2022
DOI: 10.1039/d2bm00650b
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Nanodrug regulates lactic acid metabolism to reprogram the immunosuppressive tumor microenvironment for enhanced cancer immunotherapy

Abstract: A novel strategy of tumor microenvironment reprogramming by Intra/extracellular lactic acid exhausting for antitumor immune therapy.

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Cited by 28 publications
(15 citation statements)
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“…Lactate acidosis has been found to reduce immune evasion in TNBCs [ 25 , 26 ]. Therefore, extracellular lactate reduction has been considered as an anti-cancer approach to enhancing the therapeutic effect of immune therapy[ 27 ]. CAXII has been reported to maintain pH and CO 2 homeostasis, thereby affecting cancer progression, invasion, and resistance to therapy [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Lactate acidosis has been found to reduce immune evasion in TNBCs [ 25 , 26 ]. Therefore, extracellular lactate reduction has been considered as an anti-cancer approach to enhancing the therapeutic effect of immune therapy[ 27 ]. CAXII has been reported to maintain pH and CO 2 homeostasis, thereby affecting cancer progression, invasion, and resistance to therapy [ 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Lactate acidosis has been found to reduce immune evasion in TNBCs [23,24]. Therefore extracellular lactate reduction has been considered as an anti-cancer approach to enhancing the therapeutic effect of immune therapy [25]. CAXII has been reported to maintain pH and CO2 homeostasis, therefore affect cancer progression, invasion, and resistance to therapy [26].…”
Section: Discussionmentioning
confidence: 99%
“…134 Recently, Tian et al proposed the strategy of disturbing lactate metabolism with a lonidamine (here as an HK2 inhibitor to block lactate generation) and syrosingopine (MCT4 inhibitor to block the lactate efflux) co-loaded liposome nanoparticle for tumor immunotherapy. 135 By concurrently suppressing lactate production and efflux, this nanoparticle synergistically normalized the TME pH to reverse the tumor immunosuppression, which was proven by the polarization of TAMs from the tumor-supportive M2 type to the tumor-suppressive M1 type, the increased proportion of NK cells, and the decreased amount of Treg cells, and thereby inhibited tumor growth. Given that the accumulation of adenosine in the TME contributes to tumor immunosuppression, Dai et al developed a sub-6 nm MnFe 2 O 4 nanoparticle conjugated with DCA (PDK1 inhibitor to reduce lactate production) to modulate tumor lactate metabolism and ATP catabolism to synergistically remodel the immunosuppressive TME for immunotherapy.…”
Section: Enhanced Immune Responsementioning
confidence: 99%