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Published on: December 1, 2023
Hunger brings down the tumor fort
Anastasia-Maria Zavitsanou1, Thales Papagiannakopoulos2
1Department of Pathology, New York University Grossman School of Medicine, 550 First Avenue, New York, NY 10016, USA; Vilcek Institute of Graduate Biomedical Sciences, New York University Grossman School of Medicine, 550 First Avenue, New York, NY 10016, USA.
Energy stress from ketogenic diets or fasting enhances cancer immunotherapy. This approach promotes the breakdown of the PD-L1 protein and boosts anti-tumor interferon responses.
Area of Science:
- Immunology
- Metabolic pathways
- Cancer therapy
Background:
- Checkpoint blockade therapy is a promising cancer treatment.
- Tumor cells can evade immune responses by expressing PD-L1.
- Metabolic interventions are being explored to improve cancer treatments.
Purpose of the Study:
- To investigate the effects of energy stress on checkpoint blockade therapy.
- To determine the mechanisms by which energy stress enhances anti-tumor immunity.
Main Methods:
- Mice models were subjected to ketogenic diets or fasting.
- Tumor growth and immune responses were monitored.
- Levels of PD-L1 and interferon signaling were analyzed.
Main Results:
- Energy stress significantly enhanced the efficacy of checkpoint blockade therapy.
- Ketogenic diet and fasting led to lysosome-mediated degradation of PD-L1.
- Upregulation of tumor interferon responses was observed.
Conclusions:
- Metabolic interventions like ketogenic diets or fasting can overcome resistance to checkpoint blockade therapy.
- Targeting metabolic pathways offers a novel strategy to improve cancer immunotherapy outcomes.
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