Table 1 Roles and mechanisms of FAO in chemotherapy resistance.

From: The role and mechanism of fatty acid oxidation in cancer drug resistance

Cancer

Drug

Mechanism

Role

Ref

OC

Cisplatin

–

PR

[50]

GC

Cisplatin

The up-regulates of the NPRA strengthened the FAO

PR

[57]

GC/CRC

Oxaliplatin

NFATc3 enhances FAO by up-regulating CPT2

PR

[58]

CRC

Oxaliplatin

–

PR

[59]

GC

5-FU/Oxaliplatin

LncRNA HCP5 induces the expression of PGC1α through miR-3619-5p, promotes the activation of CPT1 by PGC1α/CEBPB complex, and enhances FAO

PR

[60]

GC

FU/Oxaliplatin

TGF-β1 increased the expression of lncRNA MACC1-AS1 by activating SMAD2/3, and lncRNA MACC1-AS1 targeted miR-145-5p to up-regulate FAO

PR

[61]

OC

Cisplatin

COL11A1 binds to DDR2 to activate the Src/Akt/AMPK pathway and enhance FAO

PR

[64]

OC

Cisplatin

COL11A1 enhances FAO by up-regulating HSP27

PR

[68, 69]

OC

Cisplatin

NKX2-8 deletion up-regulates FAO via the Sin3A/HDAC1/SAP18 transcriptional inhibition complex

PR

[72]

OC

Carboplatin

–

PR

[75]

GC

5-FU

–

PR

[80]

GC/CRC

5-FU

HIF1α signaling drives transcription of HMGB1, producing high levels of GDF15 to enhance FAO

PR

[81, 82]

CRC

5-FU

CD147 inhibits PPARα-mediated FAO by activating the MAPK pathway

PR

[86]

CML

AraC/Doxorubicin

–

PR

[90]

AML

AraC

–

PR

[91]

AML

AraC

SIRT3 SUMOylation can be achieved by up-regulating HES1 dependent FAO

PR

[94]

BC

Docetaxel

CD96 and CD155 interact to activate the Src/Stat3/Opa1 pathway and enhance FAO in cancer cells

PR

[100]

BC

Paclitaxel

Activation of the JAK/STAT3 pathway promotes up-regulation of FAO

PR

[101]

BC

Paclitaxel

Increased FAO results in acetylation of STAT3, up-regulation of ACSL4 and further increase of mitochondrial phospholipid synthesis, leading to drug resistance of cancer cells

PR

[52]

NSCLC

Paclitaxel

HIF-1α pathway activation down-regulates CPT1, thereby inhibiting FAO

PR

[102]

LC

Paclitaxel

–

PR

[103]

HCC

Doxorubicin

m6A modification promoted FAO expression by up-regulating ERRγ

PR

[107]

TNBC

Doxorubicin

–

PR

[108]

ALL

Daunorubicin

–

PR

[109]

Melanoma

Etoposide

Overexpressed HIF-1α down-regulates FAO by inhibiting PPARα

PR

[25]

MM

Bortezomib/Melphalan

IL-10 up-regulation of PPARγ/FABP5/CPT1A pathway promotes FAO up-regulation

PR

[110]

GBM

Temozolomide

Sp1 enhanced FAO by up-regulating PGE2

PR

[112]

AML

Mitoxantrone

–

PR

[113]

ALL

Dexamethasone

–

PR

[116]

CLL

Dexamethasone

Up-regulation of PPARα led to increased FAO

PR

[117]

  1. OC ovarian cancer, GC gastric cancer, CRC colorectal cancer, CML chronic myelogenous leukemia, AML acute myelogenous leukemia, BC breast cancer, NSCLC non-small cell lung cancer, LC lung cancer, HCC hepatocellular carcinoma, TNBC triple-negative breast cancer, MM multiple myeloma, GBM glioblastoma, ALL acute lymphoblastic leukemia, CLL chronic lymphocytic leukemia, PR promote resistance.