Table 3 Roles and mechanisms of FAO in endocrinotherapy resistance.

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

Cancer

Drug

Mechanism

Role

Ref

BC

Tamoxifen

Low expression of GPR81 disrupts the Rap1 pathway, leading to up-regulation of PPARα and CPT1, thereby enhancing FAO

PR

[24]

BC

Tamoxifen

Transcription factor c-Jun is activated by phosphorylation mediated by JNK kinase, which in turn activates CPT1A leading to FAO enhancement

PR

[144]

BC

Endoxifen

The interaction between AMPK and AKT enhances FAO through the ERRα/PGC-1β/MCAD axis

PR

[146]

BC

Tamoxifen/Fulvestrant

FAO enhancement leads to activation of Src pathway, which leads to drug resistance in cancer cells

PR

[147]

BC

Fluvestine

FDXR enhances FAO by up-regulating CPT1A

PR

[149]

PCa

2-hydroxiflutamide

The down-regulated expression of PGC1α resulted in the inhibition of FAO

PR

[153]

PCa

Enzalutamide

–

PR

[154]

PCa

Enzalutamide

Increased expression of DECR2 led to increased FAO

PR

[155]

PCa

AUY922

–

PR

[51]

  1. BC breast cancer, PCa prostate cancer, PR promote resistance.