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Breast cancers as ecosystems: a metabolic perspective
Breast cancer (BC) is the most frequently diagnosed cancer and one of the major causes of cancer death. Despite enormous progress in its management, both from the therapeutic and early diagnosis viewpoints, still around 700,000 patients succumb to the disease each year, worldwide. Late recurrency is...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415483/ https://www.ncbi.nlm.nih.gov/pubmed/37561190 http://dx.doi.org/10.1007/s00018-023-04902-9 |
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author | Martino, Flavia Lupi, Mariadomenica Giraudo, Enrico Lanzetti, Letizia |
author_facet | Martino, Flavia Lupi, Mariadomenica Giraudo, Enrico Lanzetti, Letizia |
author_sort | Martino, Flavia |
collection | PubMed |
description | Breast cancer (BC) is the most frequently diagnosed cancer and one of the major causes of cancer death. Despite enormous progress in its management, both from the therapeutic and early diagnosis viewpoints, still around 700,000 patients succumb to the disease each year, worldwide. Late recurrency is the major problem in BC, with many patients developing distant metastases several years after the successful eradication of the primary tumor. This is linked to the phenomenon of metastatic dormancy, a still mysterious trait of the natural history of BC, and of several other types of cancer, by which metastatic cells remain dormant for long periods of time before becoming reactivated to initiate the clinical metastatic disease. In recent years, it has become clear that cancers are best understood if studied as ecosystems in which the impact of non-cancer-cell-autonomous events—dependent on complex interaction between the cancer and its environment, both local and systemic—plays a paramount role, probably as significant as the cell-autonomous alterations occurring in the cancer cell. In adopting this perspective, a metabolic vision of the cancer ecosystem is bound to improve our understanding of the natural history of cancer, across space and time. In BC, many metabolic pathways are coopted into the cancer ecosystem, to serve the anabolic and energy demands of the cancer. Their study is shedding new light on the most critical aspect of BC management, of metastatic dissemination, and that of the related phenomenon of dormancy and fostering the application of the knowledge to the development of metabolic therapies. |
format | Online Article Text |
id | pubmed-10415483 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-104154832023-08-12 Breast cancers as ecosystems: a metabolic perspective Martino, Flavia Lupi, Mariadomenica Giraudo, Enrico Lanzetti, Letizia Cell Mol Life Sci Review Breast cancer (BC) is the most frequently diagnosed cancer and one of the major causes of cancer death. Despite enormous progress in its management, both from the therapeutic and early diagnosis viewpoints, still around 700,000 patients succumb to the disease each year, worldwide. Late recurrency is the major problem in BC, with many patients developing distant metastases several years after the successful eradication of the primary tumor. This is linked to the phenomenon of metastatic dormancy, a still mysterious trait of the natural history of BC, and of several other types of cancer, by which metastatic cells remain dormant for long periods of time before becoming reactivated to initiate the clinical metastatic disease. In recent years, it has become clear that cancers are best understood if studied as ecosystems in which the impact of non-cancer-cell-autonomous events—dependent on complex interaction between the cancer and its environment, both local and systemic—plays a paramount role, probably as significant as the cell-autonomous alterations occurring in the cancer cell. In adopting this perspective, a metabolic vision of the cancer ecosystem is bound to improve our understanding of the natural history of cancer, across space and time. In BC, many metabolic pathways are coopted into the cancer ecosystem, to serve the anabolic and energy demands of the cancer. Their study is shedding new light on the most critical aspect of BC management, of metastatic dissemination, and that of the related phenomenon of dormancy and fostering the application of the knowledge to the development of metabolic therapies. Springer International Publishing 2023-08-10 2023 /pmc/articles/PMC10415483/ /pubmed/37561190 http://dx.doi.org/10.1007/s00018-023-04902-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Martino, Flavia Lupi, Mariadomenica Giraudo, Enrico Lanzetti, Letizia Breast cancers as ecosystems: a metabolic perspective |
title | Breast cancers as ecosystems: a metabolic perspective |
title_full | Breast cancers as ecosystems: a metabolic perspective |
title_fullStr | Breast cancers as ecosystems: a metabolic perspective |
title_full_unstemmed | Breast cancers as ecosystems: a metabolic perspective |
title_short | Breast cancers as ecosystems: a metabolic perspective |
title_sort | breast cancers as ecosystems: a metabolic perspective |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10415483/ https://www.ncbi.nlm.nih.gov/pubmed/37561190 http://dx.doi.org/10.1007/s00018-023-04902-9 |
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