Table 1 Regulatory effects of systemic metabolites on immune cells and stromal cells in the TME

From: Cancer cachexia: molecular basis and therapeutic advances

Cell types

Metabolites

Cellular functions

Major Mechanisms

References

Macrophages

Lactate

Promote M2 macrophage transition; drive expression of M2-like genes during M1 macrophage polarization

Enhancing H3K9ac of M2-associated gene; promoting histone lysine lactylation

175,176

Pyruvate

Upregulate PD-L1 in TAMs; reduce infiltration of CD45+ immune cells, cytotoxic T cells, and NK cells

Intervening PC under hypoxic conditions

184

Alpha -ketoglutarate

Activate M2 phenotype and suppress proinflammatory cytokine production

Activating mTORC1 signaling

189

Glutamine

Enhance M2 polarization and CCL22 secretion; repress TNF production, lysosomal function, and antigen presentation

Maintaining TCA cycle activity; inhibiting the NF-κB, and enhancing STAT3 signaling

207,208

ω-3 PUFA

Reduce COX-2 expression and PGE2 synthesis; inhibit the secretions of TNF-α and IL-6

Inhibiting the phosphorylations of IKKβ and JNK, preventing IκB degradation; repressing TLR4 signaling via Akt/JNK phosphorylation and the nuclear translocation of p65

257

MCFAs

Enhance inflammatory responses and macrophage phagocytosis

Activating GPR84 signaling

264

CD4+ T cells

Alpha -ketoglutarate

Attenuate FoxP3+ Treg differentiation and increase inflammatory cytokines (e.g., TNF, GM-CSF, IFN-γ, and IL-17A)

Increasing fatty acid synthesis, triacylglycerol stores, and OXPHOS

190

Methionine

Induce differentiation; secrete higher levels of IFN-γ

Generating methyl donors to sustain RNA, protein, and DNA synthesis

209

SCFA

Promote IL-22 production that protects intestines from inflammation

Increasing the accessibility of HIF1α-binding sites in the Il22 promoter through histone modification

266

CD8+ T cells

Lactate

Promote cell stemness and efficacy of anti-PD-1 therapy; diminish IFN-γ production

Enhancing H3K27ac of the Tcf7; disturbing glycolysis and NFAT translocation

174,177

Pyruvate

Reduce cytotoxicity; support CD8+ T-cell antitumor function

Inhibiting autocrine signaling through SUCNR1 by reducing PC activity; MPC facilitates nutritional metabolism

183,185

Alpha -ketoglutarate

Increase infiltration of IFNγ + CD8 + T cells

Activating STAT1 to promote PD-L1 expression

188

Ketone bodies

Enhance metabolism of CD8+ T cells; increase production of inflammatory cytokines; enhance anti-tumor immunity

Increasing permissive H3K27Ac at effector gene loci (e.g., Ifng, Gzmb, Tbx21); promoting the synthesis of TCA cycle

199

NK cells

Lactate

Diminish IFN-γ production

Disturbing glycolysis and NFAT translocation

177

ω-3 PUFA

Increase cytotoxicity and IFN-γ production

Promoting mitochondrial OXPHOS activity by regulating PGC-1α expression

258

T cells

Arginine

Promote T-cell proliferation and cytokines production such as IFN-γ, IL-5, and IL-10

Facilitating the synthesis of CD3ζ or other components of the TCR

205

Glutathione

T-cell activation and proliferation; Th17 development and Th17-driven CNS inflammation

Producing GSH and suppressing ROS upon TCR stimulation

206

MDSCs

Glutamine

Increase generation and recruitment of MDSCs

Increasing active caspase-3 on MDSCs and CSF3 expression in tumor cells.

208

Dendritic cells

Alpha -ketoglutarate

Promote activation of DC; increase proinflammatory cytokines CCL5 and CXCL10

Reducing autophagy in tumor cells

188

ω-6 PUFA

Inhibit differentiation and maturation

Skewing dendritic cell metabolism toward glycolysis and reducing immune stimulation

259

Fibroblasts

Lactate

Stimulate CAF phenotype

Downregulating p62 transcriptionally

178

Ketone bodies

Inhibit CAF proliferation and increase NK and cytotoxic T-cell infiltration

Suppressing CXCL12 expression in CAFs and CXCL12/CXCR4/CXCR7 signaling in tumor cells

198

Endothelial cells

ω-3 PUFA

Enhance anticancer drug delivery efficiency

Disrupting the NO signaling cascades, lowering IFP

260

  1. H3K9ac lysine 9 acetylation, PD-L1 programmed death ligand 1, TAM tumor-associated macrophages, PC pyruvate carboxylase, mTORC1 mechanistic target of rapamycin complex 1, CCL22 C-C motif chemokine ligand 22, TNF tumor necrosis factor, TCA tricarboxylic acid cycle, NF-κB nuclear factor kappa-light-chain-enhancer of activated B cells, STAT3 signal transducer and activator of transcription 3, PUFA polyunsaturated fatty acid, COX-2 cyclooxygenase-2, PGE2 prostaglandin E2, IL6 interleukin-6, IKKβ inhibitory kappa B kinase beta, JNK c-Jun N-terminal kinase 22, IκB inhibitors of kappa B, TLR4 toll-like receptor 4, Akt protein kinase B, p65 NF-κBp65, GPR84 G protein-coupled receptor 84, FoxP3 forkhead box protein P3, GM-CSF granulocyte‒macrophage colony-stimulating factor, IFNγ interferon-γ, OXPHOS oxidative phosphorylation, SCFA short-chain fatty acid, HIF1α hypoxia-inducible factor, TCF7 transcription factor 7, NFAT nuclear factor of activated T cells, SUCNR1 succinate receptor 1, MPC mitochondrial pyruvate carrier, Ifng interferon gamma, Gzmb granzyme B, Tbx21 T-box