Mannose Inhibits NSCLC Growth and Inflammatory Microenvironment by Regulating Gut Microbiota and Targeting OGT/hnRNP

Haoyi Jin1,2, Huanghe He1, Jijia Li2

  • 1Department of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China.

Insights

Mannose, a simple sugar, inhibits non-small cell lung cancer (NSCLC) growth and inflammation. It also enhances immunotherapy effectiveness and positively impacts gut microbiota, showing promise as an adjunctive cancer treatment.

Area of Science:

  • Oncology
  • Immunology
  • Metabolomics

Background:

  • Mannose, a monosaccharide, has demonstrated direct antitumor effects.
  • The impact of mannose on non-small cell lung cancer (NSCLC) and its inflammatory microenvironment requires further investigation.

Purpose of the Study:

  • To investigate the regulatory effects of mannose on NSCLC growth and the inflammatory microenvironment.
  • To explore mannose's potential to enhance immune checkpoint inhibitor efficacy.
  • To elucidate the molecular mechanisms underlying mannose's action in NSCLC.

Main Methods:

  • Utilized cancer cell lines, animal models, organoids, and multi-omics approaches.
  • Conducted in vitro and in vivo experiments to assess mannose's effects.
  • Analyzed changes in gut microbiota, blood, and fecal metabolites.

Main Results:

  • Mannose inhibited NSCLC cell growth, inflammatory cell infiltration, and cytokine expression.
  • Mannose enhanced the antitumor efficacy of immune checkpoint inhibitors.
  • Oral mannose administration modulated gut microbiota and increased beneficial metabolites.
  • Mannose suppressed JUN mRNA stability and IL-8 transcription by targeting OGT and hnRNP R glycosylation.

Conclusions:

  • Mannose suppresses NSCLC by inhibiting tumor growth and the inflammatory microenvironment.
  • Mannose demonstrates potential as an adjunct therapy for NSCLC.
  • The study reveals a novel molecular mechanism involving O-GlcNAc glycosylation in mannose's antitumor activity.

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