Tumor Cell-Intrinsic Immunometabolism and Precision Nutrition in Cancer Immunotherapy
Cuyàs, Elisabet (Institut d'Investigació Biomèdica de Girona)
Verdura, Sara (Institut d'Investigació Biomèdica de Girona)
Martin-Castillo, Begoña (Institut Català d'Oncologia)
Alarcón Cor, Tomás (Universitat Autònoma de Barcelona. Departament de Matemàtiques)
Lupu, Ruth (Mayo Clinic Cancer Center)
Bosch-Barrera, J (Universitat de Girona. Departament de Ciències Mèdiques)
Menendez, Javier A. (Institut d'Investigació Biomèdica de Girona)

Data:	2020
Resum:	One of the greatest challenges in the cancer immunotherapy field is the need to biologically rationalize and broaden the clinical utility of immune checkpoint inhibitors (ICIs). The balance between metabolism and immune response has critical implications for overcoming the major weaknesses of ICIs, including their lack of universality and durability. The last decade has seen tremendous advances in understanding how the immune system's ability to kill tumor cells requires the conspicuous metabolic specialization of T-cells. We have learned that cancer cell-associated metabolic activities trigger shifts in the abundance of some metabolites with immunosuppressory roles in the tumor microenvironment. Yet very little is known about the tumor cell-intrinsic metabolic traits that control the immune checkpoint contexture in cancer cells. Likewise, we lack a comprehensive understanding of how systemic metabolic perturbations in response to dietary interventions can reprogram the immune checkpoint landscape of tumor cells. We here review state-of-the-art molecular- and functional-level interrogation approaches to uncover how cell-autonomous metabolic traits and diet-mediated changes in nutrient availability and utilization might delineate new cancer cell-intrinsic metabolic dependencies of tumor immunogenicity. We propose that clinical monitoring and in-depth molecular evaluation of the cancer cell-intrinsic metabolic traits involved in primary, adaptive, and acquired resistance to cancer immunotherapy can provide the basis for improvements in therapeutic responses to ICIs. Overall, these approaches might guide the use of metabolic therapeutics and dietary approaches as novel strategies to broaden the spectrum of cancer patients and indications that can be effectively treated with ICI-based cancer immunotherapy.
Ajuts:	Ministerio de Ciencia e Innovación SAF2016-80639-P Agencia Estatal de Investigación PID2019-104055GB-I00
Nota:	Altres ajuts: "La Marató TV3" 201906 - Health Research and Innovation Strategic Plan (SLT006/17/114; PERIS 2016-2020; Pla stratègic de recerca i innovació en salut; Departament de Salut, Generalitat de Catalunya).
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Immune checkpoints ; Immune checkpoint inhibitors ; Metabolism ; Nutrition ; Diet
Publicat a:	Cancers, Vol. 12, Issue 7 (July 2020) , art. 1757, ISSN 2072-6694

DOI: 10.3390/cancers12071757
PMID: 32630618

27 p, 2.8 MB

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