Evidence map›Paper›PMID 39997327›Full record

ReviewJournal of personalized medicine2025

Targeting Metabolic Vulnerabilities to Combat Drug Resistance in Cancer Therapy.

Taranatee Khan, Manojavan Nagarajan, Irene Kang, Chunjing Wu, Medhi Wangpaichitr

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Targeting tumor transition windows.Exploration of targeted anti-tumor therapy · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Integrating Metabolic Modulation and Nanomedicine for Cancer Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  10. Review
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Taranatee KhanDepartment of Veterans Affairs, Miami VA Healthcare System, Miami, FL 33125, USA.
Manojavan NagarajanDepartment of Veterans Affairs, Miami VA Healthcare System, Miami, FL 33125, USA.ORCID 0009-0008-1762-7324
Irene KangDepartment of Veterans Affairs, Miami VA Healthcare System, Miami, FL 33125, USA.ORCID 0009-0000-5969-4914
Chunjing WuDepartment of Veterans Affairs, Miami VA Healthcare System, Miami, FL 33125, USA.
Medhi WangpaichitrDepartment of Veterans Affairs, Miami VA Healthcare System, Miami, FL 33125, USA.ORCID 0000-0002-7338-2041

Funding

BLRD VA I01 BX004371VA 2I01BX004371
6 · The paper itself

Abstract

Drug resistance remains a significant barrier to effective cancer therapy. Cancer cells evade treatment by reprogramming their metabolism, switching from glycolysis to oxidative phosphorylation (OXPHOS), and relying on alternative carbon sources such as glutamine. These adaptations not only enable tumor survival but also contribute to immune evasion through mechanisms such as reactive oxygen species (ROS) generation and the upregulation of immune checkpoint molecules like PD-L1. This review explores the potential of targeting metabolic weaknesses in drug-resistant cancers to enhance therapeutic efficacy. Key metabolic pathways involved in resistance, including glycolysis, glutamine metabolism, and the kynurenine pathway, are discussed. The combination of metabolic inhibitors with immune checkpoint inhibitors (ICIs), particularly anti-PD-1/PD-L1 therapies, represents a promising approach to overcoming both metabolic and immune evasion mechanisms. Clinical trials combining metabolic and immune therapies have shown early promise, but further research is needed to optimize treatment combinations and identify biomarkers for patient selection. In conclusion, targeting cancer metabolism in combination with immune checkpoint blockade offers a novel approach to overcoming drug resistance, providing a potential pathway to improved outcomes in cancer therapy. Future directions include personalized treatments based on tumor metabolic profiles and expanding research to other tumor types.

Indexed as

cancerdrug resistanceimmunometabolismoxidative metabolismtumor metabolism

Identifiers

PMID39997327
PMCPMC11856717

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.