Reprogramming of fatty acid metabolism in gynaecological cancers: Is there a role for oestradiol?

Mozihim, Azilleo Kristo and Chung, Ivy and Mohd Said, Nur Akmarina and Abd Jamil, Amira Hajirah (2022) Reprogramming of fatty acid metabolism in gynaecological cancers: Is there a role for oestradiol? Metabolities, 12 (4). ISSN 2218-1989, DOI https://doi.org/10.3390/metabo12040350.

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Abstract

Gynaecological cancers are among the leading causes of cancer-related death among women worldwide. Cancer cells undergo metabolic reprogramming to sustain the production of energy and macromolecules required for cell growth, division and survival. Emerging evidence has provided significant insights into the integral role of fatty acids on tumourigenesis, but the metabolic role of high endogenous oestrogen levels and increased gynaecological cancer risks, notably in obesity, is less understood. This is becoming a renewed research interest, given the recently established association between obesity and incidence of many gynaecological cancers, including breast, ovarian, cervical and endometrial cancers. This review article, hence, comprehensively discusses how FA metabolism is altered in these gynaecological cancers, highlighting the emerging role of oestradiol on the actions of key regulatory enzymes of lipid metabolism, either directly through its classical ER pathways, or indirectly via the IGIFR pathway. Given the dramatic rise in obesity and parallel increase in the prevalence of gynaecological cancers among premenopausal women, further clarifications of the complex mechanisms underpinning gynaecological cancers are needed to inform future prevention efforts. Hence, in our review, we also highlight opportunities where metabolic dependencies can be exploited as viable therapeutic targets for these hormone-responsive cancers.

Item Type: Article
Funders: Translational Core Laboratory, Faculty of Medicine, University of Malaya, Malaysian Ministry of Higher Education (MOHE) Fundamental Research Grant Scheme (FRGS) (FRGS/1/2021/SKK03/UM/02/1), Universiti Malaya (BK086-2017)
Uncontrolled Keywords: Fatty acid; Obesity; Gynaecological cancer; Cancer metabolism; Oestradiol
Subjects: R Medicine
R Medicine > RM Therapeutics. Pharmacology
Divisions: Faculty of Medicine
Faculty of Pharmacy > Department of Pharmaceutical Life Sciences
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 10 Sep 2023 01:58
Last Modified: 10 Sep 2023 01:58
URI: http://eprints.um.edu.my/id/eprint/42930

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