Glycolysis regulation in tumor-associated macrophages: Its role in tumor development and cancer treatment

Int J Cancer. 2024 Feb 1;154(3):412-424. doi: 10.1002/ijc.34711. Epub 2023 Sep 8.

Abstract

Tumor-associated macrophages constitute the main cell population in the tumor microenvironment and play a crucial role in regulating the microenvironment composition. Emerging evidence has revealed that the metabolic profile determines the tumor-associated macrophage phenotype. Tumor-associated macrophage function is highly dependent on glucose metabolism, with glycolysis being the major metabolic pathway. Recent reports have demonstrated diversity in glucose flux of tumor-associated macrophages and complex substance communication with cancer cells. However, how the glucose flux in tumor-associated macrophages connects with glycolysis to influence tumor progression and the tumor microenvironment is still obscure. Moreover, while the development of single-cell sequencing technology allows a clearer and more accurate classification of tumor-associated macrophages, the metabolic profiles of tumor-associated macrophages from the perspective of single-cell omics has not been well summarized. Here, we review the current state of knowledge on glucose metabolism in tumor-associated macrophages and summarize the metabolic profiles of different tumor-associated macrophage subtypes from the perspective of single-cell omics. Additionally, we describe the current strategies targeting glycolysis in tumor-associated macrophages for cancer therapy.

Keywords: glucose metabolism; single-cell omics; targeted cancer therapy; tumor microenvironment; tumor-associated macrophage.

Publication types

  • Review

MeSH terms

  • Glucose / metabolism
  • Glycolysis
  • Humans
  • Macrophages / metabolism
  • Neoplasms* / pathology
  • Tumor Microenvironment
  • Tumor-Associated Macrophages*

Substances

  • Glucose