Fig. 7: Itaconate and metformin can regulate MSDC metabolic fitness in vivo and determine lymphoma treatment outcome.

Survival of EL4 tumors bearing mice treated with 4OI (50 mg/kg) or vehicle every 3 days; Set (A) received isotype antibody and set (B) received anti-Gr1 (twice weekly; i.p.; 1 mg/kg). Each set received propranolol (daily; i.p.; 1 mg/kg), or doxorubicin (day 7; i.v.; 4 mg/kg), or both (**p = 0.0019; **p = 0.0027). Two-sided Mantel-Cox log rank test. C Survival of β2-AR-/- and WT mice bearing EL4 treated with 4OI (50 mg/kg) or vehicle every 3 days, then doxorubicin (day 7; i.v.; 4 mg/kg). Two-sided Mantel-Cox log rank test. D−G WT mice were pre-treated with 4OI (50 mg/kg) or vehicle for 4 h, then doxorubicin (i.v.; 20 mg/kg). After 18 h, the apoptosis rate was measured in (D) CD11b+Ly6C+Ly6G- (M-MDSC) and (E) CD11b+Ly6C+Ly6G+ (PMN-MDSC). Mitochondrial ROS (mROS) was detected on (F) M-MDSCs, and (G) PMN-MDSCs (*p < 0.05; **p < 0.01; ***p < 0.001). One-way ANOVA with Bonferroni’s multiple comparison tests. Data are presented as mean ± SEM. n = 4 mice per group. Nrf2 expression in (H, I) M-MDSCs and (J, K) PMN-MDSCs isolated from mice treated as in (D−G) (*p < 0.05; **p < 0.01; ****p < 0.0001). One-way ANOVA with Bonferroni’s multiple comparison tests. Data are presented as mean ± SEM. n = 4 mice per group. L Survival of EL4 bearing Aconitate Decarboxylase 1 deficient (Acod1-/-) compared to WT mice treated with doxorubicin (day 7; i.v.; 4 mg/kg) (**p = 0.0031). Two-sided Mantel-Cox log rank test. M Survival of EL4 bearing mice receiving metformin (250 mg/kg; drinking water) or doxorubicin (day 7; i.v.; 4 mg/kg), or both. Set (M) received isotype control and set (N) received anti-Gr1 (twice weekly; i.p.; 1 mg/kg) (*p = 0.0180). Two-sided Mantel-Cox log rank test. WT mice pre-treated with metformin (250 mg/kg; drinking water; 7 days) received doxorubicin (i.v.; 20 mg/kg). After 18 h, the apoptosis rate was measured in by (N, O) Annexin V assay (*p = 0.0157; **p = 0.0024; ****p < 0.0001) and (P, Q) CaspGLOW™ Caspase-3 staining assay (*p = 0.0331; **p = 0.0055; ***p = 0.0005). One-way ANOVA with Bonferroni’s multiple comparison tests. Data are presented as mean ± SEM. n = 4 mice per group. Source data containing independent experiments raw data are provided as a Source Data file.