Cancer immunotherapy has become an established therapeutic
paradigm
in oncologic therapy, but its therapeutic efficacy remains unsatisfactory
in the majority of cancer patients. Accumulating evidence demonstrates
that the metabolically hostile tumor microenvironment (TME), characterized
by acidity, deprivation of oxygen and nutrients, and accumulation
of immunosuppressive metabolites, promotes the dysfunction of tumor-infiltrating
immune cells (TIICs) and thereby compromises the effectiveness of
immunotherapy. This indicates the potential role of tumor metabolic
intervention in the reinvigoration of antitumor immunity. With the
merits of multiple drug codelivery, cell and organelle-specific targeting,
controlled drug release, and multimodal therapy, tumor metabolism-rewriting
nanomedicines have recently emerged as an attractive strategy to strengthen
antitumor immune responses. This review summarizes the current progress
in the development of multifunctional tumor metabolism-rewriting nanomedicines
for evoking antitumor immunity. A special focus is placed on how these
nanomedicines reinvigorate innate or adaptive antitumor immunity by
regulating glucose metabolism, amino acid metabolism, lipid metabolism,
and nucleotide metabolism at the tumor site. Finally, the prospects
and challenges in this emerging field are discussed.