Indole-3-lactic acid suppresses colorectal cancer via metabolic reprogramming

Shizhen Zhou1,2, Kai Wang2,3, Jiandong Huang4

  • 1Department of General Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.

Gut Microbes
|May 23, 2025
PubMed

Insights

Altered gut microbiota tryptophan metabolism, specifically low indole-3-lactic acid (ILA), promotes colorectal cancer (CRC). Restoring ILA levels inhibits CRC progression by targeting cancer cell metabolism and survival.

Area of Science:

  • Microbiology
  • Oncology
  • Metabolomics

Background:

  • Gut microbiota dysbiosis is linked to colorectal cancer (CRC) progression.
  • The specific role of tryptophan metabolism disruption in CRC remains largely unknown.

Purpose of the Study:

  • To investigate the role of indole-3-lactic acid (ILA), a tryptophan metabolite, in colorectal cancer (CRC).
  • To elucidate the underlying mechanisms by which ILA affects CRC progression.

Main Methods:

  • Metagenomic sequencing and targeted metabolomics were used to analyze gut microbiota and tryptophan metabolites in CRC patients.
  • In vivo studies utilized AOM/DSS induced and xenograft mouse models to assess the effects of ILA.
  • In vitro experiments examined ILA's impact on cancer cell proliferation, migration, and apoptosis.

Main Results:

  • CRC patients exhibited abnormal indole-3-lactic acid (ILA) levels correlated with tumor malignancy.
  • Exogenous ILA administration suppressed CRC development in mouse models.
  • ILA inhibited cancer cell proliferation and migration, and reduced anti-apoptotic capabilities in vitro.
  • ILA was found to inhibit the HK2 pathway by reducing STAT3 phosphorylation, thereby downregulating cancer cell glucose metabolism, independent of AHR.

Conclusions:

  • Alterations in gut microbiota tryptophan metabolism, particularly reduced ILA, contribute to CRC progression.
  • Indole-3-lactic acid (ILA) demonstrates direct anti-cancer effects by inhibiting cancer cell metabolism and survival.
  • ILA represents a potential therapeutic target for colorectal cancer treatment.

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