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Published on: July 21, 2018
mTOR-dependent immunometabolism as Achilles' heel of anticancer therapy
Clarissa Braun1,2, Thomas Weichhart1
1Center of Pathobiochemistry and Genetics, Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria.
Abstract:
Immune cells are important constituents of the tumor microenvironment and essential in eradicating tumor cells during conventional therapies or novel immunotherapies. The mechanistic target of rapamycin (mTOR) signaling pathway senses the intra- and extracellular nutrient status, growth factor supply, and cell stress-related changes to coordinate cellular metabolism and activation dictating effector and memory functions in mainly all hematopoietic immune cells. In addition, the mTOR complex 1 (mTORC1) and mTORC2 are frequently deregulated and become activated in cancer cells to drive cell transformation, survival, neovascularization, and invasion. In this review, we provide an overview of the influence of mTOR complexes on immune and cancer cell function and metabolism. We discuss how mTOR inhibitors aiming to target cancer cells will influence immunometabolic cell functions participating either in antitumor responses or favoring tumor cell progression in individual immune cells. We suggest immunometabolism as the weak spot of anticancer therapy and propose to evaluate patients according to their predominant immune cell subtype in the cancer tissue. Advances in metabolic drug development that hold promise for more effective treatments in different types of cancer will have to consider their effects on the immune system.
Insights
The mechanistic target of rapamycin (mTOR) pathway regulates immune cell metabolism and function. mTOR inhibitors targeting cancer may impact anti-tumor immunity, suggesting immunometabolism is key for effective cancer therapy.
Area of Science:
- Immunology
- Cancer Biology
- Cell Metabolism
Background:
- Immune cells are crucial in the tumor microenvironment, impacting cancer therapies.
- The mechanistic target of rapamycin (mTOR) pathway controls immune cell metabolism, activation, and function.
- Deregulation of mTOR complexes (mTORC1 and mTORC2) drives cancer progression.
Purpose of the Study:
- To review the role of mTOR complexes in immune and cancer cell metabolism.
- To discuss the impact of mTOR inhibitors on immunometabolism in cancer.
- To highlight immunometabolism as a critical factor in anticancer therapy efficacy.
Main Methods:
- Literature review of mTOR signaling in cancer and immunology.
- Analysis of mTOR complex functions in immune cell metabolism.
- Discussion of mTOR inhibitors' effects on anti-tumor immune responses.
Main Results:
- mTOR signaling coordinates immune cell metabolism and effector functions.
- Activated mTOR in cancer cells promotes tumor growth and invasion.
- mTOR inhibitors can modulate immune cell functions, potentially affecting anti-tumor responses.
Conclusions:
- Understanding mTOR's influence on immunometabolism is vital for cancer treatment.
- Patient stratification based on immune cell subtypes in tumors may optimize therapy.
- Future cancer drug development must consider immunometabolic effects.
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