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Colorectal metabolic profile

Molecular classification
Other
01

Overview

The colorectal metabolic profile represents the collective signature of small-molecule metabolites within the colon or systemic circulation that reflects the tissue's metabolic state [1]. In colorectal cancer (CRC), this profile is typically marked by metabolic reprogramming, including increased glycolysis (Warburg effect), altered lipid biosynthesis, and dysregulated amino acid metabolism [4, 7]. This metabolic landscape is often used as a diagnostic or prognostic biomarker panel to distinguish between healthy tissue, adenomatous polyps, and malignant tumors, often providing higher sensitivity and specificity than traditional clinical markers like CEA or CA19-9 [2, 5]. While the profile itself is an investigative readout rather than a discrete targetable protein, its comprehensive analysis has led to the identification of specific actionable therapeutic targets, such as adenosylhomocysteinase (AHCY) [1, 3]. Furthermore, the profile is heavily modulated by the interactions between the host, the gut microbiota, and dietary intake, making it a critical tool for monitoring the efficacy of nutritional or microbiome-based interventions [11, 15].

Other names
Metabolic signature of colorectal cancerColorectal cancer metabolomeIntestinal metabolic landscape
02

Mechanism of action

Not applicable; this is a diagnostic profile or phenotypic state rather than a discrete therapeutic target molecule.

03

Biological functions

Energy metabolismMetabolic reprogrammingMicrobiome-host interactionOther
04

Disease associations

Colorectal cancerInflammatory bowel diseaseAdenomatous polypsOther
05

Safety considerations

Low specificity relative to other gastrointestinal malignanciesConfounding factors such as dietary intake and individual gut microbiome composition
06

Biomarkers

LactateAdenosylhomocysteinase (AHCY)TryptophanShort-chain fatty acids (SCFAs)Bile acidsPolyamines

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