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Updated: Oct 1, 2025

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Published on: December 12, 2019
Notch-mediated lactate metabolism regulates MDSC development through the Hes1/MCT2/c-Jun axis
Jun-Long Zhao1, Yu-Chen Ye1, Chun-Chen Gao1
1State Key Laboratory of Cancer Biology, Department of Medical Genetics and Developmental Biology, Fourth Military Medical University, Chang-Le Xi Street #169, Xi'an 710032, China.
Abstract:
Myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs) play critical roles in tumorigenesis. However, the mechanisms underlying MDSC and TAM development and function remain unclear. In this study, we find that myeloid-specific activation of Notch/RBP-J signaling downregulates lactate transporter MCT2 transcription via its downstream molecule Hes1, leading to reduced intracellular lactate levels, blunted granulocytic MDSC (G-MDSC) differentiation, and enhanced TAM maturation. We identify c-Jun as a novel intracellular sensor of lactate in myeloid cells using liquid-chromatography-mass spectrometry (LC-MS) followed by CRISPR-Cas9-mediated gene disruption. Meanwhile, lactate interacts with c-Jun to protect from FBW7 ubiquitin-ligase-mediated degradation. Activation of Notch signaling and blockade of lactate import repress tumor progression by remodeling myeloid development. Consistently, the relationship between the Notch-MCT2/lactate-c-Jun axis in myeloid cells and tumorigenesis is also confirmed in clinical lung cancer biopsies. Taken together, our current study shows that lactate metabolism regulated by activated Notch signaling might participate in MDSC differentiation and TAM maturation.
Insights
Notch signaling activation reduces lactate levels, impacting myeloid cell development. This pathway influences tumor progression by altering myeloid-derived suppressor cells and tumor-associated macrophages, as seen in lung cancer.
Area of Science:
- Immunology
- Cancer Biology
- Cell Metabolism
Background:
- Myeloid-derived suppressor cells (MDSCs) and tumor-associated macrophages (TAMs) are key players in cancer development.
- The precise mechanisms controlling MDSC and TAM differentiation and function are not fully understood.
Purpose of the Study:
- To elucidate the role of Notch signaling in regulating myeloid cell development and function.
- To identify the molecular mechanisms linking lactate metabolism to MDSC and TAM phenotypes.
Main Methods:
- Investigated myeloid-specific Notch/RBP-J signaling activation in mouse models.
- Utilized liquid-chromatography-mass spectrometry (LC-MS) and CRISPR-Cas9 gene editing.
- Analyzed intracellular lactate levels and c-Jun protein stability.
- Examined clinical lung cancer patient samples.
Main Results:
- Myeloid-specific Notch activation downregulates lactate transporter MCT2 via Hes1, reducing intracellular lactate.
- Reduced lactate impairs granulocytic MDSC (G-MDSC) differentiation but promotes TAM maturation.
- Identified c-Jun as a lactate sensor, protected from degradation by lactate.
- Notch activation and blocked lactate import inhibit tumor progression by remodeling myeloid cells.
- The Notch-MCT2/lactate-c-Jun axis in myeloid cells correlates with tumorigenesis in lung cancer.
Conclusions:
- Lactate metabolism, regulated by Notch signaling, is a critical factor in MDSC differentiation and TAM maturation.
- Targeting the Notch-lactate-c-Jun axis in myeloid cells offers a potential strategy for cancer therapy.
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