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.

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.

Related Concept Videos

The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
6.8K
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
652
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.9K
The Retinoblastoma Gene01:20

The Retinoblastoma Gene

Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.2K