Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer

Abstract Fructose, a prevalent hexose, has become a widely used food additive, with its usage rising significantly because of socio-economic advancements and shifts in human dietary habits. Excessive fructose intake has been implicated in obesity, cardiovascular disease, metabolic syndromes, inflamm...

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Main Authors: Zhenhong Li, Xinzou Fan, Fan Gao, Shengguang Pan, Xiao Ma, Hao Cheng, Hiroko Nakatsukasa, Wei Zhang, Dunfang Zhang
Format: Article
Language:English
Published: Springer 2025-06-01
Series:Molecular Biomedicine
Subjects:
Online Access:https://doi.org/10.1186/s43556-025-00287-2
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author Zhenhong Li
Xinzou Fan
Fan Gao
Shengguang Pan
Xiao Ma
Hao Cheng
Hiroko Nakatsukasa
Wei Zhang
Dunfang Zhang
author_facet Zhenhong Li
Xinzou Fan
Fan Gao
Shengguang Pan
Xiao Ma
Hao Cheng
Hiroko Nakatsukasa
Wei Zhang
Dunfang Zhang
author_sort Zhenhong Li
collection DOAJ
description Abstract Fructose, a prevalent hexose, has become a widely used food additive, with its usage rising significantly because of socio-economic advancements and shifts in human dietary habits. Excessive fructose intake has been implicated in obesity, cardiovascular disease, metabolic syndromes, inflammation, and cancer, among other disorders. This review discusses the absorption, distribution, and metabolism of fructose and the links between fructose metabolism and major metabolic pathways. The role of fructose in metabolic diseases, including metabolic dysfunction-associated fatty liver disease, hyperinsulinemia, and hyperuricemia, is also highlighted. Furthermore, the role of fructose in the development of chronic inflammation, including gut inflammation, liver inflammation, and neuroinflammation, is discussed. Lastly, in the context of cancer development, this review summarizes the dual role of fructose in tumors, both pro- and anti-tumor effects. Future studies on the role of fructose in cancer should focus on the complexity of physiological and pathological conditions, such as the specific tumor microenvironment and metabolic status. Fructose has been shown to induce metabolic reprogramming of multiple immune cells and increase pro-inflammatory immune responses; therefore, inhibiting or promoting its metabolism may regulate immune responses. And targeting fructose metabolism may be a promising approach to treating metabolic diseases, inflammation, and cancer.
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spelling doaj-art-6af6c037bf5540b49082bc207e1cb7e42025-06-29T11:03:59ZengSpringerMolecular Biomedicine2662-86512025-06-016112910.1186/s43556-025-00287-2Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancerZhenhong Li0Xinzou Fan1Fan Gao2Shengguang Pan3Xiao Ma4Hao Cheng5Hiroko Nakatsukasa6Wei Zhang7Dunfang Zhang8Department of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityLaboratory of Microbiology and Immunology, Graduate School of Pharmaceutical Sciences, Chiba UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityDepartment of Biotherapy, State Key Laboratory of Biotherapy and Cancer Center, Collaborative Innovation Center of Biotherapy, West China Hospital, Sichuan UniversityAbstract Fructose, a prevalent hexose, has become a widely used food additive, with its usage rising significantly because of socio-economic advancements and shifts in human dietary habits. Excessive fructose intake has been implicated in obesity, cardiovascular disease, metabolic syndromes, inflammation, and cancer, among other disorders. This review discusses the absorption, distribution, and metabolism of fructose and the links between fructose metabolism and major metabolic pathways. The role of fructose in metabolic diseases, including metabolic dysfunction-associated fatty liver disease, hyperinsulinemia, and hyperuricemia, is also highlighted. Furthermore, the role of fructose in the development of chronic inflammation, including gut inflammation, liver inflammation, and neuroinflammation, is discussed. Lastly, in the context of cancer development, this review summarizes the dual role of fructose in tumors, both pro- and anti-tumor effects. Future studies on the role of fructose in cancer should focus on the complexity of physiological and pathological conditions, such as the specific tumor microenvironment and metabolic status. Fructose has been shown to induce metabolic reprogramming of multiple immune cells and increase pro-inflammatory immune responses; therefore, inhibiting or promoting its metabolism may regulate immune responses. And targeting fructose metabolism may be a promising approach to treating metabolic diseases, inflammation, and cancer.https://doi.org/10.1186/s43556-025-00287-2FructoseFructose metabolismInflammationTumor metabolismGlycolysis
spellingShingle Zhenhong Li
Xinzou Fan
Fan Gao
Shengguang Pan
Xiao Ma
Hao Cheng
Hiroko Nakatsukasa
Wei Zhang
Dunfang Zhang
Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
Molecular Biomedicine
Fructose
Fructose metabolism
Inflammation
Tumor metabolism
Glycolysis
title Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
title_full Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
title_fullStr Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
title_full_unstemmed Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
title_short Fructose metabolism and its roles in metabolic diseases, inflammatory diseases, and cancer
title_sort fructose metabolism and its roles in metabolic diseases inflammatory diseases and cancer
topic Fructose
Fructose metabolism
Inflammation
Tumor metabolism
Glycolysis
url https://doi.org/10.1186/s43556-025-00287-2
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