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Fatty Acid Synthesis in Prostate Cancer: Vulnerability or Epiphenomenon?

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CANCER RESEARCH
卷 81, 期 17, 页码 4385-4393

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AMER ASSOC CANCER RESEARCH
DOI: 10.1158/0008-5472.CAN-21-1392

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  1. DOD [awardW81XWH2010079]
  2. NIH/NCI SPORE prostate cancer grant [P50CA058236]

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The review summarizes the evidence that fatty acid synthesis drives progression of prostate cancer, although the mechanisms behind this beneficial effect still remain unclear. It emphasizes the functional importance of activating the fatty acid synthesis pathway in promoting prostate cancer aggressiveness.
Tumor metabolism supports the energetic and biosynthetic needs of rapidly proliferating cancer cells and modifies intra- and intercellular signaling to enhance cancer cell invasion, metastasis, and immune evasion. Prostate cancer exhibits unique metabolism with high rates of de novo fatty acid synthesis driven by activation of the androgen receptor (AR). Increasing evidence suggests that activation of this pathway is functionally important to promote prostate cancer aggressiveness. However, the mechanisms by which fatty acid synthesis are beneficial to prostate cancer have not been well defined. In this review, we summarize evidence indicating that fatty acid synthesis drives progression of prostate cancer. We also explore explanations for this phenomenon and discuss future directions for targeting this pathway for patient benefit.

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