Abstract
Pancreatic ductal adenocarcinoma is prone to distant metastasis and is expected to become the second leading cause of cancer-related death. In an extremely nutrient-deficient and hypoxic environment resulting from uncontrolled growth, vascular disturbances and desmoplastic reactions, pancreatic cancer cells utilize “metabolic reprogramming” to satisfy their energy demand and support malignant behaviors such as metastasis. Notably, pancreatic cancer cells show extensive enhancement of glycolysis, including glycolytic enzyme overexpression and increased lactate production, and this is caused by mitochondrial dysfunction, cancer driver genes, specific transcription factors, a hypoxic tumor microenvironment and stromal cells, such as cancer-associated fibroblasts and tumor-associated macrophages. The metabolic switch from oxidative phosphorylation to glycolysis in pancreatic cancer cells regulates the invasion–metastasis cascade by promoting epithelial–mesenchymal transition, tumor angiogenesis and the metastatic colonization of distant organs. In addition to aerobic glycolysis, oxidative phosphorylation also plays a critical role in pancreatic cancer metastasis in ways that remain unclear. In this review, we expound on the intracellular and extracellular causes of the enhancement of glycolysis in pancreatic cancer and the strong association between glycolysis and cancer metastasis, which we expect will yield new therapeutic approaches targeting cancer metabolism.
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Abbreviations
- PDAC:
-
Pancreatic ductal adenocarcinoma
- EMT:
-
Epithelial–mesenchymal transition
- CAFs:
-
Cancer-associated fibroblasts
- OXPHOS:
-
Oxidative phosphorylation
- NOX:
-
NADPH oxidase
- mtDNA:
-
Mitochondrial DNA
- ΔΨm :
-
Membrane potential
- PFK:
-
Phosphofructokinase
- ALDOA:
-
Aldolase A
- GAPDH:
-
Glyceraldehyde 3-phosphate dehydrogenase
- PGM:
-
Phosphoglycerate mutase
- ENO:
-
Enolase
- PKM:
-
Pyruvate kinase muscle isozyme
- LDHA:
-
Lactate dehydrogenase A
- TME:
-
Tumor microenvironment
- TGF:
-
Transforming growth factor
- IGF1R:
-
Insulin-like growth factor 1 receptor
- MAPK:
-
Mitogen-activated protein kinase
- PI3K/AKT:
-
Phosphoinositide 3-kinase/protein kinase B
- mTOR:
-
Mammalian target of rapamycin
- NF-kB:
-
Nuclear factor kappa-light-chain-enhancer of activated B cells
- PDLCs:
-
Patient-derived pancreatic cancer cell lines
- PGC-1α:
-
Peroxisome proliferator-activated receptor γ coactivator-1α
- SDH:
-
Succinate dehydrogenase
- HK:
-
Hexokinase
- TCA:
-
Tricarboxylic acid cycle
- HIF:
-
Hypoxia-induced factor
- PPP:
-
Pentose phosphate pathway
- GOF mutp53:
-
Gain-of-function of mutant p53
- GLUT:
-
Glucose transporter
- AMPK:
-
AMP-activated protein kinase
- TIGAR:
-
Tp53-induced glycolysis and apoptosis regulator
- GAMT:
-
Guanidinoacetate N-methyltransferase
- GLS2:
-
Glutaminase-2
- ROS:
-
Reactive oxygen species
- PFKFB:
-
6-Phosphofructo-2-kinase/fructose-2,6-bisphosphatase
- ACL:
-
ATP citrate lyase
- PDK:
-
Pyruvate dehydrogenase kinase
- PGI/AMF:
-
Glucose-6-phosphate isomerase/Autocrine motility factor
- VEGF:
-
Vascular epidermal growth factor
- TGFBI:
-
Transforming growth factor beta-induced
- FAK:
-
Focal adhesion kinase
- ECM:
-
Extracellular matrix
- EMT-TFs:
-
EMT-TF
- MMP:
-
Matrix metalloproteinase
- 6-PGD:
-
6-Phosphogluconate dehydrogenase
- FGF:
-
Fibroblast growth factor
- GPR81:
-
G-protein-coupled receptors 81
- MCT:
-
Monocarboxylate transporters
- TAMs:
-
Tumor-associated macrophages
- CXCL:
-
CXC chemokine ligand
- CXCR:
-
CXC chemokine receptor
- ECs:
-
Endothelial cells
- CTCs:
-
Circulating tumor cells
- CSCs:
-
Cancer stem cells
- HSCs:
-
Hepatic stellate cells
- HMFs:
-
Hepatic myofibroblasts
- GOT:
-
Glutamic-oxaloacetic transaminase
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Funding
This study was supported by the Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences (2018PT32014), the CAMS Innovation Fund for Medical Sciences (CIFMS) (2016-I2 M-1-001), and the National Nature Science Foundation of China (81672960; 81672443).
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Study concept and design: All authors. Drafting of the manuscript: JY and BR. Critical revision of the manuscript for important intellectual content: GY, HW and GC. Obtained the funding: LY, TZ and YZ. All authors read and approved the final manuscript.
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Yang, J., Ren, B., Yang, G. et al. The enhancement of glycolysis regulates pancreatic cancer metastasis. Cell. Mol. Life Sci. 77, 305–321 (2020). https://doi.org/10.1007/s00018-019-03278-z
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DOI: https://doi.org/10.1007/s00018-019-03278-z