Cancer Metabolism Agent
The Cancer Metabolism Agent analyzes tumor metabolic reprogramming to identify vulnerabilities for therapeutic targeting. It integrates metabolomics, transcriptomics, and flux analysis to characterize Warburg effect, glutamine addiction, lipid synthesis, and other cancer-specific metabolic alterations.
When to Use This Skill
- When analyzing tumor metabolomic profiles to identify metabolic phenotypes.
- To identify metabolic vulnerabilities as therapeutic targets.
- For predicting response to metabolism-targeting drugs (metformin, 2-DG, CB-839).
- When integrating metabolomics with transcriptomics for pathway analysis.
- To analyze tumor-microenvironment metabolic competition.
Core Capabilities
Metabolic Phenotyping: Classify tumors by dominant metabolic programs (glycolytic, oxidative, lipogenic).
Warburg Effect Quantification: Measure aerobic glycolysis and lactate production signatures.
Glutamine Dependency Analysis: Identify glutamine-addicted tumors vulnerable to GLS inhibitors.
Lipid Metabolism Profiling: Analyze de novo lipogenesis and fatty acid oxidation.
Metabolic Flux Analysis: Integrate 13C tracer data for pathway flux quantification.
Drug Sensitivity Prediction: Predict response to metabolism-targeting therapeutics.
Key Metabolic Pathways in Cancer
| Pathway |
Key Enzymes |
Cancer Relevance |
Therapeutic Targets |
| Glycolysis |
HK2, PKM2, LDHA |
Warburg effect |
2-DG, lonidamine |
| Glutaminolysis |
GLS1, GDH |
Nitrogen/carbon source |
CB-839, BPTES |
| Fatty acid synthesis |
FASN, ACC, ACLY |
Membrane biogenesis |
TVB-2640, ND-646 |
| Oxidative phosphorylation |
Complex I-V |
OXPHOS tumors |
Metformin, IACS-010759 |
| One-carbon metabolism |
SHMT, MTHFD |
Nucleotide synthesis |
Methotrexate |
| Serine synthesis |
PHGDH, PSAT1 |
Amino acid auxotrophy |
NCT-503 |
Workflow
Input: Metabolomics data (LC-MS, GC-MS), RNA-seq expression, clinical annotations.
Normalization: Process metabolomics data with appropriate normalization.
Pathway Scoring: Calculate metabolic pathway activity scores.
Phenotype Classification: Assign metabolic phenotype clusters.
Vulnerability Identification: Identify metabolic dependencies.
Drug Matching: Predict sensitivity to metabolism-targeting agents.
Output: Metabolic phenotype, pathway activities, therapeutic recommendations.
Example Usage
User: "Analyze this tumor's metabolic profile and identify targetable metabolic vulnerabilities."
Agent Action:
python3 Skills/Oncology/Cancer_Metabolism_Agent/metabolism_analyzer.py \
--metabolomics tumor_lcms.csv \
--rnaseq tumor_expression.tsv \
--tumor_type NSCLC \
--normalize mtic \
--pathway_analysis true \
--drug_prediction true \
--output metabolism_report/
Metabolic Phenotype Classification
Glycolytic (Warburg):
- High HK2, PKM2, LDHA expression
- Elevated lactate/pyruvate ratio
- Low mitochondrial gene expression
- Sensitive to glycolysis inhibitors
Oxidative (OXPHOS-dependent):
- High ETC complex expression
- Active TCA cycle
- PGC1α driven
- Sensitive to metformin, IACS-010759
Lipogenic:
- High FASN, ACC, SREBP1/2
- Active de novo lipogenesis
- Common in prostate, breast cancer
- Sensitive to FASN inhibitors
Glutamine-addicted:
- High GLS1, MYC-driven
- Glutamine-dependent anaplerosis
- Common in KRAS-mutant cancers
- Sensitive to CB-839
AI/ML Models
Metabolic Phenotype Classifier:
- Random forest on metabolite ratios
- 85% accuracy on validation cohorts
- Integrates with molecular subtypes
Flux Balance Analysis:
- Genome-scale metabolic models (Recon3D)
- Constraint-based optimization
- Predicts essential metabolic genes
Drug Response Prediction:
- GDSC/CCLE metabolic drug data
- Multi-omic feature integration
- AUC 0.75-0.85 for metabolic drugs
Metabolomics Data Processing
| Step |
Method |
Purpose |
| Peak detection |
XCMS, MZmine |
Identify metabolites |
| Annotation |
HMDB, KEGG |
Assign identities |
| Normalization |
MTIC, median |
Remove batch effects |
| Imputation |
KNN, RF |
Handle missing values |
| Enrichment |
MSEA, Mummichog |
Pathway analysis |
TME Metabolic Competition
The agent analyzes tumor-immune metabolic crosstalk:
- Glucose competition (T-cell activation)
- Lactate immunosuppression
- Arginine depletion by MDSCs
- Tryptophan-IDO axis
- Adenosine immunosuppression
Prerequisites
- Python 3.10+
- COBRApy for flux balance
- MetaboAnalyst interface
- Pathway databases (KEGG, Reactome)
Related Skills
- Metabolomics_Agent - For general metabolomics
- Multi_Omics_Integration - For omic integration
- Drug_Repurposing - For therapeutic matching
Clinical Applications
- Treatment Selection: Match metabolic phenotype to drugs
- Combination Therapy: Identify synergistic metabolic targets
- Resistance Mechanisms: Metabolic adaptation under therapy
- Diet Interventions: Ketogenic diet in glycolytic tumors
Author
AI Group - Biomedical AI Platform
1---2name: cancer-metabolism-agent3description: AI-powered analysis of cancer metabolic reprogramming including Warburg effect, glutamine addiction, lipid metabolism, and metabolic vulnerabilities for therapeutic targeting.4---56<!--7# COPYRIGHT NOTICE8# This file is part of the "Universal Biomedical Skills" project.9# Copyright (c) 2026 MD BABU MIA, PhD <md.babu.mia@mssm.edu>10# All Rights Reserved.11#12# This code is proprietary and confidential.13# Unauthorized copying of this file, via any medium is strictly prohibited.14#15# Provenance: Authenticated by MD BABU MIA1617-->18192021# Cancer Metabolism Agent2223The **Cancer Metabolism Agent** analyzes tumor metabolic reprogramming to identify vulnerabilities for therapeutic targeting. It integrates metabolomics, transcriptomics, and flux analysis to characterize Warburg effect, glutamine addiction, lipid synthesis, and other cancer-specific metabolic alterations.2425## When to Use This Skill2627* When analyzing tumor metabolomic profiles to identify metabolic phenotypes.28* To identify metabolic vulnerabilities as therapeutic targets.29* For predicting response to metabolism-targeting drugs (metformin, 2-DG, CB-839).30* When integrating metabolomics with transcriptomics for pathway analysis.31* To analyze tumor-microenvironment metabolic competition.3233## Core Capabilities34351. **Metabolic Phenotyping**: Classify tumors by dominant metabolic programs (glycolytic, oxidative, lipogenic).36372. **Warburg Effect Quantification**: Measure aerobic glycolysis and lactate production signatures.38393. **Glutamine Dependency Analysis**: Identify glutamine-addicted tumors vulnerable to GLS inhibitors.40414. **Lipid Metabolism Profiling**: Analyze de novo lipogenesis and fatty acid oxidation.42435. **Metabolic Flux Analysis**: Integrate 13C tracer data for pathway flux quantification.44456. **Drug Sensitivity Prediction**: Predict response to metabolism-targeting therapeutics.4647## Key Metabolic Pathways in Cancer4849| Pathway | Key Enzymes | Cancer Relevance | Therapeutic Targets |50|---------|-------------|------------------|---------------------|51| Glycolysis | HK2, PKM2, LDHA | Warburg effect | 2-DG, lonidamine |52| Glutaminolysis | GLS1, GDH | Nitrogen/carbon source | CB-839, BPTES |53| Fatty acid synthesis | FASN, ACC, ACLY | Membrane biogenesis | TVB-2640, ND-646 |54| Oxidative phosphorylation | Complex I-V | OXPHOS tumors | Metformin, IACS-010759 |55| One-carbon metabolism | SHMT, MTHFD | Nucleotide synthesis | Methotrexate |56| Serine synthesis | PHGDH, PSAT1 | Amino acid auxotrophy | NCT-503 |5758## Workflow59601. **Input**: Metabolomics data (LC-MS, GC-MS), RNA-seq expression, clinical annotations.61622. **Normalization**: Process metabolomics data with appropriate normalization.63643. **Pathway Scoring**: Calculate metabolic pathway activity scores.65664. **Phenotype Classification**: Assign metabolic phenotype clusters.67685. **Vulnerability Identification**: Identify metabolic dependencies.69706. **Drug Matching**: Predict sensitivity to metabolism-targeting agents.71727. **Output**: Metabolic phenotype, pathway activities, therapeutic recommendations.7374## Example Usage7576**User**: "Analyze this tumor's metabolic profile and identify targetable metabolic vulnerabilities."7778**Agent Action**:79```bash80python3 Skills/Oncology/Cancer_Metabolism_Agent/metabolism_analyzer.py \81 --metabolomics tumor_lcms.csv \82 --rnaseq tumor_expression.tsv \83 --tumor_type NSCLC \84 --normalize mtic \85 --pathway_analysis true \86 --drug_prediction true \87 --output metabolism_report/88```8990## Metabolic Phenotype Classification9192**Glycolytic (Warburg)**:93- High HK2, PKM2, LDHA expression94- Elevated lactate/pyruvate ratio95- Low mitochondrial gene expression96- Sensitive to glycolysis inhibitors9798**Oxidative (OXPHOS-dependent)**:99- High ETC complex expression100- Active TCA cycle101- PGC1α driven102- Sensitive to metformin, IACS-010759103104**Lipogenic**:105- High FASN, ACC, SREBP1/2106- Active de novo lipogenesis107- Common in prostate, breast cancer108- Sensitive to FASN inhibitors109110**Glutamine-addicted**:111- High GLS1, MYC-driven112- Glutamine-dependent anaplerosis113- Common in KRAS-mutant cancers114- Sensitive to CB-839115116## AI/ML Models117118**Metabolic Phenotype Classifier**:119- Random forest on metabolite ratios120- 85% accuracy on validation cohorts121- Integrates with molecular subtypes122123**Flux Balance Analysis**:124- Genome-scale metabolic models (Recon3D)125- Constraint-based optimization126- Predicts essential metabolic genes127128**Drug Response Prediction**:129- GDSC/CCLE metabolic drug data130- Multi-omic feature integration131- AUC 0.75-0.85 for metabolic drugs132133## Metabolomics Data Processing134135| Step | Method | Purpose |136|------|--------|---------|137| Peak detection | XCMS, MZmine | Identify metabolites |138| Annotation | HMDB, KEGG | Assign identities |139| Normalization | MTIC, median | Remove batch effects |140| Imputation | KNN, RF | Handle missing values |141| Enrichment | MSEA, Mummichog | Pathway analysis |142143## TME Metabolic Competition144145The agent analyzes tumor-immune metabolic crosstalk:146- Glucose competition (T-cell activation)147- Lactate immunosuppression148- Arginine depletion by MDSCs149- Tryptophan-IDO axis150- Adenosine immunosuppression151152## Prerequisites153154* Python 3.10+155* COBRApy for flux balance156* MetaboAnalyst interface157* Pathway databases (KEGG, Reactome)158159## Related Skills160161* Metabolomics_Agent - For general metabolomics162* Multi_Omics_Integration - For omic integration163* Drug_Repurposing - For therapeutic matching164165## Clinical Applications1661671. **Treatment Selection**: Match metabolic phenotype to drugs1682. **Combination Therapy**: Identify synergistic metabolic targets1693. **Resistance Mechanisms**: Metabolic adaptation under therapy1704. **Diet Interventions**: Ketogenic diet in glycolytic tumors171172## Author173174AI Group - Biomedical AI Platform175176177<!-- AUTHOR_SIGNATURE: 9a7f3c2e-MD-BABU-MIA-2026-MSSM-SECURE -->