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Table 1 Lipid metabolism in immune cells

From: Lipid metabolic reprogramming in tumor microenvironment: from mechanisms to therapeutics

Immune cell

Lipid metabolic alteration

Effect on immune cells

Mechanism

Treatment Strategy

Reference

CD8+ T cells

FAO↑

Maintained anti-tumor function through FAO upregulation

Promoted switch from glycolysis to FAO by PD-1;

Activated the expression of PPAR, STAT3 signaling

Promoting FAO and related signals;

Inhibiting metabolic conversion through PD-1 blockade

[162,163,164,165,166]

Lipid uptake↑

LPO↑

Impaired CD8+ T cell function for tumor progression

CD36 upregulation;

Increased lipid accumulation for ferroptosis

Targeting CD36;

Degrading lipid peroxides

[11, 161, 169,170,171]

Treg cells

Lipid uptake↑

Enhanced the immunosuppression effect

CD36 upregulation;

Targeting CD36

[8, 175]

FAS↑

FAO↑

Elevated the level of Treg cell

Enhanced the immunosuppression effect

Activated the expression of SREBP, PI3K and PD-1;

FASN upregulation;

Targeting SREBP and PD-1

[175,176,177,178,179]

TAMs

Lipid uptake↑

FAS↑

Released pro-tumorigenic cytokines Enhanced the immunosuppression effect

CD36 upregulation;

Increased LD accumulation

Targeting CD36

[155, 187,188,189,190, 192,193,194]

FAO↑

Increased M2-like polarization;

Enhanced the immunosuppression effect

Activated the expression of PPAR signaling;

Enhanced the rate of FAO

Targeting FAO

[9, 187, 188, 196]

DCs

Lipid uptake↑

FAO ↑

Reduced the ability of T cell stimulation

Atg5 downregulation;

CD36 and CPT1 upregulation;

Targeting FAO and CD36;

PD-1 blockade

[199,200,201, 203]

LPO↑

Impaired DC function for tumor progression

Activated the expression of XBP1;

Lipid peroxide accumulation

Degrading lipid peroxides

[202]

NK cells

Lipid uptake↑

LPO↑

Impaired NK cell function for tumor progression

CD36 upregulation;

Activated the expression of PPAR signaling;

Increased lipid peroxide accumulation

Degrading lipid peroxides

[12, 207,208,209,210]

MDSCs

Lipid uptake↑

Enhanced the immunosuppression effect

FATPs, VLDLR and CD36 upregulation;

Activated the expression of STAT3;

Targeting FTAPs and CD36

[10, 218,219,220,221]

FAO↑

Enhanced the immunosuppression effect

CPT1 upregulation

Targeting FAO

[222]