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Tumor lipid metabolism refers to the adaptive reprogramming of lipid biosynthetic and degradative pathways that occurs in cancer cells to support their malignant phenotype [1, 10]. Unlike most healthy tissues that primarily utilize dietary lipids, many tumors exhibit a dramatic increase in de novo lipogenesis, driven by the upregulation of enzymes such as Fatty Acid Synthase (FASN) and Acetyl-CoA Carboxylase (ACC) [5, 12]. These metabolic alterations provide the structural building blocks for cell membranes, fuel for energy production via fatty acid oxidation, and lipid-derived signaling molecules like prostaglandins and sphingolipids that promote survival and metastasis [5, 14]. This metabolic shift also impacts the tumor microenvironment, influencing immune cell function and contributing to drug resistance [1, 3, 16]. Targeting specific nodes in this network, such as FASN or Stearoyl-CoA Desaturase (SCD1), has shown therapeutic potential, with inhibitors like Denifanstat entering clinical trials [4, 9]. However, the high degree of metabolic plasticity, where cancer cells can switch between endogenous synthesis and extracellular uptake, remains a significant challenge for clinical efficacy [5, 9].
Inhibition of key enzymes in de novo fatty acid synthesis, blockade of mitochondrial fatty acid oxidation, or disruption of lipid uptake and storage mechanisms.
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