Community/health-medicine

Cancer Metabolism: From Molecules to Medicine

Harvard Medical School

Dec 6, 2025·12 slides·57 min

This Harvard Medical School seminar explores cancer metabolism, examining how cancer cells differ from normal cells in their fuel usage and how this knowledge can lead to new therapies.

Key highlights include:

  • Understanding the role of cellular fuels in cancer biology.
  • How tumor cells integrate growth signals and nutrient metabolism.
  • The metabolic communication between tumor cells and their environment.
  • Exploring potential metabolic vulnerabilities in cancer cells.

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This lecture explores the fundamental mechanisms of cancer metabolism, tracing the journey from Otto Warburg's seminal observation in the 1920s to modern therapeutic strategies. Cancer cells exhibit dramatically altered metabolic pathways that support rapid proliferation, immune evasion, and survival under nutrient stress. Key topics include the Warburg effect (aerobic glycolysis), oncogene-driven metabolic reprogramming through MYC, RAS, and PI3K/AKT/mTOR signaling, and the role of the tumor microenvironment in shaping metabolic dependencies. The lecture also covers glutamine addiction, lipid biosynthesis, one-carbon metabolism, and mitochondrial rewiring as emerging therapeutic targets. Clinical implications are discussed in depth, including metabolic imaging (FDG-PET), combination strategies pairing metabolic inhibitors with immunotherapy, and the promise of personalized metabolic profiling. The presentation concludes with an overview of ongoing clinical trials and future directions in targeting cancer metabolism for precision oncology.

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  • 1The Warburg effect remains central to understanding tumor metabolism, but modern research reveals far more complex metabolic rewiring
  • 2Oncogenes like MYC and RAS directly reprogram metabolic pathways to fuel tumor growth and suppress immune responses
  • 3Glutamine, lipids, and one-carbon metabolism offer promising drug targets beyond traditional glycolysis inhibition
  • 4Combining metabolic inhibitors with immunotherapy shows synergistic effects in preclinical and early clinical trials
  • 5Metabolic profiling through FDG-PET and emerging metabolomics tools enables personalized treatment selection

Walk through

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content.community.detail.slide_labelIntroduction

Cancer Metabolism: From Molecules to Medicine — Introduction to the field and historical context of metabolic research in oncology.

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content.community.detail.slide_labelThe Warburg Effect

Aerobic glycolysis in cancer cells: why tumors prefer fermentation even in the presence of oxygen. Energy yield comparison and biosynthetic advantages.

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content.community.detail.slide_labelOncogene-Driven Reprogramming

How MYC, RAS, and PI3K/AKT/mTOR signaling cascades rewire cellular metabolism to support proliferation.

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content.community.detail.slide_labelGlutamine Addiction

The critical role of glutaminolysis in cancer cells. GLS1/GLS2 enzymes, anaplerotic reactions, and therapeutic targeting with CB-839.

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content.community.detail.slide_labelLipid Biosynthesis in Tumors

De novo fatty acid synthesis via FASN and ACC. Cholesterol metabolism and mevalonate pathway as drug targets.

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content.community.detail.slide_labelOne-Carbon Metabolism

Folate cycle, methionine cycle, and their connections to nucleotide synthesis, epigenetics, and redox balance in cancer.

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