Evidence map›Paper›PMID 40846043›Full record

ReviewCritical reviews in oncology/hematology2025

Targeting cancer metabolism: Therapeutic potential of the fatty acid synthase (FASN) inhibitors.

Pier Vitale Nuzzo, Silvia Rodrigues, Caroline Fidalgo Ribeiro, Isadora Ferrari Teixeira, Giuseppe Nicolo' Fanelli, Sara Bleve, Francesco Ravera, Hubert Pakula, Filippo Pederzoli, David M Nanus and 1 more

Abstract readReview
In one paragraph

Review in Critical reviews in oncology/hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

11 authors.

Pier Vitale NuzzoDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Silvia RodriguesDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Caroline Fidalgo RibeiroDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Isadora Ferrari TeixeiraDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Giuseppe Nicolo' FanelliDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA; Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
Sara BleveDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Francesco RaveraDepartment of Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy.
Hubert PakulaDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
Filippo PederzoliDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA.
David M NanusDepartment of Medicine, Weill Cornell Medicine, New York, NY, USA; Caryl and Israel Englander Institute for Precision Medicine, Weill Cornell Medicine, New York, NY, USA; Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA; Department of Urology, Weill Cornell Medicine, New York, NY, USA.
Massimo LodaDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY, USA; The Broad Institute of Harvard and MIT, Cambridge, MA, USA; The New York Genome Center, New York, NY, USA; Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA. Electronic address: mloda@med.cornell.edu.

Funding

Tumor and Circulating Markers as Links Between Obesity and Lethal Prostate CanceP50CA090381 · NCI · DANA-FARBER CANCER INSTITUTE · PI LODA, MASSIMO · 2002 to 2017
$36.2M
Weill Cornell Medicine (WCM) SPORE in Prostate CancerP50CA211024 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GUDAS, LORRAINE J · 2017 to 2021
$10.9M
Molecular Link Between Metabolic Syndrome and Prostate CancerR01CA131945 · NCI · DANA-FARBER CANCER INST · PI LODA, MASSIMO · 2008 to 2018
$4.0M
NCI NIH HHS P50 CA090381NCI NIH HHS P50 CA211024NCI NIH HHS R01 CA131945
6 · The paper itself

Abstract

Metabolic rewiring is a hallmark of cancer, enabling tumor cells to proliferate rapidly and survive under adverse conditions. Fatty acid synthase (FASN), a key enzyme in de novo lipogenesis, is significantly upregulated in various cancers and is associated with poor prognosis and increased tumor aggressiveness. This review examines the crucial role of FASN in cancer metabolism and evaluates the therapeutic potential of FASN inhibitors. We explore the metabolic pathways critically regulated by FASN and outline its structure, function, and regulatory mechanisms. Overexpression of FASN occurs in cancers such as lung, colon, brain, breast, and prostate, where clinical trials have either been conducted or are ongoing. Pharmacologic inhibition of FASN disrupts lipid biosynthesis, leading to accumulation of metabolic intermediates, induction of metabolic stress, and cell cycle arrest/apoptosis in cancer cells. Denifanstat (TVB-2640), the first-in-class selective FASN inhibitor with favorable pharmacokinetic properties, has demonstrated robust antitumor activity in preclinical models and encouraging results in early-phase clinical studies. Clinical evidence suggests that FASN blockade not only impairs tumor growth but also potentiates the efficacy of existing treatments, including chemotherapy and targeted agents, thereby supporting its integration into combination regimens. Future clinical optimization will require the identification of predictive biomarkers to guide patient selection and treatment stratification.

Indexed as

Antineoplastic AgentsEnzyme InhibitorsFatty Acid SynthasesFatty Acid Synthase, Type INeoplasmsAnimalsHumansMolecular Targeted TherapyAntineoplastic AgentsEnzyme InhibitorsFASN protein, humanFatty Acid SynthasesFatty Acid Synthase, Type ICancer MetabolismDenifanstat (TVB-2640)De Novo Lipogenesis (DNL)Fatty Acid Synthase (FASN) inhibitorsLipid BiosynthesisMetabolic Reprogramming

Identifiers

PMID40846043
PMCPMC13688562

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.