Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy

Immune checkpoint inhibitor (ICI) therapy has shown extraordinary promise at treating cancers otherwise resistant to treatment. However, for ICI therapy to be effective, it must overcome the metabolic limitations of the tumor microenvironment. Tumor metabolism has long been understood to be highly d...

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Main Authors: Michael F. Coleman, Alyssa J. Cozzo, Alexander J. Pfeil, Suhas K. Etigunta, Stephen D. Hursting
Format: Article
Language:English
Published: MDPI AG 2020-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/4/852
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author Michael F. Coleman
Alyssa J. Cozzo
Alexander J. Pfeil
Suhas K. Etigunta
Stephen D. Hursting
author_facet Michael F. Coleman
Alyssa J. Cozzo
Alexander J. Pfeil
Suhas K. Etigunta
Stephen D. Hursting
author_sort Michael F. Coleman
collection DOAJ
description Immune checkpoint inhibitor (ICI) therapy has shown extraordinary promise at treating cancers otherwise resistant to treatment. However, for ICI therapy to be effective, it must overcome the metabolic limitations of the tumor microenvironment. Tumor metabolism has long been understood to be highly dysregulated, with potent immunosuppressive effects. Moreover, T cell activation and longevity within the tumor microenvironment are intimately tied to T cell metabolism and are required for the long-term efficacy of ICI therapy. We discuss in this review the intersection of metabolic competition in the tumor microenvironment, T cell activation and metabolism, the roles of tumor cell metabolism in immune evasion, and the impact of host metabolism in determining immune surveillance and ICI therapy outcomes. We also discussed the effects of obesity and calorie restriction—two important systemic metabolic perturbations that impact intrinsic metabolic pathways in T cells as well as cancer cells.
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spelling doaj.art-415902353332456380c23379cea145532023-11-19T20:24:07ZengMDPI AGCancers2072-66942020-04-0112485210.3390/cancers12040852Cell Intrinsic and Systemic Metabolism in Tumor Immunity and ImmunotherapyMichael F. Coleman0Alyssa J. Cozzo1Alexander J. Pfeil2Suhas K. Etigunta3Stephen D. Hursting4Department of Nutrition, University of North Carolina, Chapel Hill, NC 27516, USADepartment of Nutrition, University of North Carolina, Chapel Hill, NC 27516, USADepartment of Nutrition, University of North Carolina, Chapel Hill, NC 27516, USADepartment of Nutrition, University of North Carolina, Chapel Hill, NC 27516, USADepartment of Nutrition, University of North Carolina, Chapel Hill, NC 27516, USAImmune checkpoint inhibitor (ICI) therapy has shown extraordinary promise at treating cancers otherwise resistant to treatment. However, for ICI therapy to be effective, it must overcome the metabolic limitations of the tumor microenvironment. Tumor metabolism has long been understood to be highly dysregulated, with potent immunosuppressive effects. Moreover, T cell activation and longevity within the tumor microenvironment are intimately tied to T cell metabolism and are required for the long-term efficacy of ICI therapy. We discuss in this review the intersection of metabolic competition in the tumor microenvironment, T cell activation and metabolism, the roles of tumor cell metabolism in immune evasion, and the impact of host metabolism in determining immune surveillance and ICI therapy outcomes. We also discussed the effects of obesity and calorie restriction—two important systemic metabolic perturbations that impact intrinsic metabolic pathways in T cells as well as cancer cells.https://www.mdpi.com/2072-6694/12/4/852immune checkpoint inhibitionmetabolismcancerobesitycalorie restriction
spellingShingle Michael F. Coleman
Alyssa J. Cozzo
Alexander J. Pfeil
Suhas K. Etigunta
Stephen D. Hursting
Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
Cancers
immune checkpoint inhibition
metabolism
cancer
obesity
calorie restriction
title Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
title_full Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
title_fullStr Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
title_full_unstemmed Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
title_short Cell Intrinsic and Systemic Metabolism in Tumor Immunity and Immunotherapy
title_sort cell intrinsic and systemic metabolism in tumor immunity and immunotherapy
topic immune checkpoint inhibition
metabolism
cancer
obesity
calorie restriction
url https://www.mdpi.com/2072-6694/12/4/852
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AT suhasketigunta cellintrinsicandsystemicmetabolismintumorimmunityandimmunotherapy
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