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      The kynurenine pathway presents multi-faceted metabolic vulnerabilities in cancer

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          Abstract

          The kynurenine pathway (KP) and associated catabolites play key roles in promoting tumor progression and modulating the host anti-tumor immune response. To date, considerable focus has been on the role of indoleamine 2,3-dioxygenase 1 (IDO1) and its catabolite, kynurenine (Kyn). However, increasing evidence has demonstrated that downstream KP enzymes and their associated metabolite products can also elicit tumor-microenvironment immune suppression. These advancements in our understanding of the tumor promotive role of the KP have led to the conception of novel therapeutic strategies to target the KP pathway for anti-cancer effects and reversal of immune escape. This review aims to 1) highlight the known biological functions of key enzymes in the KP, and 2) provide a comprehensive overview of existing and emerging therapies aimed at targeting discrete enzymes in the KP for anti-cancer treatment.

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          Most cited references185

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          Cancer immunoediting: from immunosurveillance to tumor escape.

          The concept that the immune system can recognize and destroy nascent transformed cells was originally embodied in the cancer immunosurveillance hypothesis of Burnet and Thomas. This hypothesis was abandoned shortly afterwards because of the absence of strong experimental evidence supporting the concept. New data, however, clearly show the existence of cancer immunosurveillance and also indicate that it may function as a component of a more general process of cancer immunoediting. This process is responsible for both eliminating tumors and sculpting the immunogenic phenotypes of tumors that eventually form in immunocompetent hosts. In this review, we will summarize the historical and experimental basis of cancer immunoediting and discuss its dual roles in promoting host protection against cancer and facilitating tumor escape from immune destruction.
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            Indoleamine 2,3 dioxygenase and metabolic control of immune responses.

            Sustained access to nutrients is a fundamental biological need, especially for proliferating cells, and controlling nutrient supply is an ancient strategy to regulate cellular responses to stimuli. By catabolizing the essential amino acid TRP, cells expressing the enzyme indoleamine 2,3 dioxygenase (IDO) can mediate potent local effects on innate and adaptive immune responses to inflammatory insults. Here, we discuss recent progress in elucidating how IDO activity promotes local metabolic changes that impact cellular and systemic responses to inflammatory and immunological signals. These recent developments identify potential new targets for therapy in a range of clinical settings, including cancer, chronic infections, autoimmune and allergic syndromes, and transplantation. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              GCN2 kinase in T cells mediates proliferative arrest and anergy induction in response to indoleamine 2,3-dioxygenase.

              Indoleamine 2,3 dioxygenase (IDO) catabolizes the amino acid tryptophan. IDO-expressing immunoregulatory dendritic cells (DCs) have been implicated in settings including tumors, autoimmunity, and transplant tolerance. However, the downstream molecular mechanisms by which IDO functions to regulate T cell responses remain unknown. We now show that IDO-expressing plasmacytoid DCs activate the GCN2 kinase pathway in responding T cells. GCN2 is a stress-response kinase that is activated by elevations in uncharged tRNA. T cells with a targeted disruption of GCN2 were not susceptible to IDO-mediated suppression of proliferation in vitro. In vivo, proliferation of GCN2-knockout T cells was not inhibited by IDO-expressing DCs from tumor-draining lymph nodes. IDO induced profound anergy in responding wild-type T cells, but GCN2-knockout cells were refractory to IDO-induced anergy. We hypothesize that GCN2 acts as a molecular sensor in T cells, allowing them to detect and respond to conditions created by IDO.
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/1025818Role: Role: Role:
                URI : https://loop.frontiersin.org/people/1910980Role: Role:
                Role:
                URI : https://loop.frontiersin.org/people/2374689Role:
                URI : https://loop.frontiersin.org/people/653167Role:
                URI : https://loop.frontiersin.org/people/1473085Role:
                URI : https://loop.frontiersin.org/people/868544Role: Role: Role: Role: Role:
                Journal
                Front Oncol
                Front Oncol
                Front. Oncol.
                Frontiers in Oncology
                Frontiers Media S.A.
                2234-943X
                09 October 2023
                2023
                : 13
                : 1256769
                Affiliations
                [1] 1 Department of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center , Houston, TX, United States
                [2] 2 Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center , Houston, TX, United States
                Author notes

                Edited by: Juan Carlos Gallardo-Pérez, National Institute of Cardiology Ignacio Chavez, Mexico

                Reviewed by: Claudia Volpi, University of Perugia, Italy; Dyah Laksmi Dewi, Gadjah Mada University, Indonesia

                *Correspondence: Johannes F. Fahrmann, jffahrmann@ 123456mdanderson.org

                †These authors have contributed equally to this work

                Article
                10.3389/fonc.2023.1256769
                10591110
                37876966
                0b861de9-a960-4206-83fc-475b9adb3f4a
                Copyright © 2023 León-Letelier, Dou, Vykoukal, Sater, Ostrin, Hanash and Fahrmann

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 11 July 2023
                : 22 September 2023
                Page count
                Figures: 3, Tables: 1, Equations: 0, References: 185, Pages: 21, Words: 8940
                Funding
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Work was supported by the generous philanthropic contributions to The University of Texas MD Anderson Cancer Center Moon Shots Program™.
                Categories
                Oncology
                Review
                Custom metadata
                Cancer Metabolism

                Oncology & Radiotherapy
                kynurenine pathway (kp),cancer,metabolism,therapeutics,immune evasion
                Oncology & Radiotherapy
                kynurenine pathway (kp), cancer, metabolism, therapeutics, immune evasion

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