Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application

Reprogramming energy metabolism is pivotal to tumor development. Ketone bodies (KBs), which are generated during lipid metabolism, are fundamental bioactive molecules that can be modulated to satisfy the escalating metabolic needs of cancer cells. At present, a burgeoning body of research is concent...

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Main Authors: Ziyuan Liang, Lixian Deng, Xiaoying Zhou, Zhe Zhang, Weilin Zhao
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/1/210
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author Ziyuan Liang
Lixian Deng
Xiaoying Zhou
Zhe Zhang
Weilin Zhao
author_facet Ziyuan Liang
Lixian Deng
Xiaoying Zhou
Zhe Zhang
Weilin Zhao
author_sort Ziyuan Liang
collection DOAJ
description Reprogramming energy metabolism is pivotal to tumor development. Ketone bodies (KBs), which are generated during lipid metabolism, are fundamental bioactive molecules that can be modulated to satisfy the escalating metabolic needs of cancer cells. At present, a burgeoning body of research is concentrating on the metabolism of KBs within tumors, investigating their roles as signaling mediators, drivers of post-translational modifications, and regulators of inflammation and oxidative stress. The ketogenic diet (KD) may enhance the sensitivity of various cancers to standard therapies, such as chemotherapy and radiotherapy, by exploiting the reprogrammed metabolism of cancer cells and shifting the metabolic state from glucose reliance to KB utilization, rendering it a promising candidate for adjunct cancer therapy. Nonetheless, numerous questions remain regarding the expression of key metabolic genes across different tumors, the regulation of their activities, and the impact of individual KBs on various tumor types. Further investigation is imperative to resolve the conflicting data concerning KB synthesis and functionality within tumors. This review aims to encapsulate the intricate roles of KBs in cancer metabolism, elucidating a comprehensive grasp of their mechanisms and highlighting emerging clinical applications, thereby setting the stage for future investigations into their therapeutic potential.
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spelling doaj-art-4d1003a22beb482ba4a0f73a547a041b2025-01-24T13:24:25ZengMDPI AGBiomedicines2227-90592025-01-0113121010.3390/biomedicines13010210Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and ApplicationZiyuan Liang0Lixian Deng1Xiaoying Zhou2Zhe Zhang3Weilin Zhao4Key Laboratory of High-Incidence-Tumor Prevention & Treatment, Guangxi Medical University, Ministry of Education, Nanning 530021, ChinaKey Laboratory of High-Incidence-Tumor Prevention & Treatment, Guangxi Medical University, Ministry of Education, Nanning 530021, ChinaKey Laboratory of High-Incidence-Tumor Prevention & Treatment, Guangxi Medical University, Ministry of Education, Nanning 530021, ChinaDepartment of Otolaryngology-Head and Neck Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, ChinaDepartment of Otolaryngology-Head and Neck Surgery, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, ChinaReprogramming energy metabolism is pivotal to tumor development. Ketone bodies (KBs), which are generated during lipid metabolism, are fundamental bioactive molecules that can be modulated to satisfy the escalating metabolic needs of cancer cells. At present, a burgeoning body of research is concentrating on the metabolism of KBs within tumors, investigating their roles as signaling mediators, drivers of post-translational modifications, and regulators of inflammation and oxidative stress. The ketogenic diet (KD) may enhance the sensitivity of various cancers to standard therapies, such as chemotherapy and radiotherapy, by exploiting the reprogrammed metabolism of cancer cells and shifting the metabolic state from glucose reliance to KB utilization, rendering it a promising candidate for adjunct cancer therapy. Nonetheless, numerous questions remain regarding the expression of key metabolic genes across different tumors, the regulation of their activities, and the impact of individual KBs on various tumor types. Further investigation is imperative to resolve the conflicting data concerning KB synthesis and functionality within tumors. This review aims to encapsulate the intricate roles of KBs in cancer metabolism, elucidating a comprehensive grasp of their mechanisms and highlighting emerging clinical applications, thereby setting the stage for future investigations into their therapeutic potential.https://www.mdpi.com/2227-9059/13/1/210tumorketone bodiesmetabolismketogenic diettherapeutic approach
spellingShingle Ziyuan Liang
Lixian Deng
Xiaoying Zhou
Zhe Zhang
Weilin Zhao
Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
Biomedicines
tumor
ketone bodies
metabolism
ketogenic diet
therapeutic approach
title Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
title_full Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
title_fullStr Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
title_full_unstemmed Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
title_short Comprehensive Overview of Ketone Bodies in Cancer Metabolism: Mechanisms and Application
title_sort comprehensive overview of ketone bodies in cancer metabolism mechanisms and application
topic tumor
ketone bodies
metabolism
ketogenic diet
therapeutic approach
url https://www.mdpi.com/2227-9059/13/1/210
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AT xiaoyingzhou comprehensiveoverviewofketonebodiesincancermetabolismmechanismsandapplication
AT zhezhang comprehensiveoverviewofketonebodiesincancermetabolismmechanismsandapplication
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