in breast cancer cells that contribute to tumor evolution, heterogeneity, metastasis and ultimately drug resistance are shaped by numerous genetic changes including alterations in cellular metabolism. These include intermediary metabolic pathways such as glycolysis, the citric acid cycle oxidative phosphorylation, amino acid synthesis and lipid metabolism. However, cancer cells also exhibit key alterations in other metabolic pathways involved in drug metabolism such as cytochrome P450 enzymes, sulfotransferase and steroid sulfatases that are involved in the synthesis of estrogens and themselves serve as drug targets. In this review we bring together these two sides of metabolism, discuss the evidence underpinning their role in breast cancer development and bring to light promising therapeutic targets and up and coming pharmacologic agents.
authors: Pacific University, School of Pharmacy, 222 SE 8th Avenue, HPC-Ste 451, Hillsboro, OR 97123, United States. Electronic address: harrelsonj@pacificu.edu.
authors: John P
authors: JP
authors: Harrelson
authors: Department of Medical Education, Dell Medical School, The University of Texas at Austin, Health Learning Building, Suite 2.401, 1501 Red River Street, MC: Z0100, Austin, TX 78712, United States. Electronic address: Lee_Michael@austin.utexas.edu.
authors: Michael W
authors: MW
authors: Lee
mesh_terms: D000818:Animals; D000970:Antineoplastic Agents / Q000494:pharmacology*; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000201:enzymology / Q000378:metabolism; D015195:Drug Design; D019008:Drug Resistance, Neoplasm; D004967:Estrogens / Q000096:biosynthesis; D005260:Female; D006801:Humans; D058990:Molecular Targeted Therapy; D009362:Neoplasm Metastasis
chemical_list: D000970:Antineoplastic Agents; D004967:Estrogens
keywords: Aromatase; Breast cancer; Cancer chemotherapeutics; Immunotherapy; Metabolism; Steroid sulfatase