This review documents the changing perspectives on the function of fatty-ac
id synthase and fatty-acid synthesis in human tumor biology. With the recen
t discovery that human cancer cells express high levels of fatty-acid synth
ase and undergo significant endogenous fatty-acid synthesis, our understand
ing of the role of fatty acids in tumor biology is expanding. Once consider
ed largely an anabolic-energy-storage pathway, fatty-acid synthesis is now
associated with clinically aggressive tumor behavior and tumor-cell growth
and survival and has become a novel target pathway for chemotherapy develop
ment. These findings will ultimately enhance our understanding of fatty aci
ds in tumor biology and may provide new diagnostic and therapeutic moieties
for patient care. (C) Elsevier Science Inc. 2000.