Targeting glycolysis: exploring a new frontier in glioblastoma therapy

Glioblastoma(GBM) is a highly malignant primary central nervous system tumor that poses a significant threat to patient survival due to its treatment resistance and rapid recurrence.Current treatment options, including maximal safe surgical resection, radiotherapy, and temozolomide (TMZ) chemotherap...

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Main Authors: Lu Yang, Sijia Li, Lei Yu, Jiao Leng, Na Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522392/full
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author Lu Yang
Sijia Li
Lei Yu
Jiao Leng
Na Li
author_facet Lu Yang
Sijia Li
Lei Yu
Jiao Leng
Na Li
author_sort Lu Yang
collection DOAJ
description Glioblastoma(GBM) is a highly malignant primary central nervous system tumor that poses a significant threat to patient survival due to its treatment resistance and rapid recurrence.Current treatment options, including maximal safe surgical resection, radiotherapy, and temozolomide (TMZ) chemotherapy, have limited efficacy.In recent years, the role of glycolytic metabolic reprogramming in GBM has garnered increasing attention. This review delves into the pivotal role of glycolytic metabolic reprogramming in GBM, with a particular focus on the multifaceted roles of lactate, a key metabolic product, within the tumor microenvironment (TME). Lactate has been implicated in promoting tumor cell proliferation, invasion, and immune evasion. Additionally, this review systematically analyzes potential therapeutic strategies targeting key molecules within the glycolytic pathway, such as Glucose Transporters (GLUTs), Monocarboxylate Transporters(MCTs), Hexokinase 2 (HK2), 6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 3 (PFKFB3), Pyruvate Kinase Isozyme Type M2 (PKM2), and the Lactate Dehydrogenase A (LDHA). These studies provide a novel perspective for GBM treatment. Despite progress made in existing research, challenges remain, including drug penetration across the blood-brain barrier, side effects, and resistance. Future research will aim to address these challenges by improving drug delivery, minimizing side effects, and exploring combination therapies with radiotherapy, chemotherapy, and immunotherapy to develop more precise and effective personalized treatment strategies for GBM.
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spelling doaj-art-549bed11433f4a838445eff7f06f76a22025-01-14T06:10:40ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15223921522392Targeting glycolysis: exploring a new frontier in glioblastoma therapyLu YangSijia LiLei YuJiao LengNa LiGlioblastoma(GBM) is a highly malignant primary central nervous system tumor that poses a significant threat to patient survival due to its treatment resistance and rapid recurrence.Current treatment options, including maximal safe surgical resection, radiotherapy, and temozolomide (TMZ) chemotherapy, have limited efficacy.In recent years, the role of glycolytic metabolic reprogramming in GBM has garnered increasing attention. This review delves into the pivotal role of glycolytic metabolic reprogramming in GBM, with a particular focus on the multifaceted roles of lactate, a key metabolic product, within the tumor microenvironment (TME). Lactate has been implicated in promoting tumor cell proliferation, invasion, and immune evasion. Additionally, this review systematically analyzes potential therapeutic strategies targeting key molecules within the glycolytic pathway, such as Glucose Transporters (GLUTs), Monocarboxylate Transporters(MCTs), Hexokinase 2 (HK2), 6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 3 (PFKFB3), Pyruvate Kinase Isozyme Type M2 (PKM2), and the Lactate Dehydrogenase A (LDHA). These studies provide a novel perspective for GBM treatment. Despite progress made in existing research, challenges remain, including drug penetration across the blood-brain barrier, side effects, and resistance. Future research will aim to address these challenges by improving drug delivery, minimizing side effects, and exploring combination therapies with radiotherapy, chemotherapy, and immunotherapy to develop more precise and effective personalized treatment strategies for GBM.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522392/fullglioblastomaglycolytic metabolic reprogramminglactatetumor microenvironmenttargeted therapy
spellingShingle Lu Yang
Sijia Li
Lei Yu
Jiao Leng
Na Li
Targeting glycolysis: exploring a new frontier in glioblastoma therapy
Frontiers in Immunology
glioblastoma
glycolytic metabolic reprogramming
lactate
tumor microenvironment
targeted therapy
title Targeting glycolysis: exploring a new frontier in glioblastoma therapy
title_full Targeting glycolysis: exploring a new frontier in glioblastoma therapy
title_fullStr Targeting glycolysis: exploring a new frontier in glioblastoma therapy
title_full_unstemmed Targeting glycolysis: exploring a new frontier in glioblastoma therapy
title_short Targeting glycolysis: exploring a new frontier in glioblastoma therapy
title_sort targeting glycolysis exploring a new frontier in glioblastoma therapy
topic glioblastoma
glycolytic metabolic reprogramming
lactate
tumor microenvironment
targeted therapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522392/full
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AT leiyu targetingglycolysisexploringanewfrontieringlioblastomatherapy
AT jiaoleng targetingglycolysisexploringanewfrontieringlioblastomatherapy
AT nali targetingglycolysisexploringanewfrontieringlioblastomatherapy