Lipid metabolism mediating oxaliplatin resistance in colorectal cancer
4 affiliations
- 1Graduate School of Tianjin University of Traditional Chinese Medicine
- 2Department of Colorectal Surgery, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University
- 3Department of Pharmacy, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University
- 4Department of Pathology, Tianjin Union Medical Center, The First Affiliated Hospital of Nankai University
Abstract
Introduction: As a core drug in chemotherapy regimens for colorectal cancer, the clinical efficacy of oxaliplatin is compromised by multiple resistance mechanisms. Lipid metabolism, a crucial component of metabolic pathways, is known to affect the efficacy of various chemotherapeutic agents. However, to the best of our knowledge, the role of lipid metabolism in oxaliplatin resistance remains unreviewed.
Areas covered: In this review, we analyze the relationship between lipid metabolism and oxaliplatin efficacy from the perspectives of DNA damage, ferroptosis, ROS accumulation, cellular dormancy, antitumor immunity, vascular remodeling, and autophagy. This review covers nearly all known oxaliplatin resistance factors, summarizing the regulatory role of lipid metabolism across both basic and clinical studies. Given that clinical studies remain relatively scarce compared to basic research, the impact of factors directly regulated by lipid metabolism on clinical outcomes is analyzed. Based on this, their relationship with oxaliplatin efficacy is inferred, and potential directions for future clinical research are highlighted.
Expert opinion/commentary: By summarizing the relationship between lipid metabolism and oxaliplatin resistance, this review provides an important theoretical basis for improving chemotherapy efficacy in colorectal cancer and developing novel combination therapies based on metabolic interventions.
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BibTeX
@article{han2026lipid,
title = {{Lipid metabolism mediating oxaliplatin resistance in colorectal cancer}},
author = {Siqi Han and Liqiang Gu and Ziyu Ren and Jingxian Hu and Ying Zhao and Zhenying Zhao and Yijia Wang},
journal = {Frontiers in Oncology},
year = {2026},
month = oct,
doi = {10.3389/fonc.2026.1976409},
url = {https://www.frontiersin.org/articles/10.3389/fonc.2026.1976409/full},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Lipid metabolism mediating oxaliplatin resistance in colorectal cancer
AU - Siqi Han
AU - Liqiang Gu
AU - Ziyu Ren
AU - Jingxian Hu
AU - Ying Zhao
AU - Zhenying Zhao
AU - Yijia Wang
PY - 2026
DA - 2026/10/22
JO - Frontiers in Oncology
DO - 10.3389/fonc.2026.1976409
UR - https://www.frontiersin.org/articles/10.3389/fonc.2026.1976409/full
AB - Introduction: As a core drug in chemotherapy regimens for colorectal cancer, the clinical efficacy of oxaliplatin is compromised by multiple resistance mechanisms. Lipid metabolism, a crucial component of metabolic pathways, is known to affect the efficacy of various chemotherapeutic agents. However, to the best of our knowledge, the role of lipid metabolism in oxaliplatin resistance remains unreviewed. Areas covered: In this review, we analyze the relationship between lipid metabolism and oxaliplatin efficacy from the perspectives of DNA damage, ferroptosis, ROS accumulation, cellular dormancy, antitumor immunity, vascular remodeling, and autophagy. This review covers nearly all known oxaliplatin resistance factors, summarizing the regulatory role of lipid metabolism across both basic and clinical studies. Given that clinical studies remain relatively scarce compared to basic research, the impact of factors directly regulated by lipid metabolism on clinical outcomes is analyzed. Based on this, their relationship with oxaliplatin efficacy is inferred, and potential directions for future clinical research are highlighted. Expert opinion/commentary: By summarizing the relationship between lipid metabolism and oxaliplatin resistance, this review provides an important theoretical basis for improving chemotherapy efficacy in colorectal cancer and developing novel combination therapies based on metabolic interventions.
SN - 2234-943X
ER -