糖代谢重编程在肿瘤耐药中的研究进展
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1.南京医科大学第二附属医院肿瘤科;2.南京医科大学第二临床医学院

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江苏省自然科学基金:Natural Science Foundation of Jiangsu Province (BK20251962)


Adances of Glucose Metabolic Reprogramming in Tumor Drug Resistance
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    摘要:

    []肿瘤耐药是导致临床治疗失败的主要原因,传统理论认为耐药主要与药物外排增加、DNA修复增强、细胞凋亡抑制等因素有关。近年来越来越多研究表明,糖代谢重编程作为肿瘤细胞为适应独特的肿瘤微环境、获得生存和增殖优势的关键机制,在调控肿瘤耐药进程中也扮演了非常重要的角色。在为自身快速生长增殖提供持续的物质及能量供应之外,肿瘤细胞异常活跃的有氧糖酵解及磷酸戊糖途径还可以通过调控氧化还原稳态、增强细胞干性、重塑肿瘤微环境等途径影响细胞对药物的耐受性,且将靶向糖代谢重编程与抗肿瘤药物结合的组合疗法已呈现出越来越显著的临床优势。本文对糖代谢重编程在各类抗肿瘤药物耐药中的研究进展进行综述,以期为肿瘤细胞耐药问题日益突出的现状提供全新突破口。

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    []Tumor drug resistance is one of the primary causes of clinical therapy failure. According to conventional wisdom, resistance is mostly caused by accelerated DNA repair, decreased apoptosis, and greater drug efflux. More and more studies in recent years suggests that metabolic reprogramming, more especially the reprogramming of glucose metabolism, is a key factor in controlling tumor treatment resistance. This process is a crucial method by which tumor cells acquire advantages in survival and proliferation by adapting to the particular tumor microenvironment. The abnormally active aerobic glycolysis and pentose phosphate pathway in tumor cells can affect drug tolerance through pathways like regulating redox homeostasis, enhancing cellular stemness, and reshaping the tumor microenvironment, in addition to providing sustained material and energy supplies for rapid growth and proliferation. Additionally, combo treatments that target glycometabolic reprogramming in addition to anticancer medications have shown progressively greater therapeutic benefits. In an effort to offer fresh insights into the growing problem of tumor cell drug resistance, this review outlines the state of research on glucose metabolism reprogramming in different anticancer drug resistances.

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  • 收稿日期:2026-02-11
  • 最后修改日期:2026-04-19
  • 录用日期:2026-05-27
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