Tumor Metabolism as a Regulator of Tumor-Host Interactions in the B-Cell Lymphoma Microenvironment-Fueling Progression and Novel Brakes for Therapy

Int J Mol Sci. 2019 Aug 26;20(17):4158. doi: 10.3390/ijms20174158.

Abstract

Tumor metabolism and its specific alterations have become an integral part of understanding functional alterations leading to malignant transformation and maintaining cancer progression. Here, we review the metabolic changes in B-cell neoplasia, focusing on the effects of tumor metabolism on the tumor microenvironment (TME). Particularly, innate and adaptive immune responses are regulated by metabolites in the TME such as lactate. With steadily increasing therapeutic options implicating or utilizing the TME, it has become essential to address the metabolic alterations in B-cell malignancy for therapeutic approaches. In this review, we discuss metabolic alterations of B-cell lymphoma, consequences for currently used therapy regimens, and novel approaches specifically targeting metabolism in the TME.

Keywords: IDO; Lymphoma; PD-L1; T-cell; glycolysis; lactate; macrophage; metabolism; microenvironment.

Publication types

  • Review

MeSH terms

  • Animals
  • Disease Progression
  • Energy Metabolism*
  • Humans
  • Immunomodulation
  • Lymphoma, B-Cell / immunology
  • Lymphoma, B-Cell / metabolism*
  • Lymphoma, B-Cell / pathology*
  • Lymphoma, B-Cell / therapy
  • Molecular Targeted Therapy
  • Signal Transduction
  • Tumor Microenvironment* / immunology