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. 2020 Dec 16;9(12):474. doi: 10.3390/biology9120474

Table 1.

Non-exhaustive list of changes in lipid metabolism associated with resistance to anticancer treatments.

Cancer Resistance to Drugs Lipid Metabolism Reprogramming in Resistant Cells
Type Model Drug Drug Target Pathway Mechanism Reference
Pancreatic adenocarcinoma In vitro and in vivo xenografts Gemcitabine Thymidylate synthetase inhibition Increased lipogenesis Increased FASN expression [43]
Ovarian cancer In vitro cell lines and primary cells Cisplatin DNA binding Increased lipogenesis Increased FASN expression [44]
Breast cancer In vitro Increased lipogenesis Increased FASN expression [45]
Bladder cancer In vitro Increased lipogenesis Increased cytosolic ACSS2 expression [46]
Ovarian cancer In vitro and in vivo xenografts Carboplatin DNA binding Increased lipolysis Adipocyte-Induced FABP4 Expression [47]
Breast cancer In vitro cell lines and patient tissue and in vivo Paclitaxel Antimicrotubule agent Increased lipolysis High mRNA levels of CPT1B and FAO [48]
Breast cancer In vitro Radiation therapy DNA double strand breaks Increased lipolysis High CPT1A andCPT2 expression and increased FAO [49]
Nasopharyngeal carcinoma In vitro cell lines and tissue assay Increased lipolysis High CPT1A expression and increased FAO [50]
Head and Neck Squamous Cell Cancer In vitro Increased lipogenesis and decreased lipolysis Increased FASN expression [51]
AML In vitro primary cells and in vivo patient derived xenografts Cytarabine Nucleoside analogue of cytosine Increased lipolysis Increased CD36 expression [52]
Acute myeloid leukemia In vitro Mitoxantrone Type II topoisomerase inhibitor Increased lipogenesis and lipolysis Increased lipid droplets and increased OXPHOS [53]
Breast cancer In vitro Doxorubicin and mitoxantrone DNA binding and type II topoisomerase inhibitor Increased lipogenesis Increased FASN expression [54]
Burkitt lymphoma In vitro Bortezomib Inhibition of the 26S proteasome Increased lipogenesis Induction of a GGPP-dependent survival pathway [55]
Melanoma In vitro and in vivo xenografts BRAFi and MEKi Selective inhibitors of mutated BRAF/MEK Increased lipolysis Increased peroxisomal β-oxidation [30]
Non-small cell lung cancer In vitro and in vivo xenografts Gefitinib Inhibitor of the epidermal growth factor receptor (EGFR) tyrosine kinase Increased lipogenesis Increased membrane fluidity by high lipid droplet content and SCD1 expression [41]
In vitro and in vivo xenografts Increased lipogenesis High cholesterol level in lipid rafts [56]
Breast cancer In vitro Increased lipogenesis EGFR sequestrated within plasma membrane cholesterol lipid rafts [57]
Breast cancer In vitro and in vivo xenografts Lapatinib Inhibitor of EGFR/HER1 and HER2 receptors Unknown Increased adipocyte lipolysis [58]
Breast cancer In vitro Trastuzumab Inhibitor of HER2 receptors Increased lipogenesis Increased FAS promoter [59]
Breast cancer In vitro Tamoxifen Inhibitor of oestrogen receptors (ERs) Increased lipogenesis Increased cholesterol pathway gene expression [60]
Multiple cancer models In vitro and in vivo xenografts Anti-Angiogenic drugs Inhibitors of vascular endothelial growth factor (VEGF) Increased lipolysis Increased FFA uptake and FAO induced by hypoxia [61]