4.5 Review

Inhibition of glutaminolysis in combination with other therapies to improve cancer treatment

Journal

CURRENT OPINION IN CHEMICAL BIOLOGY
Volume 62, Issue -, Pages 64-81

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.cbpa.2021.01.006

Keywords

Metabolic reprogramming; Glutaminolysis; Glutaminase; Therapeutic resistance; Combination therapy

Funding

  1. National Institutes of Health (NIH) [R01-CA193895, R01-CA112314]
  2. TMU grant [108-5403-003-112]
  3. Ministry of Science and Technology, Taiwan [MOST 109-2314-B-038-021-MY3]

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Targeting glutamine catabolism for cancer therapy has gained research attention, with focus on inhibiting catalytic enzymes like GLS. However, resistance to treatments targeting glutaminolysis has been observed, leading to the development of combination therapies as a potential solution.
Targeting glutamine catabolism has been attracting more research attention on the development of successful cancer therapy. Catalytic enzymes such as glutaminase (GLS) in glutaminolysis, a series of biochemical reactions by which glutamine is converted to glutamate and then alpha-ketoglutarate, an intermediate of the tricarboxylic acid (TCA) cycle, can be targeted by small molecule inhibitors, some of which are undergoing early phase clinical trials and exhibiting promising safety profiles. However, resistance to gluta-minolysis targeting treatments has been observed, necessi-tating the development of treatments to combat this resistance. One option is to use synergy drug combinations, which improve tumor chemotherapy's effectiveness and diminish drug resistance and side effects. This review will focus on studies involving the glutaminolysis pathway and diverse combination therapies with therapeutic implications.

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