PMID- 36626639 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20240116 IS - 1527-3350 (Electronic) IS - 0270-9139 (Print) IS - 0270-9139 (Linking) VI - 78 IP - 5 DP - 2023 Nov 1 TI - Metabolic reprogramming and its clinical implication for liver cancer. PG - 1602-1624 LID - 10.1097/HEP.0000000000000005 [doi] AB - Cancer cells often encounter hypoxic and hypo-nutrient conditions, which force them to make adaptive changes to meet their high demands for energy and various biomaterials for biomass synthesis. As a result, enhanced catabolism (breakdown of macromolecules for energy production) and anabolism (macromolecule synthesis from bio-precursors) are induced in cancer. This phenomenon is called "metabolic reprogramming," a cancer hallmark contributing to cancer development, metastasis, and drug resistance. HCC and cholangiocarcinoma (CCA) are 2 different liver cancers with high intertumoral heterogeneity in terms of etiologies, mutational landscapes, transcriptomes, and histological representations. In agreement, metabolism in HCC or CCA is remarkably heterogeneous, although changes in the glycolytic pathways and an increase in the generation of lactate (the Warburg effect) have been frequently detected in those tumors. For example, HCC tumors with activated beta-catenin are addicted to fatty acid catabolism, whereas HCC tumors derived from fatty liver avoid using fatty acids. In this review, we describe common metabolic alterations in HCC and CCA as well as metabolic features unique for their subsets. We discuss metabolism of NAFLD as well, because NAFLD will likely become a leading etiology of liver cancer in the coming years due to the obesity epidemic in the Western world. Furthermore, we outline the clinical implication of liver cancer metabolism and highlight the computation and systems biology approaches, such as genome-wide metabolic models, as a valuable tool allowing us to identify therapeutic targets and develop personalized treatments for liver cancer patients. CI - Copyright (c) 2023 American Association for the Study of Liver Diseases. FAU - Yang, Flora AU - Yang F AUID- ORCID: 0000-0002-3934-7437 AD - BA/MD Joint Admission Scholars Program, University of Minnesota, Minneapolis, Minnesota. FAU - Hilakivi-Clarke, Leena AU - Hilakivi-Clarke L AUID- ORCID: 0000-0002-7052-6513 AD - Food Science and Nutrition Section, The Hormel Institute, University of Minnesota, Austin, Minnesota. FAU - Shaha, Aurpita AU - Shaha A AUID- ORCID: 0000-0001-5681-903 AD - Tumor Microenvironment and Metastasis Section, the Hormel Institute, University of Minnesota, Austin, Minnesota. FAU - Wang, Yuanguo AU - Wang Y AUID- ORCID: 0000-0003-4752-9908 AD - Tumor Microenvironment and Metastasis Section, the Hormel Institute, University of Minnesota, Austin, Minnesota. FAU - Wang, Xianghu AU - Wang X AUID- ORCID: 0000-0001-5515-0514 AD - Tumor Microenvironment and Metastasis Section, the Hormel Institute, University of Minnesota, Austin, Minnesota. FAU - Deng, Yibin AU - Deng Y AUID- ORCID: 0000-0001-5711-3565 AD - Department of Urology, Masonic Cancer Center, The University of Minnesota Medical School, Minneapolis, Minnesota. FAU - Lai, Jinping AU - Lai J AUID- ORCID: 0000-0002-4234-5096 AD - Department of Pathology and Laboratory Medicine, Kaiser Permanente Sacramento Medical Center, Sacramento, California. FAU - Kang, Ningling AU - Kang N AUID- ORCID: 0000-0002-4565-7976 AD - Tumor Microenvironment and Metastasis Section, the Hormel Institute, University of Minnesota, Austin, Minnesota. LA - eng GR - P50 CA210964/CA/NCI NIH HHS/United States GR - R01 CA160069/CA/NCI NIH HHS/United States GR - R21 CA256428/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20230103 PL - United States TA - Hepatology JT - Hepatology (Baltimore, Md.) JID - 8302946 SB - IM MH - Humans MH - *Liver Neoplasms/metabolism MH - *Carcinoma, Hepatocellular/pathology MH - *Non-alcoholic Fatty Liver Disease MH - *Bile Duct Neoplasms/pathology MH - Bile Ducts, Intrahepatic/pathology PMC - PMC10315435 MID - NIHMS1903914 COIS- CONFLICT OF INTEREST Nothing to report. EDAT- 2023/01/11 06:00 MHDA- 2023/10/23 00:42 PMCR- 2023/11/01 CRDT- 2023/01/10 14:51 PHST- 2022/05/19 00:00 [received] PHST- 2022/09/28 00:00 [accepted] PHST- 2023/10/23 00:42 [medline] PHST- 2023/01/11 06:00 [pubmed] PHST- 2023/01/10 14:51 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - 01515467-202311000-00023 [pii] AID - 10.1097/HEP.0000000000000005 [doi] PST - ppublish SO - Hepatology. 2023 Nov 1;78(5):1602-1624. doi: 10.1097/HEP.0000000000000005. Epub 2023 Jan 3.