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Updated: Apr 16, 2026

In Vitro Assay to Study Tumor-macrophage Interaction
Published on: August 1, 2019
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.
Abstract:
Tumor cells are highly dependent on branched-chain amino acids, which can activate mechanistic target of rapamycin complex 1, but the downstream catabolite branched-chain α-keto acids (BCKAs) are not well studied in this context. Here, using clinical samples and genetically engineered mouse tumor models, we showed that tumor-derived BCKAs are secreted actively into the tumor microenvironment (TME) where they reprogram tumor-associated macrophages (TAMs) to promote tumor progression. Through genome-wide CRISPR screening, we identified Notch2 as a direct molecular target of BCKAs. BCKAs activate Notch signaling by binding to and stabilizing cleaved Notch2, functionally reprogramming TAMs and fostering an immunosuppressive TME. Mutation of the BCKA-binding site in Notch2 abolishes this effect in vivo. Together, these findings identify BCKAs as signaling metabolites that mediate tumor immunosuppression through direct sensing by Notch2.
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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