Metabolic Vulnerabilities in Brain Cancer

Neurosurg Clin N Am. 2021 Apr;32(2):159-169. doi: 10.1016/j.nec.2020.12.006.

Abstract

Glioblastomas (GBMs) exhibit altered metabolism to support a variety of bioenergetic and biosynthetic demands for tumor growth, invasion, and drug resistance. Changes in glycolytic flux, oxidative phosphorylation, the pentose phosphate pathway, fatty acid biosynthesis and oxidation, and nucleic acid biosynthesis are observed in GBMs to help drive tumorigenesis. Both the genetic landscape of GBMs and the unique brain tumor microenvironment shape metabolism; therefore, an understanding of how both intrinsic and extrinsic factors modulate metabolism is becoming increasingly important for finding effect targets and therapeutics for GBM.

Keywords: GBM; Metabolism; Oncogene; Tumor microenvironment.

Publication types

  • Review

MeSH terms

  • Brain Neoplasms* / drug therapy
  • Brain Neoplasms* / genetics
  • Glioblastoma* / drug therapy
  • Glioblastoma* / genetics
  • Glycolysis
  • Humans
  • Tumor Microenvironment