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      Reprogramming of glucose metabolism: Metabolic alterations in the progression of osteosarcoma

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          Highlights

          • My manuscript discusses the importance of metabolic reprogramming, particularly in glucose metabolism, as an adaptive response of tumor cells under hypoxia and low nutrition conditions. It highlights the increasing evidence that glucose metabolism reprogramming plays a role in regulating the growth and metastasis of osteosarcoma (OS). The manuscript points out that previous research has primarily focused on the glycolytic pathway of glucose metabolism, neglecting the tricarboxylic acid cycle and pentose phosphate pathway, despite their involvement in OS progression. The authors emphasize the need to summarize the research on glucose metabolism in OS. They review the abnormal expression of key molecules related to sugar metabolism and summarize the sugar metabolism-related signaling pathways involved in the occurrence and development of OS. Additionally, the manuscript discusses targeted drugs that regulate sugar metabolism pathways and their potential for effective targeted treatment of OS.

          • My manuscript addresses an important topic in cancer research, specifically the role of metabolic reprogramming and glucose metabolism in osteosarcoma. The authors highlight the existing gap in understanding the involvement of the tricarboxylic acid cycle and pentose phosphate pathway in OS, which suggests the need for further investigation in this area. The review of abnormal expression of key molecules and signaling pathways related to sugar metabolism provides valuable insights into the molecular mechanisms underlying OS development. The discussion on targeted drugs that regulate sugar metabolism pathways also opens up possibilities for potential therapeutic strategies. Overall, this manuscript contributes to the field by summarizing and emphasizing the significance of glucose metabolism pathways in osteosarcoma, providing a foundation for future research and potential advancements in diagnosis and treatment.

          Abstract

          Metabolic reprogramming is an adaptive response of tumour cells under hypoxia and low nutrition conditions. There is increasing evidence that glucose metabolism reprogramming can regulate the growth and metastasis of osteosarcoma (OS). Reprogramming in the progress of OS can bring opportunities for early diagnosis and treatment of OS. Previous research mainly focused on the glycolytic pathway of glucose metabolism, often neglecting the tricarboxylic acid cycle and pentose phosphate pathway. However, the tricarboxylic acid cycle and pentose phosphate pathway of glucose metabolism are also involved in the progression of OS and are closely related to this disease. The research on glucose metabolism in OS has not yet been summarized. In this review, we discuss the abnormal expression of key molecules related to glucose metabolism in OS and summarize the glucose metabolism related signaling pathways involved in the occurrence and development of OS. In addition, we discuss some of the targeted drugs that regulate glucose metabolism pathways, which can lead to effective strategies for targeted treatment of OS.

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          Most cited references115

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          VEGF in Signaling and Disease: Beyond Discovery and Development

          The discovery of vascular endothelial-derived growth factor (VEGF) has revolutionized our understanding of vasculogenesis and angiogenesis during development and physiological homeostasis. Over a short span of two decades, our understanding of the molecular mechanisms by which VEGF coordinates neurovascular homeostasis has become more sophisticated. The central role of VEGF in the pathogenesis of diverse cancers and blinding eye diseases has also become evident. Elucidation of the molecular regulation of VEGF and the transformative development of multiple therapeutic pathways targeting VEGF directly or indirectly is a powerful case study of how fundamental research can guide innovation and translation. It is also an elegant example of how agnostic discovery and can transform our understanding of human disease. This review will highlight critical nodal points in VEGF biology including recent developments in immunotherapy for cancer and multi-target approaches in neovascular eye disease.
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            Hypoxia in cancer: significance and impact on clinical outcome.

            Hypoxia, a characteristic feature of locally advanced solid tumors, has emerged as a pivotal factor of the tumor (patho-)physiome since it can promote tumor progression and resistance to therapy. Hypoxia represents a "Janus face" in tumor biology because (a) it is associated with restrained proliferation, differentiation, necrosis or apoptosis, and (b) it can also lead to the development of an aggressive phenotype. Independent of standard prognostic factors, such as tumor stage and nodal status, hypoxia has been suggested as an adverse prognostic factor for patient outcome. Studies of tumor hypoxia involving the direct assessment of the oxygenation status have suggested worse disease-free survival for patients with hypoxic cervical cancers or soft tissue sarcomas. In head & neck cancers the studies suggest that hypoxia is prognostic for survival and local control. Technical limitations of the direct O(2) sensing technique have prompted the use of surrogate markers for tumor hypoxia, such as hypoxia-related endogenous proteins (e.g., HIF-1alpha, GLUT-1, CA IX) or exogenous bioreductive drugs. In many - albeit not in all - studies endogenous markers showed prognostic significance for patient outcome. The prognostic relevance of exogenous markers, however, appears to be limited. Noninvasive assessment of hypoxia using imaging techniques can be achieved with PET or SPECT detection of radiolabeled tracers or with MRI techniques (e.g., BOLD). Clinical experience with these methods regarding patient prognosis is so far only limited. In the clinical studies performed up until now, the lack of standardized treatment protocols, inconsistencies of the endpoints characterizing the oxygenation status and methodological differences (e.g., different immunohistochemical staining procedures) may compromise the power of the prognostic parameter used.
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              Aerobic glycolysis: meeting the metabolic requirements of cell proliferation.

              Warburg's observation that cancer cells exhibit a high rate of glycolysis even in the presence of oxygen (aerobic glycolysis) sparked debate over the role of glycolysis in normal and cancer cells. Although it has been established that defects in mitochondrial respiration are not the cause of cancer or aerobic glycolysis, the advantages of enhanced glycolysis in cancer remain controversial. Many cells ranging from microbes to lymphocytes use aerobic glycolysis during rapid proliferation, which suggests it may play a fundamental role in supporting cell growth. Here, we review how glycolysis contributes to the metabolic processes of dividing cells. We provide a detailed accounting of the biosynthetic requirements to construct a new cell and illustrate the importance of glycolysis in providing carbons to generate biomass. We argue that the major function of aerobic glycolysis is to maintain high levels of glycolytic intermediates to support anabolic reactions in cells, thus providing an explanation for why increased glucose metabolism is selected for in proliferating cells throughout nature.
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                Author and article information

                Contributors
                Journal
                J Bone Oncol
                J Bone Oncol
                Journal of Bone Oncology
                Elsevier
                2212-1366
                2212-1374
                04 January 2024
                February 2024
                04 January 2024
                : 44
                : 100521
                Affiliations
                [a ]Teaching Experiment Training Center, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China
                [b ]School of Basic Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China
                [c ]School of Tradional Chinese and Werstern Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China
                Author notes
                [* ]Corresponding author. anfyuwsmh@ 123456163.com
                [1]

                Co-author.

                Article
                S2212-1374(24)00001-0 100521
                10.1016/j.jbo.2024.100521
                10823108
                38288377
                86d5f927-66e4-47c5-ba47-82b65bda22c4
                © 2024 The Authors. Published by Elsevier GmbH.

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 24 October 2023
                : 25 December 2023
                : 2 January 2024
                Categories
                Review

                osteosarcoma,glucose metabolism,key enzymes,signaling pathways,targeted therapy

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