Chinese Medical Journal Article Review the role of metabolic reprogramming as a contributor to prostate cancer disease progression
Peer-Reviewed Publication
Updates every hour. Last Updated: 8-Jun-2026 16:16 ET (8-Jun-2026 20:16 GMT/UTC)
This article summarizes metabolic reprogramming in prostate cancer (PCa). Early PCa relies more on glycolysis. castration-resistant prostate cancer (CRPC) enhances glucose metabolism, shifts glutaminase isoform for efficient glutamine use, and upregulates lipid metabolism via androgen receptor. Targeting these pathways offers new therapeutic strategies for PCa, especially CRPC.
Large language models (LLMs) play a key role in advancing intelligent healthcare. While LLMs are increasingly applied in medical fields such as disease screening, diagnostic assistance, and health management, there are no evidence-based guidelines for assessing their effectiveness in healthcare. Now, researchers have developed a consensus that provides a systematic and evidence-based evaluation framework to assess effectiveness of LLMs in medical applications. The framework includes scientific evaluation metrics and procedures, providing guidance for model evaluators.
Current guidelines lack clear, consistent recommendations on liver-beneficial exercise for metabolic dysfunction-associated steatotic liver disease. Analyzing 24 randomized controlled trials via Bayesian network and dose-response network meta-analyses, a new study confirms a nonlinear dose-response relationship between exercise and hepatic steatosis. It identifies key dose thresholds: 460 (minimum), 630 (cost-effective), and 850 MET-min/week (plateau), and highlights that combined aerobic-resistance exercise offers both efficacy and dose advantages, emphasizing tailored prescriptions based on patient heterogeneity, preferences, and conditions.
Prolonged insufficient physical activity in adulthood increases the body’s stress burden, according to a large longitudinal study based on the Northern Finland Birth Cohort 1966. By contrast, engaging in physical activity in line with recommended guidelines appears to protect the body from harmful stress.
Highlights
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Epithelial-mesenchymal transition (EMT) is a mechanism of chemoresistance.
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Epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI) use can trigger EMT and EMT can consequently confers resistance.
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EGFR-TKI use alters protein or miRNA expression or activity, promoting EMT.
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EMT is associated with altered effector protein expression, leading to resistance.
Prediabetes is an extremely heterogeneous metabolic disorder. Scientists from several partner institutes of the German Center for Diabetes Research (DZD)* have now used artificial intelligence (AI) to identify epigenetic markers that indicate an elevated risk of complications. A simple blood test could be sufficient to identify individuals at high risk of developing type 2 diabetes and its complications at an early stage. The study shows how data-driven approaches and molecular medicine interact in the diagnostic process.
Multimorbidity is defined as the concurrent presence of two or more age-associated diseases within an individual, which often results in detrimental health outcomes. Immunosenescence, the gradual deterioration of the immune system associated with aging, constitutes a significant risk factor for the development of these conditions. Moreover, certain diseases may exacerbate immunosenescence, thereby establishing a self-perpetuating pathological cycle. This bidirectional interaction forms a complex pathological network that presents considerable challenges for both the investigation and prevention of multimorbidity. In light of these challenges, it is pertinent to consider whether a paradigm shift in research and intervention strategies—centered on protective factors or anti-aging mechanisms—could facilitate substantial advancements in this field. On October 13, 2025, a research team led by Associate Researcher Xiaolin Ni and Researcher Erping Long from the Institute of Basic Medical Sciences at the Chinese Academy of Medical Sciences published an article entitled "Centenarians: a model of immune resilience against multimorbidity" in the journal Life Medicine. By examining the mechanistic interplay between immunosenescence and multimorbidity and referencing the unique immune profiles of centenarians, the authors proposed a novel systemic therapeutic paradigm termed IMET. This approach focuses on the modulation and restoration of the immune microenvironment, thereby offering innovative research directions and intervention strategies aimed at mitigating the burden of aging-related multimorbidity.