Fueling metabolic disruption via FMD to boost chemotherapy in TNBC Editorial


Authors: Goncalves, M. D.; Iyengar, N. M.
Title: Fueling metabolic disruption via FMD to boost chemotherapy in TNBC
Abstract: Triple-negative breast cancer (TNBC) is highly glycolytic and lacks effective biomarkers for therapy response. The BREAKFAST trial showed that a fasting-mimicking diet (FMD) improved pathological complete response (pCR) rates to 56.6% compared to historical chemotherapy averages (30%–40%), with minimal severe adverse events. FMD's metabolic and immune-modulating effects warrant further study with immunotherapy. © 2025 Elsevier Inc.
Keywords: antineoplastic agents; note; antineoplastic agent; metabolism; pathology; patient compliance; neoadjuvant chemotherapy; drug therapy; metformin; metabolic disorder; glycolysis; fasting; pathological complete response; tumor microenvironment; adverse event; triple negative breast cancer; body weight loss; humans; human; female; triple negative breast neoplasms; fasting mimicking diet
Journal Title: Cell Metabolism
Volume: 37
Issue: 2
ISSN: 1550-4131
Publisher: Elsevier Inc.  
Date Published: 2025-02-04
Start Page: 305
End Page: 306
Language: English
DOI: 10.1016/j.cmet.2024.12.015
PUBMED: 39908983
PROVIDER: scopus
DOI/URL:
Notes: Note -- Source: Scopus
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  1. Neil Mukund Iyengar
    150 Iyengar