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肿瘤与代谢Potentialtargetsforcancertherapyfoundwithinmetabolicpathwaysinvolvedinglucosemetabolism.突变(Mutation)?瓦尔堡(Warburg)假说Warburg效应糖酵解的意义PET原理WarburgeffectWarburgeffectTumormicroenvironmentandstabilizationofHIFMicroenvironmentCancercellsareknowntoadapttothehypoxicconditionviathehypoxia-induciblefactor1(HIF-1).HIF-1isaheterodimerictranscriptionfactorOncogenesandtumorsuppressorgenesMitochondrialdysfunctionRedoxalterationsinducedbyTCAcycledefects.RedoxalterationsinducedbymutationsinSDH,FH,andIDHareshown.LossoffunctionofSDHincreasesROSlevelsleadingtoDNAmutationsandHIF-1αstabilization.IDH1andmutationsdecreaseGSHandNADPHlevels.NuclearDNAmutations关于IDH突变IDH突变与胶质瘤IDH1andIDH2MutationsinHumanGliomasSurvivalofAdultPatientswithMalignantGliomaswithorwithoutIDHGeneMutationsmiRNAGlutaminemetabolismTargetingtheWarburgphenomenonforcancertherapyAbbreviations:2-DG,2-deoxyglucose;LND,lonidamine;3-BrPA,3-bromopyruvate;3-PO, 3-(3-pyridinyl)-l-(4-pyridinyl)-2-propen-l-one;6-AN,6-aminonicotinamide;DCA, dichloroacetate;GA,geldanamycin;2ME2,2-methoxyoestradiol;PX-478,S-2-amino- 3-[4′-N,N,-bis(2-chloroethyl)amino]phenylpropionicacidN-oxidedihydrochloride.2-DG(2-deoxyglucose)Px-478