Table 1 The effects of metabolism on the immune microenvironment of colorectal cancer.

From: The effects of metabolism on the immune microenvironment in colorectal cancer

Metabolisms and metabolites

Biological effects to immune

Metabolites/enzymes involved

Roles of the metabolisms/enzymes

Results of related factors

Affected immune factors in TME

Effectiveness for CRC

amino acid metabolism

glutamine

substrating for the proliferation, activation and efficacy of immune cells

glutamine↑

enhancing CRC cells survival and proliferation

Acetate-TCA↓

CD8+T ↓(17, 18)

promoting immune escape in CRC

Tryptophan

nutritionally essential amino acids

kyn↑

enhancing the invasiveness of CRC cells

kyn-AHR-CXCL5↑

M2 TAMs↑(27, 28)

helping CRC with immune evasion

kyn-FOXP3↑

Tregs↑(29,30)

helping CRC with immune evasion

TOX

CD8+T ↓(30,31)

reducing immune efficacy against CRC

  

IDO↓

of CRC cells

IDO-AHR

TH17/TH1↓(33)

promoting the development of CRC

glucose metabolism

glycolysis

energy transporter and energy supplier

PI3K↑

markers of glycolytic disorders in CRC

STAT3/miR- 19a/PI3K(39)

  

mTOR↑

RAS-mTOR(40)

  

HIF↑

AKT-mTOR-HIF1α(41)

  

G6PD↑

assisting in the metabolism of glucose

HK2-IκBα phosphorylation

CD8+T ↓(45)

promoting immune escape in CRC

Hyperglycemia

the feature of TME in CRC

MondoA-TXNIP

Tregs↑(49)

promoting the development of CRC

  

Akt/mTORC1-CRC cellular autophagy

T cells ↓(50)

promoting the development of CRC

lactic acid

an important fuel in human metabolism and TCA cycle

LDHA↑

improve lactate

TH1-INFγ↓

CD8+T ↓(54)

helping with immune escape in CRC

  

G protein-coupled receptor-dependent expression of ICER

M2-TAMs↑(55)

promoting the development of CRC

lipid metabolism

fatty acid

anti-inflammatory and immunomodulatory roles

LDs↑

main site of intracellular fat storage

ATGL/HSL-FAA↑

M2-TAMs↑(63)

promoting the development of CRC

  

CRT↓

DC↓(61)

promoting the development of CRC

   

CD8+T ↓(61)

helping with immune escape in CRC

 

Prostaglandins↑

regulates the function of various

PGE2/EP1-Fas/FasL↓ CD8+T ↓(65,66)

helping with immune escape in CRC

(PGE2)

immune cells by binding to downstream receptors to affect TME

PGE2/EP4↑

M2-TAMs↑(67)

promoting the development of CRC

CPT1A↑

a key rate-limiting enzyme for fatty acid β-oxidation

FAO↑

MDSCs↑-T cells ↓(69)

promoting the development of CRC

   

PD- 1 ↑IA↑-Teffs ↓-IFN-γ ↓(70)

promoting the development of CRC

   

CD206 macrophages↑(63)

Poor prognosis

gut microbiome

important components involved in intestinal homeostasis

SCFAs

GPR43↑

inhibiting the progression of CRC

cholesterol

inducing immune cell initiation and activation

cholesterol↑

immune cell initiation and activation

AMPKα↓

ROS-NLRP3-CCL5-p65/STAT3-CSN5-PD-L1↑(77,78)

helping with immune escape in CRC

  

PD-L1↑2B4↑

CD8+T ↓(79)

promoting immune escape in CRC

DCA↑

main production of cholesterol metabolism

PI3K/AKT-EGFR↑

CD8+T ↓(80-82)

promoting immune escape in CRC

  

ERK1/2 ↑-p53↓

immunological effects in TME↓(36,83)

promoting the development of CRC

  

β-linked proteins↑

make proinflammatory Tregs(84)

promoting the development of CRC

phospholipids

providing a permeability barrier and substrates for lipid-mediated synthesis

LPA↑

phospholipid messenger

Agpat4/LPA↑-p38/p65↑-IL1β/IL-6 ↑

M1 macrophage-dependent T-cells activation↑(86)

inhibiting the progression of CRC

camptothesomes↑

ICD inducers

CTLs-PD-L1/PD- 1 ↑

CD8+T ↑(87)

inhibiting the progression of CRC

  1. In this review, three major metabolic reprogrammings in colorectal cancer lead to corresponding metabolic and downstream products that affect immune components in the tumor microenvironment through up/downregulation of relevant signaling pathways or signaling factors, which in turn impact colorectal cancer progression. (Upward arrows indicate upregulation or increase, downward arrows indicate downregulation or decrease). Abbreviations: TME tumor microenvironment, CRC colorectal cancer, TCA tricarboxylic acid; Kyn kynurenine, AHR aryl hydrocarbon receptor, CXCL5 C-X-C Motif Chemokine Ligand 5, M2 TAMs M2-type macrophages; FOXP3: forkhead box protein, Tregs regulatory cells, TOX thymocyte selection-associated HMG box protein,; IDO indoleamine 2,3-dioxygenase 1; PI3K phosphatidylinositide 3-kinases, STAT3: signal transducer and activator of transcription 3, mTOR mammalian target of Rapamycin; HIF hypoxia-inducible factor, G6PD glucose-6-phosphate dehydrogenase; HK2: hexokinase 2, LDHA lactate dehydrogenase A gene; ICER inducible cAMP early repressor, LDs lipid droplets, CRT calreticulin, DC dentritic cell, PGE2 prostaglandin E2; FAO fatty acid oxidation; MDSCs myeloid-derived suppressor cells; IFN-γ interferon γ; SCFAs short-chain fatty acids; AMPK AMP-activated protein kinase; ROS reactive oxygen species; EGFR epidermal growth factor receptor; NLRP3 NOD-like receptor thermal protein domain associated protein 3; CCL5 C-C Motif Chemokine Ligand 5; Agpat4 Acylglycerophosphate acyltransferase 4; LPA lysophosphatidic acid; ICD immunogenic cell death.