Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors

<p dir="ltr">Triple negative breast cancer (TNBC) is an aggressive subtype of breast cancer associated with poor prognosis, early recurrence, and the lack of durable chemotherapy responses and specific targeted treatments. The recent FDA approval for immune checkpoint inhibition in c...

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المؤلف الرئيسي: Adviti Naik (673163) (author)
مؤلفون آخرون: Julie Decock (44558) (author)
منشور في: 2020
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author Adviti Naik (673163)
author2 Julie Decock (44558)
author2_role author
author_facet Adviti Naik (673163)
Julie Decock (44558)
author_role author
dc.creator.none.fl_str_mv Adviti Naik (673163)
Julie Decock (44558)
dc.date.none.fl_str_mv 2020-11-26T09:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fonc.2020.598626
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Lactate_Metabolism_and_Immune_Modulation_in_Breast_Cancer_A_Focused_Review_on_Triple_Negative_Breast_Tumors/26095096
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Immunology
Medical biochemistry and metabolomics
Oncology and carcinogenesis
triple negative breast cancer
lactate acidosis
immunotherapy
tumor metabolism
Warburg effect
metabolic reprogramming
anti-tumor immunity
immunosuppression
dc.title.none.fl_str_mv Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Triple negative breast cancer (TNBC) is an aggressive subtype of breast cancer associated with poor prognosis, early recurrence, and the lack of durable chemotherapy responses and specific targeted treatments. The recent FDA approval for immune checkpoint inhibition in combination with nab-paclitaxel for the treatment of metastatic TNBC created opportunity to advocate for immunotherapy in TNBC patients. However, improving the current low response rates is vital. Most cancers, including TNBC tumors, display metabolic plasticity and undergo reprogramming into highly glycolytic tumors through the Warburg effect. Consequently, accumulation of the metabolic byproduct lactate and extracellular acidification is often observed in several solid tumors, thereby exacerbating tumor cell proliferation, metastasis, and angiogenesis. In this review, we focus on the role of lactate acidosis in the microenvironment of glycolytic breast tumors as a major driver for immune evasion with a special emphasis on TNBCs. In particular, we will discuss the role of lactate regulators such as glucose transporters, lactate dehydrogenases, and lactate transporters in modulating immune functionality and checkpoint expression in numerous immune cell types. This review aims to spark discussion on interventions targeting lactate acidosis in combination with immunotherapy to provide an effective means of improving response to immune checkpoint inhibitors in TNBC, in addition to highlighting challenges that may arise from TNBC tumor heterogeneity.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Oncology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fonc.2020.598626" target="_blank">https://dx.doi.org/10.3389/fonc.2020.598626</a></p><p><br></p>
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network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/26095096
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spelling Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast TumorsAdviti Naik (673163)Julie Decock (44558)Biomedical and clinical sciencesImmunologyMedical biochemistry and metabolomicsOncology and carcinogenesistriple negative breast cancerlactate acidosisimmunotherapytumor metabolismWarburg effectmetabolic reprogramminganti-tumor immunityimmunosuppression<p dir="ltr">Triple negative breast cancer (TNBC) is an aggressive subtype of breast cancer associated with poor prognosis, early recurrence, and the lack of durable chemotherapy responses and specific targeted treatments. The recent FDA approval for immune checkpoint inhibition in combination with nab-paclitaxel for the treatment of metastatic TNBC created opportunity to advocate for immunotherapy in TNBC patients. However, improving the current low response rates is vital. Most cancers, including TNBC tumors, display metabolic plasticity and undergo reprogramming into highly glycolytic tumors through the Warburg effect. Consequently, accumulation of the metabolic byproduct lactate and extracellular acidification is often observed in several solid tumors, thereby exacerbating tumor cell proliferation, metastasis, and angiogenesis. In this review, we focus on the role of lactate acidosis in the microenvironment of glycolytic breast tumors as a major driver for immune evasion with a special emphasis on TNBCs. In particular, we will discuss the role of lactate regulators such as glucose transporters, lactate dehydrogenases, and lactate transporters in modulating immune functionality and checkpoint expression in numerous immune cell types. This review aims to spark discussion on interventions targeting lactate acidosis in combination with immunotherapy to provide an effective means of improving response to immune checkpoint inhibitors in TNBC, in addition to highlighting challenges that may arise from TNBC tumor heterogeneity.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Oncology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fonc.2020.598626" target="_blank">https://dx.doi.org/10.3389/fonc.2020.598626</a></p><p><br></p>2020-11-26T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fonc.2020.598626https://figshare.com/articles/journal_contribution/Lactate_Metabolism_and_Immune_Modulation_in_Breast_Cancer_A_Focused_Review_on_Triple_Negative_Breast_Tumors/26095096CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/260950962020-11-26T09:00:00Z
spellingShingle Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
Adviti Naik (673163)
Biomedical and clinical sciences
Immunology
Medical biochemistry and metabolomics
Oncology and carcinogenesis
triple negative breast cancer
lactate acidosis
immunotherapy
tumor metabolism
Warburg effect
metabolic reprogramming
anti-tumor immunity
immunosuppression
status_str publishedVersion
title Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
title_full Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
title_fullStr Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
title_full_unstemmed Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
title_short Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
title_sort Lactate Metabolism and Immune Modulation in Breast Cancer: A Focused Review on Triple Negative Breast Tumors
topic Biomedical and clinical sciences
Immunology
Medical biochemistry and metabolomics
Oncology and carcinogenesis
triple negative breast cancer
lactate acidosis
immunotherapy
tumor metabolism
Warburg effect
metabolic reprogramming
anti-tumor immunity
immunosuppression