Therapy Synergy Targets Colorectal Cancer Metabolism

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"This commentary will discuss what is known about such combinatorial treatments, including potential mechanisms and future protocols."

BUFFALO, NY- November 15, 2024 - A new review was published in Volume 11 of Oncoscience on November 12, 2024, entitled, " Targeting carbohydrate metabolism in colorectal cancer - synergy between DNA-damaging agents, cannabinoids, and intermittent serum starvation ."

As highlighted by the authors in the abstract of this review, chemotherapy is a common treatment for many cancers. However, it is often ineffective for long-term patient survival and is typically accompanied by various adverse effects. These side effects are mainly due to toxicity to normal cells, often leading to immune system depression, nausea, loss of appetite, and metabolic changes. In this context, combining chemotherapy with cannabinoids-especially non-psychoactive ones like cannabidiol, cannabinol (CBD), and other minor cannabinoids, as well as terpenes-could offer significant benefits.

This is relevant because the mechanisms by which cannabinoids exert anticancer effects on cancer cells often differ from those of conventional chemotherapies. In addition, cannabinoids help alleviate chemotherapy-induced side effects, regulate sleep and appetite, and have shown analgesic properties. Another factor in achieving potential anticancer synergy is regulating nutrient availability and metabolism through calorie restriction and intermittent fasting in cancer cells. Since tumors require substantial energy for growth and glucose is readily available, malignant cells often rely on glucose as their primary source of ATP via substrate-level phosphorylation (fermentation) rather than oxidative phosphorylation. Therefore, periodically depriving cancer cells of glucose could create a strong synergy with chemotherapy-and possibly radiotherapy-when combined with cannabinoids.

In this review, researchers Viktoriia Cherkasova, Olga Kovalchuk, and Igor Kovalchuk from the Department of Biological Sciences at the University of Lethbridge in Alberta, Canada, explore what is known about these combinatorial treatments, including potential mechanisms and future protocols.

"In summary, our study was limited to cell viability and mRNA expression to unravel treatment synergies within (colorectal cancer) CRC cell lines, providing initial insights into the underlying molecular mechanisms of (intermittent serum starvation) ISS, CBD and cisplatin interactions."

Continue reading: DOI: https://doi.org/10.18632/oncoscience.611

Corresponding authors: Olga Kovalchuk - [email protected], and Igor Kovalchuk - [email protected]

Keywords: cancer, colorectal cancer, cisplatin, cannabidiol, intermittent serum starvation, chemotherapy

About Oncoscience:

Oncoscience is a peer-reviewed, open-access, traditional journal covering the rapidly growing field of cancer research, especially emergent topics not currently covered by other journals. This journal has a special mission: Freeing oncology from publication cost. It is free for the readers and the authors.

Oncoscience is indexed and archived by PubMed, PubMed Central, Scopus, META (Chan Zuckerberg Initiative) (2018-2022), and Dimensions (Digital Science).

To learn more about Oncoscience, visit Oncoscience.us

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