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Updated: Sep 4, 2025

Analysis of Human T Cell Activity in an Allogeneic Co-Culture Setting of Pre-Treated Tumor Cells
Published on: March 7, 2025
The immunomodulatory role of all-trans retinoic acid in tumor microenvironment
Guoshu Bi1, Jiaqi Liang1, Yunyi Bian1
1Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, No. 180 Fenglin Rd, Xuhui District, Shanghai, 200032, China.
Abstract:
Retinoids are essential nutrients for human beings. Among them, all-trans retinoic acid (ATRA), considered one of the most active metabolites, plays important roles in multiple biological processes. ATRA regulates the transcription of target genes by interacting with nuclear receptors bonded to retinoic acid response elements (RAREs). Besides its differentiation-inducing effect in the treatment of acute promyelocytic leukemia and some solid tumor types, its immunoregulatory role in tumor microenvironment (TME) has attracted considerable attention. ATRA not only substantially abrogates the immunosuppressive effect of tumor-infiltrating myeloid-derived suppressor cells but also activates the anti-tumor effect of CD8 + T cells. Notably, the combination of ATRA with other therapeutic approaches, including immune checkpoint inhibitors (ICIs), tumor vaccines, and chemotherapy, has been extensively investigated in a variety of tumor models and clinical trials. In this review, we summarize the current understanding of the role of ATRA in cancer immunology and immunotherapy, dissect the underlying mechanisms of ATRA-mediated activation or differentiation of different types of immune cells, and explore the potential clinical significance of ATRA-based cancer therapy.
Insights
All-trans retinoic acid (ATRA) shows promise in cancer therapy by modulating the tumor microenvironment. ATRA enhances anti-tumor immunity by impacting myeloid-derived suppressor cells and CD8+ T cells, supporting its use in combination treatments.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Retinoids, particularly all-trans retinoic acid (ATRA), are vital nutrients with significant biological functions.
- ATRA regulates gene transcription via nuclear receptors and retinoic acid response elements (RAREs).
- ATRA exhibits differentiation-inducing effects in treating acute promyelocytic leukemia and certain solid tumors.
Purpose of the Study:
- To review the role of ATRA in cancer immunology and immunotherapy.
- To elucidate the mechanisms underlying ATRA's effects on immune cells within the tumor microenvironment (TME).
- To explore the clinical potential of ATRA in cancer treatment strategies.
Main Methods:
- Literature review of studies on ATRA's immunoregulatory functions in cancer.
- Analysis of ATRA's impact on myeloid-derived suppressor cells (MDSCs) and CD8+ T cells.
- Examination of clinical trials and tumor models investigating ATRA in combination therapies.
Main Results:
- ATRA effectively counteracts the immunosuppressive activity of tumor-infiltrating MDSCs.
- ATRA enhances the anti-tumor immune response mediated by CD8+ T cells.
- Combinations of ATRA with immune checkpoint inhibitors (ICIs), vaccines, and chemotherapy show significant investigation.
Conclusions:
- ATRA plays a crucial role in modulating the TME and boosting anti-tumor immunity.
- Understanding ATRA's mechanisms provides a basis for novel cancer immunotherapy approaches.
- ATRA-based therapies hold considerable clinical significance for future cancer treatment.
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