Abstract
Metabolic reprogramming is a hallmark of cancer metastasis in which cancer cells manipulate their metabolic profile to meet the dynamic energetic requirements of the tumor microenvironment. Though cancer cell proliferation and migration through the extracellular matrix are key steps of cancer progression, they are not necessarily fueled by the same metabolites and energy production pathways. The two main metabolic pathways cancer cells use to derive energy from glucose, glycolysis and oxidative phosphorylation, are preferentially and plastically utilized by cancer cells depending on both their intrinsic metabolic properties and their surrounding environment. Mechanical factors in the microenvironment, such as collagen density, pore size, and alignment, and biochemical factors, such as oxygen and glucose availability, have been shown to influence both cell migration and glucose metabolism. As cancer cells have been identified as preferentially utilizing glycolysis or oxidative phosphorylation based on heterogeneous intrinsic or extrinsic factors, the relationship between cancer cell metabolism and metastatic potential is of recent interest. Here, we review current in vitro and in vivo findings in the context of cancer cell metabolism during migration and metastasis and extrapolate potential clinical applications of this work that could aid in diagnosing and tracking cancer progression in vivo by monitoring metabolism. We also review current progress in the development of a variety of metabolically targeted anti-metastatic drugs, both in clinical trials and approved for distribution, and highlight potential routes for incorporating our recent understanding of metabolic plasticity into therapeutic directions. By further understanding cancer cell energy production pathways and metabolic plasticity, more effective and successful clinical imaging and therapeutics can be developed to diagnose, target, and inhibit metastasis.
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Data availability
Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
Abbreviations
- ATP:
-
Adenosine tri-phosphate
- Cav1:
-
Caveolin-1
- TCA:
-
Citric acid cycle
- CAT:
-
Collective to amoeboid transition
- EMT:
-
Epithelial to mesenchymal transition
- ECM:
-
Extracellular matrix
- FLIM:
-
Fluorescence lifetime imaging
- GLUT1:
-
Glucose transporter 1
- HIF-1:
-
Hypoxia-inducible factor-1
- IDH-2:
-
Isocitrate dehydrogenase 2
- LDH-A:
-
Lactate dehydrogenase A
- mTOR:
-
Mammalian target of rapamycin
- MMP:
-
Matrix metalloproteinase
- MAT:
-
Mesenchymal to amoeboid transition
- MCT4:
-
Monocarboxylate transporter 4
- NAD:
-
Nicotinamide adenine dinucleotide
- NADH:
-
Nicotinamide adenine dinucleotide+hydrogen
- OxPhos:
-
Oxidative phosphorylation
- PCG-1α:
-
Peroxisome proliferator-associated receptor gamma, coactivator 1-alpha
- PET:
-
Positron emission tomography
- PDH1:
-
Pyruvate dehydrogenase 1
- PDK1:
-
Pyruvate hydrogenase kinase 1
- ROS:
-
Reactive oxygen species
- TME:
-
Tumor microenvironment
- TNBC:
-
Triple negative breast cancer
- 18-FDG:
-
18-Fluorodeoxyglucose
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Acknowledgements
This work was supported by funding from the NIH (GM131178) to C.A.R.-K., the W.M. Keck Foundation to C.A.R.-K., and by the National Science Foundation Graduate Research Fellowship Program under Grant No. 1937963 awarded to J.A.M. and S.C.S.
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Mosier, J.A., Schwager, S.C., Boyajian, D.A. et al. Cancer cell metabolic plasticity in migration and metastasis. Clin Exp Metastasis 38, 343–359 (2021). https://doi.org/10.1007/s10585-021-10102-1
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DOI: https://doi.org/10.1007/s10585-021-10102-1