2022
DOI: 10.3390/ijms23169160
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Tryptophan: Its Metabolism along the Kynurenine, Serotonin, and Indole Pathway in Malignant Melanoma

Abstract: (1) Background: Tryptophan metabolism is known to be one of the important mechanisms used by cancer to evade immune surveillance. Altered tryptophan metabolism was studied in patients with pigmented malignant melanoma confirmed histologically by the anatomic stage grouping for cutaneous melanoma using clinical staging on the basis of the Breslow thickness of the melanoma, the degree of spread to regional lymph nodes, and by the presence of distant metastasis. (2) Methods: Urinary tryptophan metabolites were de… Show more

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Cited by 14 publications
(12 citation statements)
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“…[1,2] The tumor microenvironment (TME) of MM is characterized by various distinct features, including overexpression of a cornucopia of immune suppressive cytokines [3] and an upregulation of different immune checkpoints, which promote tumorigenesis, facilitate immune evasion, and suppress T cell-mediated antitumor responses. [4,5] Furthermore, another characteristic feature of MM is the excessive consumption of arginine (Arg), [6] glutamine (Gln) [7] and tryptophan (Trp) [8] amino acids as a result of reprogrammed metabolism. This overconsumption of nutrients deprives the immune cells of the essential nutrients required for their proliferation and differentiation.…”
Section: Introductionmentioning
confidence: 99%
“…[1,2] The tumor microenvironment (TME) of MM is characterized by various distinct features, including overexpression of a cornucopia of immune suppressive cytokines [3] and an upregulation of different immune checkpoints, which promote tumorigenesis, facilitate immune evasion, and suppress T cell-mediated antitumor responses. [4,5] Furthermore, another characteristic feature of MM is the excessive consumption of arginine (Arg), [6] glutamine (Gln) [7] and tryptophan (Trp) [8] amino acids as a result of reprogrammed metabolism. This overconsumption of nutrients deprives the immune cells of the essential nutrients required for their proliferation and differentiation.…”
Section: Introductionmentioning
confidence: 99%
“…The Trp-KYN metabolic system, closely associated with 5-HT metabolism, plays a pivotal role in the production of prooxidants and antioxidants, regulation of the immune system, and the balance between neurotoxicity and neuroprotection (54,55). Approximately 2% of L-Trp undergoes metabolism through the 5HT metabolic pathway; however, over 90% of Trp is catabolized through the KYN route, which safely to say that it governs Trp metabolism (Figure 1, a,b) (56). Various factors, including stress, inflammation, and the gut microbiome, influence this system (57)(58)(59).…”
Section: Introductionmentioning
confidence: 99%
“…Tryptophan, which is involved in a wide range of benign and malignant disorders, is metabolised by three pathways: The Kynurenine pathway (KP), with degradation mainly in the liver, is associated with neuroactive and immunomodulatory effects; the Serotonin pathway, with degradation in the gut, is associated with behavioural and neuroendocrine functions; and the Indole-Pyruvate pathway, with degradation by the gut microbiota, is associated with intestinal physiology. The interplay between the pathways is complex; all pathways might be involved in one disease [1].…”
Section: Introductionmentioning
confidence: 99%