PMID- 34662552 OWN - NLM STAT- MEDLINE DCOM- 20211203 LR - 20211214 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 286 DP - 2021 Dec 1 TI - The impact of hypoxia on immune state in cancer. PG - 120057 LID - S0024-3205(21)01044-4 [pii] LID - 10.1016/j.lfs.2021.120057 [doi] AB - Hypoxia is a known feature of solid tumors and a critical promoter of tumor hallmarks. Hypoxia influences tumor immunity in a way favoring immune evasion and resistance. Extreme hypoxia and aberrant hypoxia-inducible factor-1 (HIF-1) activity in tumor microenvironment (TME) is a drawback for effective immunotherapy. Infiltration and activity of CD8(+) T cells is reduced in such condition, whereas regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs) show high activities. Highly hypoxic TME also impairs maturation and activity of dendritic cell (DCs) and natural killer (NK) cells. In addition, the hypoxic TME positively is linked positively with metabolic changes in cells of immune system. These alterations are indicative of a need for hypoxia modulation as a complementary targeting strategy to go with immune checkpoint inhibitor (ICI) therapy. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Mortezaee, Keywan AU - Mortezaee K AD - Department of Anatomy, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran. Electronic address: mortezaee.k@muk.ac.ir. FAU - Majidpoor, Jamal AU - Majidpoor J AD - Department of Anatomy, School of Medicine, Infectious Disease Research Center, Gonabad University of Medical Sciences, Gonabad, Iran. LA - eng PT - Journal Article PT - Review DEP - 20211016 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) SB - IM MH - Animals MH - CD8-Positive T-Lymphocytes/immunology MH - Humans MH - Hypoxia/*metabolism/physiopathology MH - Hypoxia-Inducible Factor 1, alpha Subunit/metabolism/physiology MH - Killer Cells, Natural/immunology MH - Myeloid-Derived Suppressor Cells/immunology MH - Neoplasms/*immunology/*metabolism MH - T-Lymphocytes, Regulatory/immunology MH - Tumor Microenvironment/immunology OTO - NOTNLM OT - CD8(+) T cell OT - Dendritic cell (DC) OT - Hypoxia OT - Hypoxia inducible factor (HIF) OT - Immune checkpoint inhibitor (ICI) OT - Natural killer (NK) OT - Tumor microenvironment (TME) EDAT- 2021/10/19 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/10/18 20:10 PHST- 2021/08/24 00:00 [received] PHST- 2021/10/10 00:00 [revised] PHST- 2021/10/12 00:00 [accepted] PHST- 2021/10/19 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/10/18 20:10 [entrez] AID - S0024-3205(21)01044-4 [pii] AID - 10.1016/j.lfs.2021.120057 [doi] PST - ppublish SO - Life Sci. 2021 Dec 1;286:120057. doi: 10.1016/j.lfs.2021.120057. Epub 2021 Oct 16.