Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints

Immune checkpoint inhibitors (ICIs), Ipilimumab, Nivolumab, Pembrolizumab and Atezolizumab, have been applied in anti-tumor therapy and demonstrated exciting performance compared to conventional treatments. However, the unsatisfactory response rates, high recurrence and adaptive resistance limit the...

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Autores principales: Yaolin Xu, Lijie He, Qiang Fu, Junzhe Hu
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/4593b770644d4d20a393ea8ad3438eb1
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spelling oai:doaj.org-article:4593b770644d4d20a393ea8ad3438eb12021-11-11T08:14:33ZMetabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints2234-943X10.3389/fonc.2021.759015https://doaj.org/article/4593b770644d4d20a393ea8ad3438eb12021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.759015/fullhttps://doaj.org/toc/2234-943XImmune checkpoint inhibitors (ICIs), Ipilimumab, Nivolumab, Pembrolizumab and Atezolizumab, have been applied in anti-tumor therapy and demonstrated exciting performance compared to conventional treatments. However, the unsatisfactory response rates, high recurrence and adaptive resistance limit their benefits. Metabolic reprogramming appears to be one of the crucial barriers to immunotherapy. The deprivation of required nutrients and altered metabolites not only promote tumor progression but also confer dysfunction on immune cells in the tumor microenvironment (TME). Glycolysis plays a central role in metabolic reprogramming and immunoregulation in the TME, and many therapies targeting glycolysis have been developed, and their combinations with ICIs are in preclinical and clinical trials. Additional attention has been paid to the role of amino acids, lipids, nucleotides and mitochondrial biogenesis in metabolic reprogramming and clinical anti-tumor therapy. This review attempts to describe reprogramming metabolisms within tumor cells and immune cells, from the aspects of glycolysis, amino acid metabolism, lipid metabolism, nucleotide metabolism and mitochondrial biogenesis and their impact on immunity in the TME, as well as the significance of targeting metabolism in anti-tumor therapy, especially in combination with ICIs. In particular, we highlight the expression mechanism of programmed cell death (ligand) 1 [PD-(L)1] in tumor cells and immune cells under reprogramming metabolism, and discuss in detail the potential of targeting key metabolic pathways to break resistance and improve the efficacy of ICIs based on results from current preclinical and clinical trials. Besides, we draw out biomarkers of potential predictive value in ICIs treatment from a metabolic perspective.Yaolin XuLijie HeQiang FuJunzhe HuFrontiers Media S.A.articleglycolysisamino acid metabolismlipid metabolismnucleotide metabolismmitochondrial biogenesisthe tumor microenvironmentNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic glycolysis
amino acid metabolism
lipid metabolism
nucleotide metabolism
mitochondrial biogenesis
the tumor microenvironment
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle glycolysis
amino acid metabolism
lipid metabolism
nucleotide metabolism
mitochondrial biogenesis
the tumor microenvironment
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Yaolin Xu
Lijie He
Qiang Fu
Junzhe Hu
Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
description Immune checkpoint inhibitors (ICIs), Ipilimumab, Nivolumab, Pembrolizumab and Atezolizumab, have been applied in anti-tumor therapy and demonstrated exciting performance compared to conventional treatments. However, the unsatisfactory response rates, high recurrence and adaptive resistance limit their benefits. Metabolic reprogramming appears to be one of the crucial barriers to immunotherapy. The deprivation of required nutrients and altered metabolites not only promote tumor progression but also confer dysfunction on immune cells in the tumor microenvironment (TME). Glycolysis plays a central role in metabolic reprogramming and immunoregulation in the TME, and many therapies targeting glycolysis have been developed, and their combinations with ICIs are in preclinical and clinical trials. Additional attention has been paid to the role of amino acids, lipids, nucleotides and mitochondrial biogenesis in metabolic reprogramming and clinical anti-tumor therapy. This review attempts to describe reprogramming metabolisms within tumor cells and immune cells, from the aspects of glycolysis, amino acid metabolism, lipid metabolism, nucleotide metabolism and mitochondrial biogenesis and their impact on immunity in the TME, as well as the significance of targeting metabolism in anti-tumor therapy, especially in combination with ICIs. In particular, we highlight the expression mechanism of programmed cell death (ligand) 1 [PD-(L)1] in tumor cells and immune cells under reprogramming metabolism, and discuss in detail the potential of targeting key metabolic pathways to break resistance and improve the efficacy of ICIs based on results from current preclinical and clinical trials. Besides, we draw out biomarkers of potential predictive value in ICIs treatment from a metabolic perspective.
format article
author Yaolin Xu
Lijie He
Qiang Fu
Junzhe Hu
author_facet Yaolin Xu
Lijie He
Qiang Fu
Junzhe Hu
author_sort Yaolin Xu
title Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
title_short Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
title_full Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
title_fullStr Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
title_full_unstemmed Metabolic Reprogramming in the Tumor Microenvironment With Immunocytes and Immune Checkpoints
title_sort metabolic reprogramming in the tumor microenvironment with immunocytes and immune checkpoints
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/4593b770644d4d20a393ea8ad3438eb1
work_keys_str_mv AT yaolinxu metabolicreprogramminginthetumormicroenvironmentwithimmunocytesandimmunecheckpoints
AT lijiehe metabolicreprogramminginthetumormicroenvironmentwithimmunocytesandimmunecheckpoints
AT qiangfu metabolicreprogramminginthetumormicroenvironmentwithimmunocytesandimmunecheckpoints
AT junzhehu metabolicreprogramminginthetumormicroenvironmentwithimmunocytesandimmunecheckpoints
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