Tumor-derived branched-chain α-keto acids activate Notch signaling in tumor-associated macrophages to limit immunity

Qi-Xiang Ma1, Ru Zhao1, Jiang-Xue Han1

  • 1Fudan University Shanghai Cancer Center and Institutes of Biomedical Sciences and School of Basic Medical Sciences; Cancer Institutes; Key Laboratory of Breast Cancer in Shanghai; Shanghai Key Laboratory of Radiation Oncology; Shanghai Key Laboratory of Medical Epigenetics; National Key Laboratory of Brain Function and Diseases; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.

Nature Immunology
|April 14, 2026
PubMed

Insights

Tumor cells secrete branched-chain α-keto acids (BCKAs) that reprogram immune cells. These BCKAs activate Notch2 signaling, promoting tumor growth and an immunosuppressive tumor microenvironment.

Area of Science:

  • Oncology
  • Immunology
  • Metabolic pathways

Background:

  • Tumor cells rely on branched-chain amino acids, but their downstream metabolites, branched-chain α-keto acids (BCKAs), are understudied in cancer.
  • The role of BCKAs in the tumor microenvironment (TME) and their impact on immune cells remain largely unknown.

Purpose of the Study:

  • To investigate the role of tumor-derived BCKAs in reprogramming the TME.
  • To identify the molecular mechanisms by which BCKAs influence tumor progression and immune suppression.

Main Methods:

  • Utilized clinical samples and genetically engineered mouse tumor models.
  • Performed genome-wide CRISPR screening to identify molecular targets of BCKAs.
  • Investigated the interaction between BCKAs and Notch2 signaling in vivo and in vitro.

Main Results:

  • Demonstrated active secretion of BCKAs from tumor cells into the TME.
  • Showed that BCKAs reprogram tumor-associated macrophages (TAMs) to promote tumor progression.
  • Identified Notch2 as a direct molecular target of BCKAs, with BCKAs stabilizing cleaved Notch2 and activating Notch signaling.
  • Confirmed that mutation of the BCKA-binding site in Notch2 abrogates these effects.

Conclusions:

  • BCKAs are secreted signaling metabolites that reprogram TAMs and foster an immunosuppressive TME.
  • BCKAs mediate tumor immunosuppression through direct sensing and activation of Notch2 signaling.

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