Reshaping immunometabolism in the tumour microenvironment to improve cancer immunotherapy - 17/06/23

Abstract |
The evolving understanding of cellular metabolism has revealed a the promise of strategies aiming to modulate anticancer immunity by targeting metabolism. The combination of metabolic inhibitors with immune checkpoint blockade (ICB), chemotherapy and radiotherapy may offer new approaches to cancer treatment. However, it remains unclear how these strategies can be better utilized despite the complex tumour microenvironment (TME). Oncogene-driven metabolic changes in tumour cells can affect the TME, limiting the immune response and creating many barriers to cancer immunotherapy. These changes also reveal opportunities to reshape the TME to restore immunity by targeting metabolic pathways. Further exploration is required to determine how to make better use of these mechanistic targets. Here, we review the mechanisms by which tumour cells reshape the TME and cause immune cells to transition into an abnormal state by secreting multiple factors, with the ultimate goal of proposing targets and optimizing the use of metabolic inhibitors. Deepening our understanding of changes in metabolism and immune function in the TME will help advance this promising field and enhance immunotherapy.
Il testo completo di questo articolo è disponibile in PDF.Graphical Abstract |
Highlights |
• | There is close interaction between tumor microenvironment and immune cells, which plays an important role in the process of tumor immune escape. |
• | Lactic acid accumulation, as a signature feature of microenvironment, can change the metabolic process of CD8 T cells and inhibit their function. |
• | Amino acids, fatty acids and other metabolites can participate in the metabolic process of dendritic cells, MDSC and other cells to change their functions. |
• | Dieting and reshaping the body's metabolism by altering the gut flora may enhance immune function by improving immune metabolism and function. |
Keywords : Immunometabolism, Tumour microenvironment, Immunotherapy, Lactate, Diet
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Vol 164
Articolo 114963- agosto 2023 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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