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Updated: Jan 2, 2026

Assessment of the Metabolic Profile of Primary Leukemia Cells
Published on: November 21, 2018
The promise and peril of targeting cell metabolism for cancer therapy
1National Cancer Institute, 1050 Boyles Street, Frederick, MD, 21702, USA. weissjo@mail.nih.gov.
Abstract:
A major challenge of cancer immunotherapy is the potential for undesirable effects on bystander cells and tumor-associated immune cells. Fundamentally, we need to understand what effect targeting tumor metabolism has upon the metabolism and phenotype of tumor-associated leukocytes, whose function can be critical for effective cancer therapeutic strategies. Undesirable effects of cancer therapeutics are a major reason for drug-associated toxicity, which confounds drug dosing and efficacy. As with any chemotherapeutic agent, drugs targeting tumor metabolism will exert potent effects on host stromal cells and tumor-associated leukocytes. Any drug targeting glycolysis, for example, could metabolically starve tumor-infiltrating T cells, inhibit their effector function and enable tumor progression. The targeting of oxidative phosphorylation in tumors will have complex effects on the polarization and function of tumor-associated macrophages. In short, we need to improve our understanding of tumor and immune cell metabolism and devise ways to specifically target tumors without compromising necessary host metabolism. Exploiting cell-specific metabolic pathways to directly target tumor cells may minimize detrimental effects on tumor-associated leukocytes.
Insights
Targeting cancer cell metabolism impacts immune cells, potentially hindering immunotherapy. Understanding and exploiting tumor-specific metabolic pathways is crucial to improve cancer treatments without harming beneficial immune responses.
Area of Science:
- Oncology
- Immunology
- Metabolic Research
Background:
- Cancer immunotherapies face challenges due to unintended effects on immune cells.
- Understanding how targeting tumor metabolism affects immune cells is critical for effective cancer treatment strategies.
- Drug toxicity and efficacy are often confounded by off-target effects on host cells.
Purpose of the Study:
- To investigate the impact of targeting tumor metabolism on the metabolism and phenotype of tumor-associated leukocytes.
- To identify strategies for specifically targeting tumor metabolism while minimizing detrimental effects on host immune cells.
Main Methods:
- The study conceptually explores the metabolic interplay between tumor cells and associated leukocytes.
- It analyzes potential consequences of targeting glycolysis and oxidative phosphorylation on immune cell function.
- The research emphasizes the need for improved understanding of tumor and immune cell metabolism.
Main Results:
- Targeting tumor metabolism can negatively affect tumor-associated leukocytes, potentially impairing anti-tumor immunity.
- Inhibiting glycolysis may starve T cells, reducing their effectiveness and promoting tumor growth.
- Altering oxidative phosphorylation can influence the polarization and function of tumor-associated macrophages.
Conclusions:
- A deeper understanding of tumor and immune cell metabolism is necessary.
- Developing strategies that exploit cell-specific metabolic pathways is key to selectively target tumors.
- Minimizing detrimental effects on leukocytes is essential for successful cancer immunotherapy.
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