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Table 2 Strategies for lipid metabolism in tumor-infiltrating immune cells

From: Contradictory roles of lipid metabolism in immune response within the tumor microenvironment

Mechanism

Type

Example

Phase

Tumor type

Trial number

Effect

References

Fatty acids

CD36 antibody

CD36 antibody

Preclinical

Melanoma; colon cancer; lymphoma

NA

1. Ablating the function of intratumor Tregs;

2. Reducing antigen presentation ability of DC

[82, 133]

ACC inhibitor

Metformin

Phase II

Esophageal Cancer

ChiCTR-ICR-15005940

Increasing CD8+ T cell amount and decreasing tumor-associated macrophages

[143]

FASN inhibitor

C75

Preclinical

Thyroid carcinoma, neuroblastoma

NA

Reducing IL-1β, TNF-alpha, IL-6, and IL-10 levels in macrophages

[88]

CPT1 inhibitor

Etomoxir

Preclinical

Breast, colon, lung, and prostate tumor

NA

1. Abrogating the pro-tumor effects of TAMs;

2. Inhibiting tumor-infiltrating MDSCs

[85, 102]

 

perhexiline

Preclinical

Breast cancer

NA

Boosting function of CD8+ Teffs

[74]

Cholesterol

LXRs agonist

RGX-104

Phase I a/b

Multiple tumors

NCT02922764

Suppressing survival and immunosuppressive function of MDSCs

[109]

ACAT inhibitor

Avasimibe

NA

Melanoma

NA

Enhancing CTL responses

[57]

Extracellular vesicles

Exosomes

(DC)-derived exosomes (DEX) loaded with the MAGE tumor antigens

Phase I

NSCLC

NA

Controlling drug release in tumors

[158]

Liposome/lipid-NP

DCR-MYC, TKM-080301, EphA2-targeting DOPC-encapsulated siRNA

Phase I/II

Hepatoma, recurrent Solid Tumors

NCT01591356, NCT02314052, NCT02191878

Enhancing drug delivery and minimize serious side effects

[156]