| Literature DB >> 28030896 |
Namgyu Lee1, Dohoon Kim1.
Abstract
The early landmark discoveries in cancer metabolism research have uncovered metabolic processes that support rapid proliferation, such as aerobic glycolysis (Warburg effect), glutaminolysis, and increased nucleotide biosynthesis. However, there are limitations to the effectiveness of specifically targeting the metabolic processes which support rapid proliferation. First, as other normal proliferative tissues also share similar metabolic features, they may also be affected by such treatments. Secondly, targeting proliferative metabolism may only target the highly proliferating "bulk tumor" cells and not the slower-growing, clinically relevant cancer stem cell subpopulations which may be required for an effective cure. An emerging body of research indicates that altered metabolism plays key roles in supporting proliferation-independent functions of cancer such as cell survival within the ischemic and acidic tumor microenvironment, immune system evasion, and maintenance of the cancer stem cell state. As these aspects of cancer cell metabolism are critical for tumor maintenance yet are less likely to be relevant in normal cells, they represent attractive targets for cancer therapy.Entities:
Keywords: cancer; immune evasion; metabolism; metabolites; tumor microenvironment
Mesh:
Year: 2016 PMID: 28030896 PMCID: PMC5223101 DOI: 10.14348/molcells.2016.0310
Source DB: PubMed Journal: Mol Cells ISSN: 1016-8478 Impact factor: 5.034
Fig. 1Overview of metabolic mechanisms involved in adaptation to intratumoral metabolic stress, maintaining stemness and immune evasion. Metabolic reprogramming of cancer cells enhances fitness toward intratumoral metabolic stress and immune surveillance, and contributes to maintaining stemness. GLUT1/3, Glucose transporter 1/3; PKM2, M2 isoform of pyruvate kinase; SHMT2, Serine hydroxymethyltransferase; LDHA, Lactate dehydrogenase A; NHE1, Na+/H+-exchanger; MCT1/4, Monocarboxylate transporters; CA9, Carbonic anhydrase 9; IDH*, Gain-of-function mutation in isocitrate dehydrogenase1/2; FH*, Loss-of-function mutation in fumarate hydratase; SDH*, Loss-of-function mutation in succinate dehydrogenase; PHD, Prolyl hydroxylases; HIF1α, Hypoxia-inducible factor 1α; KDMs, Histone lysine demethylases; TET, Ten eleven translocation family of 5-methylcytosine (3mC) hydroxylases; IDO1, Indoleamine-2, 3-dioxygenase 1; TDO2, tryptophan-2, 3-dioxygenase 2; CD73, Ecto-5′-nucleotidases; CD39, Ectonucleoside triphosphate diphosphohydrolase 1.
Working mechanisms of metabolites involved in adaptation to intratumoral metabolic stress, maintaining stemness and immune evasion
| Working enzymes in cancer | Metabolites | Working mechanism | References | |
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| Adaptation to intratumoral metabolic stress | Pyruvate kinase isozymes M2, PKM2 | Decrease in downstream glycolytic products | Decreased carbon flux into TCA cycle | |
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| Serine hydroxymethyltransferase, SHMT2 (Serine→Glycine) | Excessive Glycine and NADPH | Limiting PKM2 activity and thus oxygen consumption decrease | ||
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| Carbonic anhydrase 9, CA9 (CO2, H2O→Bicarbonate, H+) | Excessive Bicarbonate | Binding with hydrogen forming H2CO3 | ||
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| Immune evasion | Lactate dehydrogenase A, LDHA (Glucose→Lactate) | Limited glucose | Limit utility of glucose by T cells→ limiting for immune response | |
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| Excessive lactate | Disturbing T cell metabolism and function by inhibition of lactic acid export of T cells | |||
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| Suppression of T and NK cell activation | ||||
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| Inhibition of monocyte migration and cytokine release | ||||
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| Inhibition of dendritic cell activation | ||||
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| Inhibition of TAM survival | ||||
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| Polarization of TAM to a M2 state, (M2 state TAM has a role in immunosuppression) | ||||
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| Indoleamine2,3-Dioxygenase1/Tryptophan 2,3-dioxygenase2, IDO1/TDO2 (Tryptophan→Kynurenine) | Limited tryptophan | Limit utility of tryptophan by T cells → amino acid deprivation-associated apoptosis of effector T cells | ||
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| Excessive kynurenine | Cell cycle arrest and apoptosis of T-cell by kynurenine | |||
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| Kynurenine acting as a ligand for aryl hydrocarbon receptor | ||||
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| Ecto-5′-nucleotidases/Ectonucleoside triphosphate diphosphohydrolase1, CD39/CD73 (Nucleotide→Adenosine) | Excessive adenosine | Inhibition of T cell response and NK cell cytotoxicity | ||
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| Suppression of dendritic cell maturation and its pro-inflammatory cytokines production | ||||
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| Activation of immunosuppressive functions of MDSCs | ||||
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| Inhibition of phagocytic activity and nitric oxide and superoxide production in macrophage | ||||
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| Inhibition of neutrophil degranulation | ||||
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| Maintaining Stemness | gain-of-function mutation in isocitrate dehydrogenase1/2, IDH1/2 (αKG→D-2HG) | Excessive D-2HG | Suppression of gene involved in cell differentiation | |
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| Lactate dehydrogenase A, Malate dehydrogenase, LDHA MDH1/2 (αKG→L-2HG) | Excessive L-2HG | |||
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| Loss-of-function mutation in succinate dehydrogenase, SDH (Succinate→Fumarate) | Excessive succinate | Silencing of crucial genes implicated in cell differentiation and EMT | ||
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| Activation of a HIF response by the allosteric suppression of PHDs | ||||
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| Loss-of-function mutation in fumarate hydratase, FH (Fumarate→Malate) | Excessive fumarate | Suppression of EMT-related genes | ||
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| Activation of a HIF response by the allosteric suppression of PHDs | ||||
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| Dihydropyrimidine dehydrogenase (5FU→FU-H2) | Excessive dihydropyrimidine | EMT activation | ||
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| Unknown | Excessive dendrogenin | A Activation of cancer cell differentiation | ||