Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity

Short-term fasting (STF), using a low caloric, low protein fasting mimicking diet (FMD), appears to be a promising strategy to enhance chemotherapy-based cancer efficacy, while potentially alleviating toxicity. Preclinical results suggest that enhanced tumor immunity and decreased growth signaling,...

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Main Authors: Nadia de Gruil, Hanno Pijl, Sjoerd H. van der Burg, Judith R. Kroep
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/6/1390
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author Nadia de Gruil
Hanno Pijl
Sjoerd H. van der Burg
Judith R. Kroep
author_facet Nadia de Gruil
Hanno Pijl
Sjoerd H. van der Burg
Judith R. Kroep
author_sort Nadia de Gruil
collection DOAJ
description Short-term fasting (STF), using a low caloric, low protein fasting mimicking diet (FMD), appears to be a promising strategy to enhance chemotherapy-based cancer efficacy, while potentially alleviating toxicity. Preclinical results suggest that enhanced tumor immunity and decreased growth signaling, via lowering of circulating insulin and insulin growth factor 1 (IGF-1) levels form the potential underlying mechanisms. STF may boost anti-tumor responses by promoting tumor immunogenicity and decreasing local immunosuppression. These findings warrant further studies focused on the combination of STF, not only with chemotherapy, but also with immunotherapy to evaluate the full range of benefits of STF in cancer treatment. Here, we delineate the underlying anticancer mechanisms of fasting. We summarize preclinical evidence of STF boosting antitumor immunity and alleviating immunosuppression, as well as the clinical findings reporting the immunomodulatory effects of STF during various cancer treatments, including immunotherapy.
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spelling doaj.art-6c75e54dd05b4a548cbd8fbb2947c82c2023-11-24T00:40:14ZengMDPI AGCancers2072-66942022-03-01146139010.3390/cancers14061390Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor ImmunityNadia de Gruil0Hanno Pijl1Sjoerd H. van der Burg2Judith R. Kroep3Department of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDivision of Endocrinology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsDepartment of Medical Oncology, Leiden University Medical Center, 2333 ZA Leiden, The NetherlandsShort-term fasting (STF), using a low caloric, low protein fasting mimicking diet (FMD), appears to be a promising strategy to enhance chemotherapy-based cancer efficacy, while potentially alleviating toxicity. Preclinical results suggest that enhanced tumor immunity and decreased growth signaling, via lowering of circulating insulin and insulin growth factor 1 (IGF-1) levels form the potential underlying mechanisms. STF may boost anti-tumor responses by promoting tumor immunogenicity and decreasing local immunosuppression. These findings warrant further studies focused on the combination of STF, not only with chemotherapy, but also with immunotherapy to evaluate the full range of benefits of STF in cancer treatment. Here, we delineate the underlying anticancer mechanisms of fasting. We summarize preclinical evidence of STF boosting antitumor immunity and alleviating immunosuppression, as well as the clinical findings reporting the immunomodulatory effects of STF during various cancer treatments, including immunotherapy.https://www.mdpi.com/2072-6694/14/6/1390short-term fastingfasting mimicking dietcancer therapyimmunomodulationcancer immunitychemotherapy
spellingShingle Nadia de Gruil
Hanno Pijl
Sjoerd H. van der Burg
Judith R. Kroep
Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
Cancers
short-term fasting
fasting mimicking diet
cancer therapy
immunomodulation
cancer immunity
chemotherapy
title Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
title_full Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
title_fullStr Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
title_full_unstemmed Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
title_short Short-Term Fasting Synergizes with Solid Cancer Therapy by Boosting Antitumor Immunity
title_sort short term fasting synergizes with solid cancer therapy by boosting antitumor immunity
topic short-term fasting
fasting mimicking diet
cancer therapy
immunomodulation
cancer immunity
chemotherapy
url https://www.mdpi.com/2072-6694/14/6/1390
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AT judithrkroep shorttermfastingsynergizeswithsolidcancertherapybyboostingantitumorimmunity