Potential therapeutics using tumor-secreted lactate in nonsmall cell lung cancer

•Non-small cell lung cancer (NSCLC) frequently presents genetic mutuations.•NSCLC upregulates glucose metabolism and subsequent accumulates lactate.•Lactate as key molecule leads various phenomena in tumor microenvironment.•Lactate oxidase (LOX) can directly oxidize tumor-secreted lactate.•Consuming...

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Veröffentlicht in:Drug discovery today 2021-11, Vol.26 (11), p.2508-2514
Hauptverfasser: Liao, Zi-Xian, Kempson, Ivan M., Hsieh, Chia-Chen, Tseng, S.-Ja, Yang, Pan-Chyr
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container_end_page 2514
container_issue 11
container_start_page 2508
container_title Drug discovery today
container_volume 26
creator Liao, Zi-Xian
Kempson, Ivan M.
Hsieh, Chia-Chen
Tseng, S.-Ja
Yang, Pan-Chyr
description •Non-small cell lung cancer (NSCLC) frequently presents genetic mutuations.•NSCLC upregulates glucose metabolism and subsequent accumulates lactate.•Lactate as key molecule leads various phenomena in tumor microenvironment.•Lactate oxidase (LOX) can directly oxidize tumor-secreted lactate.•Consuming or oxidizing tumor-secreted lactate provides a potential route. Targeted-therapy failure in treating nonsmall cell lung cancer (NSCLC) frequently occurs because of the emergence of drug resistance and genetic mutations. The same mutations also result in aerobic glycolysis, which further antagonizes outcomes by localized increases in lactate, an immune suppressor. Recent evidence indicates that enzymatic lowering of lactate can promote an oncolytic immune microenvironment within the tumour. Here, we review factors relating to lactate expression in NSCLC and the utility of lactate oxidase (LOX) for governing therapeutic delivery, its role in lactate oxidation and turnover, and relationships between lactate depletion and immune cell populations. The lactate-rich characteristic of NSCLC provides an exploitable property to potentially improve NSCLC outcomes and design new therapeutic strategies to integrate with conventional therapies.
doi_str_mv 10.1016/j.drudis.2021.07.014
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Targeted-therapy failure in treating nonsmall cell lung cancer (NSCLC) frequently occurs because of the emergence of drug resistance and genetic mutations. The same mutations also result in aerobic glycolysis, which further antagonizes outcomes by localized increases in lactate, an immune suppressor. Recent evidence indicates that enzymatic lowering of lactate can promote an oncolytic immune microenvironment within the tumour. Here, we review factors relating to lactate expression in NSCLC and the utility of lactate oxidase (LOX) for governing therapeutic delivery, its role in lactate oxidation and turnover, and relationships between lactate depletion and immune cell populations. 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subjects Anaplastic Lymphoma Kinase - genetics
Animals
Carcinoma, Non-Small-Cell Lung - drug therapy
Carcinoma, Non-Small-Cell Lung - genetics
Carcinoma, Non-Small-Cell Lung - metabolism
Citric Acid Cycle
Drug Resistance, Neoplasm
Genes, erbB-1 - genetics
Glucose - metabolism
Humans
Immune Checkpoint Inhibitors - therapeutic use
L-Lactate Dehydrogenase - antagonists & inhibitors
Lactate
Lactate oxidase
Lactic Acid - metabolism
Lung Neoplasms - drug therapy
Lung Neoplasms - genetics
Lung Neoplasms - metabolism
Metabolic Networks and Pathways
Mixed Function Oxygenases - therapeutic use
Molecular Targeted Therapy
Nanoparticles
Nonsmall cell lung cancer
NSCLC
Protein Kinase Inhibitors - therapeutic use
Proto-Oncogene Proteins p21(ras) - genetics
Tumor Microenvironment
title Potential therapeutics using tumor-secreted lactate in nonsmall cell lung cancer
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