A new aspect of an old friend: the beneficial effect of metformin on anti-tumor immunity

BMB Rep. 2020 Nov;53(10):512-520. doi: 10.5483/BMBRep.2020.53.10.149.

Abstract

T-cell-based cancer immunotherapies, such as immune checkpoint blockers (ICBs) and chimeric antigen receptor (CAR)-Tcells, have significant anti-tumor effects against certain types of cancer, providing a new paradigm for cancer treatment. However, the activity of tumor infiltrating T-cells (TILs) can be effectively neutralized in the tumor microenvironment (TME) of most solid tumors, rich in various immunosuppressive factors and cells. Therefore, to improve the clinical outcomes of established T-cell-based immunotherapy, adjuvants that can comprehensively relieve multiple immunosuppressive mechanisms of TME are needed. In this regard, recent studies have revealed that metformin has several beneficial effects on anti-tumor immunity. In this mini-review, we understand the immunosuppressive properties of TME and how metformin comprehensively enhances anti-tumor immunity. Finally, we will discuss this old friend's potential as an adjuvant for cancer immunotherapy. [BMB Reports 2020; 53(10): 512-520].

Publication types

  • Review

MeSH terms

  • Humans
  • Immunotherapy / methods
  • Killer Cells, Natural
  • Lymphocytes, Tumor-Infiltrating / drug effects*
  • Lymphocytes, Tumor-Infiltrating / metabolism
  • Metformin / metabolism
  • Metformin / pharmacology*
  • Metformin / therapeutic use*
  • Neoplasms / drug therapy
  • Neoplasms / immunology
  • Receptors, Chimeric Antigen
  • T-Lymphocytes
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / immunology

Substances

  • Receptors, Chimeric Antigen
  • Metformin