RT Journal Article T1 Pathophysiological Integration of Metabolic Reprogramming in Breast Cancer A1 Corchado Cobos, Roberto A1 García Sancha, Natalia A1 Mendiburu-Eliçabe Garganta, Marina A1 Gómez Vecino, Aurora A1 Jiménez Navas, Alejandro A1 Pérez Baena, Manuel Jesús A1 Holgado Madruga, Marina A1 Mao, Jian Hua A1 Cañueto Álvarez, Javier A1 Castillo Lluva, Sonia A1 Pérez Losada, Jesús AB Metabolic changes that facilitate tumor growth are one of the hallmarks of cancer. The triggers of these metabolic changes are located in the tumor parenchymal cells, where oncogenic mutations induce an imperative need to proliferate and cause tumor initiation and progression. Cancer cells undergo significant metabolic reorganization during disease progression that is tailored to their energy demands and fluctuating environmental conditions. Oxidative stress plays an essential role as a trigger under such conditions. These metabolic changes are the consequence of the interaction between tumor cells and stromal myofibroblasts. The metabolic changes in tumor cells include protein anabolism and the synthesis of cell membranes and nucleic acids, which all facilitate cell proliferation. They are linked to catabolism and autophagy in stromal myofibroblasts, causing the release of nutrients for the cells of the tumor parenchyma. Metabolic changes lead to an interstitium deficient in nutrients, such as glucose and amino acids, and acidification by lactic acid. Together with hypoxia, they produce functional changes in other cells of the tumor stroma, such as many immune subpopulations and endothelial cells, which lead to tumor growth. Thus, immune cells favor tissue growth through changes in immunosuppression. This review considers some of the metabolic changes described in breast cancer. PB MPDI SN 2072-6694 YR 2022 FD 2022-01-10 LK https://hdl.handle.net/20.500.14352/72070 UL https://hdl.handle.net/20.500.14352/72070 LA eng NO Corchado-Cobos R, García-Sancha N, Mendiburu-Eliçabe M, Gómez-Vecino A, Jiménez-Navas A, Pérez-Baena MJ, et al. Pathophysiological Integration of Metabolic Reprogramming in Breast Cancer. Cancers 2022;14:322. https://doi.org/10.3390/cancers14020322. NO Ministerio de Ciencia e Innovación (España) NO Instituto de Salud Carlos III NO Junta de Castilla y León NO Federación Española de Enfermedades Raras DS Docta Complutense RD 11 may 2025