Navigating metabolic pathways to enhance antitumour immunity and immunotherapy.
Details
Serval ID
serval:BIB_F7C5AE601718
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Navigating metabolic pathways to enhance antitumour immunity and immunotherapy.
Journal
Nature reviews. Clinical oncology
ISSN
1759-4782 (Electronic)
ISSN-L
1759-4774
Publication state
Published
Issued date
07/2019
Peer-reviewed
Oui
Volume
16
Number
7
Pages
425-441
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Publication Status: ppublish
Abstract
The development of immunotherapies over the past decade has resulted in a paradigm shift in the treatment of cancer. However, the majority of patients do not benefit from immunotherapy, presumably owing to insufficient reprogramming of the immunosuppressive tumour microenvironment (TME) and thus limited reinvigoration of antitumour immunity. Various metabolic machineries and nutrient-sensing mechanisms orchestrate the behaviour of immune cells in response to nutrient availability in the TME. Notably, tumour-infiltrating immune cells typically experience metabolic stress as a result of the dysregulated metabolic activity of tumour cells, leading to impaired antitumour immune responses. Moreover, the immune checkpoints that are often exploited by tumour cells to evade immunosurveillance have emerging roles in modulating the metabolic and functional activity of T cells. Thus, repurposing of drugs targeting cancer metabolism might synergistically enhance immunotherapy via metabolic reprogramming of the TME. In addition, interventions targeting the metabolic circuits that impede antitumour immunity have been developed, with several clinical trials underway. Herein, we discuss how these metabolic circuits regulate antitumour immunity and the possible approaches to targeting these pathways in the context of anticancer immunotherapy. We also describe hypothetical combination treatments that could be used to better unleash the potential of adoptive cell therapies by enhancing T cell metabolism.
Keywords
Antineoplastic Agents/pharmacology, Antineoplastic Agents/therapeutic use, Combined Modality Therapy, Drug Repositioning, Drug Synergism, Humans, Immunotherapy/methods, Metabolic Networks and Pathways/drug effects, Neoplasms/drug therapy, Neoplasms/immunology, Tumor Microenvironment/drug effects
Pubmed
Web of science
Open Access
Yes
Create date
03/04/2019 15:26
Last modification date
21/08/2019 5:36