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Metabolic substrates in the tumor microenvironment interacting with transporters and metabolic machinery of TILs (TME-TIL Metabolic Axis)

Target
TME-TIL Metabolic Axis
Molecular classification
Transporter, Enzyme, Metabolite, Other
01

Overview

This target entry describes the complex metabolic interplay between tumor cells and tumor-infiltrating lymphocytes (TILs) within the tumor microenvironment (TME). Tumor cells typically exhibit accelerated glycolysis (the Warburg effect), which depletes essential substrates like glucose and glutamine while promoting the accumulation of immunosuppressive byproducts such as lactate, kynurenine, and adenosine (Leone & Powell, 2020, Nature Reviews Cancer). This nutrient-deprived and toxic environment forces TILs into a state of metabolic exhaustion, characterized by impaired mitochondrial respiration and reduced glycolytic flux, both of which are necessary for robust anti-tumor effector functions (Chang et al., 2015, Cell). Key molecular mediators of this interaction include nutrient transporters such as GLUT1 (SLC2A1) and MCT1/4 (SLC16A1/3), as well as metabolic enzymes like IDO1 and arginase (Xia et al., 2021, Molecular Cancer). Therapeutic strategies targeting these metabolic checkpoints aim to reprogram the TME to favor TIL survival and activity, often as a synergistic approach with immune checkpoint inhibitors.

Other names
Tumor-immune metabolic competitionTME metabolic landscapeTIL metabolic reprogrammingMetabolic checkpoints in cancer immunotherapy
02

Mechanism of action

Modulation of nutrient availability and metabolite transport to alleviate metabolic exhaustion and restore effector function in tumor-infiltrating lymphocytes.

03

Biological functions

Immune responseMetabolismCell proliferationSignal transduction
04

Disease associations

Cancer
05

Safety considerations

Systemic metabolic disruptionLactic acidosisPotential for autoimmune reactionsToxicity in high-metabolic organs (e.g., brain, heart)
06

Interacting drugs

AZD3965

4 more in the full profile.

07

Biomarkers

Lactate concentrationExtracellular pHGLUT1 expressionMCT1 expressionTIL mitochondrial mass

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