Abstract
Significant efforts have been made for the development of new anticancer drugs (protein kinase or proteasome inhibitors, monoclonal humanized antibodies) with presumably low or negligible side effects and high specificity. However, an in-depth analysis of the side effects of several currently used canonical (platin-based drugs, taxanes, anthracyclines, etoposides, antimetabolites) and new generation anticancer drugs as the first line of clinical treatment reveals significant perturbation of glycolysis and oxidative phosphorylation. Canonical and new generation drug side effects include decreased (1) intracellular ATP levels, (2) glycolytic/mitochondrial enzyme/transporter activities and/or (3) mitochondrial electrical membrane potentials. Furthermore, the anti-proliferative effects of these drugs are markedly attenuated in tumor rho (0) cells, in which functional mitochondria are absent; in addition, several anticancer drugs directly interact with isolated mitochondria affecting their functions. Therefore, several anticancer drugs also target the energy metabolism, and hence, the documented inhibitory effect of anticancer drugs on cancer growth should also be linked to the blocking of ATP supply pathways. These often overlooked effects of canonical and new generation anticancer drugs emphasize the role of energy metabolism in maintaining cancer cells viable and its targeting as a complementary and successful strategy for cancer treatment.
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Abbreviations
- ETC:
-
Electron transport chain
- OxPhos:
-
Oxidative phosphorylation
- 2-OGDH:
-
2-Oxoglutarate dehydrogenase complex
References
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Acknowledgments
The present work was partially supported by CONACyT-México Grant Nos. 107183 to SRE, 180322 to AMH and 80534 and 123636 to RMS; and Instituto de Ciencia y Tecnología del Distrito Federal Grant No. PICS08.
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The authors declare there is no conflict of interest.
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Rodríguez-Enríquez, S., Gallardo-Pérez, J.C., Hernández-Reséndiz, I. et al. Canonical and new generation anticancer drugs also target energy metabolism. Arch Toxicol 88, 1327–1350 (2014). https://doi.org/10.1007/s00204-014-1246-2
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DOI: https://doi.org/10.1007/s00204-014-1246-2