PMID- 34491338 OWN - NLM STAT- MEDLINE DCOM- 20220506 LR - 20220506 IS - 1460-2377 (Electronic) IS - 0953-8178 (Linking) VI - 34 IP - 3 DP - 2022 Feb 23 TI - Pharmacological effects on anaplerotic pathways alter the metabolic landscape in the tumor microenvironment, causing unpredictable, sustained anti-tumor immunity. PG - 133-140 LID - 10.1093/intimm/dxab067 [doi] AB - To achieve sustained anti-tumor immunity, tumor-infiltrating effector CD8 T lymphocytes (CD8 TILs) must be able to produce cytokines, including IFNgamma, and proliferate robustly within the local tumor tissue upon antigen recognition. IFNgamma production by CD8 TILs depends on glycolysis, whereas their proliferation additionally requires oxidative phosphorylation (OxPhos). The level of OxPhos, and hence the oxygen consumption rate, depends on mitochondrial biogenesis and requires the loading of metabolic precursors into the tricarboxylic acid cycle to keep it functioning. This is referred to as anaplerosis. Recent advances in the field of immuno-metabolism have shown the impact of pharmacological agents on anaplerotic pathways, resulting in metabolic down-regulation in tumor cells; in contrast, the agents trigger sustained anti-tumor immunity by up-regulating both glycolysis and OxPhos in CD8 TILs. The opposing effects of pharmacological inhibition (and/or activation) on anaplerosis in tumor cells and CD8 TILs are unpredictable. Careful dissection of the underlying mechanism might confer important knowledge, helping us to step into a new era for cancer immunotherapy. CI - (c) The Japanese Society for Immunology. 2021. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Udono, Heiichiro AU - Udono H AD - Department of Immunology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, Japan. FAU - Nishida, Mikako AU - Nishida M AD - Department of Immunology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Int Immunol JT - International immunology JID - 8916182 SB - IM MH - CD8-Positive T-Lymphocytes MH - Glycolysis MH - Immunotherapy MH - *Lymphocytes, Tumor-Infiltrating MH - *Tumor Microenvironment OTO - NOTNLM OT - immuno-metabolism OT - tumor immunity EDAT- 2021/09/08 06:00 MHDA- 2022/05/07 06:00 CRDT- 2021/09/07 12:31 PHST- 2021/08/06 00:00 [received] PHST- 2021/09/06 00:00 [accepted] PHST- 2021/09/08 06:00 [pubmed] PHST- 2022/05/07 06:00 [medline] PHST- 2021/09/07 12:31 [entrez] AID - 6365959 [pii] AID - 10.1093/intimm/dxab067 [doi] PST - ppublish SO - Int Immunol. 2022 Feb 23;34(3):133-140. doi: 10.1093/intimm/dxab067.