Abstract
Tumors of the digestive system are currently one of the leading causes of cancer-related death worldwide. Despite considerable progress in tumor immunotherapy, the prognosis for most patients remains poor. In the tumor microenvironment (TME), tumor cells attain immune escape through immune editing and acquire immune tolerance. The mevalonate pathway and autophagy play important roles in cancer biology, antitumor immunity, and regulation of the TME. In addition, there is metabolic crosstalk between the two pathways. However, their role in promoting immune tolerance in digestive system tumors has not previously been summarized. Therefore, this review focuses on the cancer biology of the mevalonate pathway and autophagy, the regulation of the TME, metabolic crosstalk between the pathways, and the evaluation of their efficacy as targeted inhibitors in clinical tumor immunotherapy.
Graphical Abstract
[http://dx.doi.org/10.3390/ijms221910774] [PMID: 34639131]
[http://dx.doi.org/10.3389/fonc.2021.789172] [PMID: 35211395]
[http://dx.doi.org/10.3390/ijms241612651] [PMID: 37628836]
[http://dx.doi.org/10.3389/fphar.2022.850066] [PMID: 35517830]
[http://dx.doi.org/10.1200/JCO.2021.39.15_suppl.2564]
[http://dx.doi.org/10.1053/j.gastro.2015.02.055] [PMID: 25747273]
[http://dx.doi.org/10.1056/NEJMoa1200690] [PMID: 22658127]
[http://dx.doi.org/10.1146/annurev-immunol-070621-030155] [PMID: 35471840]
[http://dx.doi.org/10.1016/j.ctrv.2020.102016] [PMID: 32247999]
[http://dx.doi.org/10.1002/ijc.33013] [PMID: 32359091]
[http://dx.doi.org/10.1056/NEJMoa2201445] [PMID: 35660797]
[http://dx.doi.org/10.1016/j.bbcan.2021.188615] [PMID: 34403771]
[http://dx.doi.org/10.1016/j.bbcan.2021.188638] [PMID: 34688805]
[http://dx.doi.org/10.1038/s42255-020-0174-0] [PMID: 32694690]
[http://dx.doi.org/10.3389/fonc.2020.01510] [PMID: 32974183]
[http://dx.doi.org/10.1111/bph.15200] [PMID: 32673401]
[http://dx.doi.org/10.1016/j.phrs.2014.06.013] [PMID: 25009097]
[http://dx.doi.org/10.18632/oncotarget.5834] [PMID: 26503475]
[http://dx.doi.org/10.1016/j.ygyno.2014.05.015] [PMID: 24880141]
[http://dx.doi.org/10.3892/or.2015.3741] [PMID: 25607255]
[http://dx.doi.org/10.1016/j.freeradbiomed.2019.08.007] [PMID: 31401304]
[http://dx.doi.org/10.1371/journal.pbio.3001197] [PMID: 33905408]
[http://dx.doi.org/10.1016/j.gene.2016.04.029] [PMID: 27085483]
[http://dx.doi.org/10.1016/j.gene.2015.09.067] [PMID: 26432005]
[http://dx.doi.org/10.1056/NEJMoa1201735] [PMID: 23134381]
[http://dx.doi.org/10.3892/ol.2017.7025] [PMID: 29163687]
[http://dx.doi.org/10.1006/bbrc.1999.0224] [PMID: 10049736]
[http://dx.doi.org/10.1038/nrd2221] [PMID: 17585331]
[http://dx.doi.org/10.1158/0008-5472.CAN-19-0650] [PMID: 31744820]
[http://dx.doi.org/10.1016/j.tem.2017.03.002] [PMID: 28410994]
[http://dx.doi.org/10.1126/science.1241908] [PMID: 24288332]
[http://dx.doi.org/10.1007/s11010-015-2551-7] [PMID: 26350565]
[http://dx.doi.org/10.1016/j.bbrc.2018.09.058] [PMID: 30224060]
[http://dx.doi.org/10.1084/jem.20192389] [PMID: 32633781]
[http://dx.doi.org/10.1016/j.cmet.2014.01.019] [PMID: 24606897]
[http://dx.doi.org/10.1007/s10585-011-9405-9] [PMID: 21744083]
[http://dx.doi.org/10.1038/s41586-019-0987-8] [PMID: 30814741]
[http://dx.doi.org/10.1056/NEJMoa0903840] [PMID: 19657110]
[http://dx.doi.org/10.1126/science.1164382] [PMID: 18772396]
[http://dx.doi.org/10.1038/nature06734] [PMID: 18337823]
[http://dx.doi.org/10.1016/j.ccr.2013.06.014] [PMID: 23911236]
[http://dx.doi.org/10.1016/j.cmet.2019.04.002] [PMID: 31031094]
[http://dx.doi.org/10.1038/cmi.2008.1] [PMID: 18318989]
[http://dx.doi.org/10.1016/j.cmet.2019.02.016] [PMID: 30930171]
[PMID: 31720082]
[http://dx.doi.org/10.1016/j.bbrc.2013.07.046] [PMID: 23876312]
[http://dx.doi.org/10.1038/nri2506] [PMID: 19197294]
[http://dx.doi.org/10.1002/JLB.4HI0517-210R] [PMID: 29345342]
[http://dx.doi.org/10.1530/ERC-18-0572] [PMID: 31048561]
[http://dx.doi.org/10.1038/nm.3909] [PMID: 26193342]
[http://dx.doi.org/10.1371/journal.pone.0098259] [PMID: 24906014]
[http://dx.doi.org/10.1084/jem.20130440] [PMID: 23897983]
[http://dx.doi.org/10.1073/pnas.1613332113] [PMID: 27671648]
[http://dx.doi.org/10.1186/s12943-020-1138-4] [PMID: 31969156]
[http://dx.doi.org/10.1101/gad.325514.119] [PMID: 31160394]
[http://dx.doi.org/10.1080/15548627.2021.1912270] [PMID: 33977871]
[http://dx.doi.org/10.1172/JCI73941] [PMID: 25654549]
[http://dx.doi.org/10.1038/nrc3262] [PMID: 22534666]
[http://dx.doi.org/10.1101/gad.2016211] [PMID: 21498569]
[http://dx.doi.org/10.1038/nature12865] [PMID: 24305049]
[http://dx.doi.org/10.1158/2159-8290.CD-14-0362] [PMID: 24875860]
[http://dx.doi.org/10.3390/ijms19113466] [PMID: 30400561]
[http://dx.doi.org/10.1007/BF02976748] [PMID: 9868528]
[http://dx.doi.org/10.1083/jcb.200507002] [PMID: 16286508]
[http://dx.doi.org/10.1074/jbc.M702824200] [PMID: 17580304]
[http://dx.doi.org/10.1016/j.cell.2009.03.048] [PMID: 19524509]
[http://dx.doi.org/10.1016/j.clim.2005.04.004] [PMID: 15886058]
[http://dx.doi.org/10.1111/j.1365-2559.2005.02313.x] [PMID: 16405664]
[http://dx.doi.org/10.1016/j.ccr.2014.05.004] [PMID: 25002027]
[http://dx.doi.org/10.1016/S0002-9440(10)65426-0] [PMID: 10362795]
[http://dx.doi.org/10.1038/ncomms12030] [PMID: 27345495]
[http://dx.doi.org/10.1016/j.ccell.2016.04.006] [PMID: 27211490]
[http://dx.doi.org/10.1038/sj.onc.1206325] [PMID: 12700667]
[http://dx.doi.org/10.1093/carcin/bgx099] [PMID: 28968743]
[http://dx.doi.org/10.1111/j.1349-7006.2012.02216.x] [PMID: 22320446]
[http://dx.doi.org/10.1016/j.ccell.2018.03.001] [PMID: 29634950]
[http://dx.doi.org/10.1073/pnas.1104361108] [PMID: 21746920]
[http://dx.doi.org/10.1016/j.molcel.2013.08.003] [PMID: 24011591]
[http://dx.doi.org/10.1016/j.ccell.2018.03.022] [PMID: 29731393]
[http://dx.doi.org/10.1016/j.ccr.2012.05.016] [PMID: 22789539]
[http://dx.doi.org/10.1111/cas.13537] [PMID: 29450944]
[http://dx.doi.org/10.1016/j.cell.2017.02.004] [PMID: 28283069]
[http://dx.doi.org/10.3389/fonc.2022.1088205] [PMID: 36568173]
[http://dx.doi.org/10.1016/j.cell.2009.11.007] [PMID: 19945376]
[http://dx.doi.org/10.1111/j.1600-0463.2007.00858.x] [PMID: 18184403]
[http://dx.doi.org/10.1002/hep.22581] [PMID: 19065679]
[http://dx.doi.org/10.4161/auto.4867] [PMID: 17786023]
[http://dx.doi.org/10.1016/j.canlet.2010.02.001] [PMID: 20207475]
[http://dx.doi.org/10.1002/path.2697] [PMID: 20225336]
[http://dx.doi.org/10.1186/s12943-019-0944-z] [PMID: 30678689]
[http://dx.doi.org/10.18632/oncotarget.6908] [PMID: 26788909]
[http://dx.doi.org/10.1080/15548627.2015.1110666] [PMID: 26569626]
[http://dx.doi.org/10.4049/jimmunol.0801143]
[http://dx.doi.org/10.1038/ni.3025] [PMID: 25362489]
[http://dx.doi.org/10.4161/onci.26260] [PMID: 24353910]
[http://dx.doi.org/10.1158/0008-5472.CAN-11-3396] [PMID: 22505650]
[http://dx.doi.org/10.1073/pnas.1413935112] [PMID: 25512546]
[http://dx.doi.org/10.4049/jimmunol.1402154]
[http://dx.doi.org/10.4161/auto.26927] [PMID: 24300480]
[http://dx.doi.org/10.1158/1078-0432.CCR-09-1015] [PMID: 20103670]
[http://dx.doi.org/10.1080/15548627.2019.1596493] [PMID: 30900506]
[http://dx.doi.org/10.1016/j.immuni.2009.12.006] [PMID: 20171125]
[http://dx.doi.org/10.1016/j.micinf.2014.12.008] [PMID: 25578385]
[http://dx.doi.org/10.1189/jlb.3HI0715-305R] [PMID: 26864266]
[http://dx.doi.org/10.1038/nri3175] [PMID: 22437938]
[http://dx.doi.org/10.1016/j.cmet.2018.04.022] [PMID: 29805099]
[http://dx.doi.org/10.1038/ni.3365] [PMID: 26808230]
[http://dx.doi.org/10.1038/nature12297] [PMID: 23812589]
[http://dx.doi.org/10.1016/S0168-3659(99)00248-5] [PMID: 10699287]
[http://dx.doi.org/10.1038/s41556-022-01002-x] [PMID: 36229606]
[http://dx.doi.org/10.1002/ijc.25202] [PMID: 20104527]
[http://dx.doi.org/10.1002/cncr.20057] [PMID: 14770441]
[http://dx.doi.org/10.1038/onc.2016.37] [PMID: 27109103]
[http://dx.doi.org/10.1038/s41586-018-0697-7] [PMID: 30429607]
[http://dx.doi.org/10.3892/ijo.2011.1087] [PMID: 21687941]
[http://dx.doi.org/10.1371/journal.pone.0016523] [PMID: 21304979]
[http://dx.doi.org/10.1038/s41556-020-00583-9] [PMID: 32989250]
[http://dx.doi.org/10.1038/s43018-022-00358-1] [PMID: 35449308]
[http://dx.doi.org/10.1007/s10571-015-0166-x] [PMID: 25722131]
[http://dx.doi.org/10.1007/978-3-030-42667-5_1] [PMID: 32304028]
[http://dx.doi.org/10.1158/0008-5472.CAN-19-0644] [PMID: 31562248]
[http://dx.doi.org/10.1016/j.bbrc.2007.12.166] [PMID: 18178158]
[http://dx.doi.org/10.1016/j.ejphar.2011.10.044] [PMID: 22094060]
[http://dx.doi.org/10.1016/j.phrs.2011.08.003] [PMID: 21871960]
[http://dx.doi.org/10.3892/ijo.2018.4272] [PMID: 29436616]
[http://dx.doi.org/10.1111/febs.15069] [PMID: 31545550]
[http://dx.doi.org/10.1158/0008-5472.CAN-10-1626] [PMID: 20876807]
[http://dx.doi.org/10.1080/01913123.2018.1522406] [PMID: 30300062]
[http://dx.doi.org/10.1186/s13046-016-0303-5] [PMID: 26830677]
[http://dx.doi.org/10.1016/j.jss.2011.06.037] [PMID: 21816418]
[http://dx.doi.org/10.1016/j.ebiom.2017.04.017] [PMID: 28454732]
[http://dx.doi.org/10.1038/cddis.2012.61] [PMID: 22717585]
[http://dx.doi.org/10.1002/pros.21131] [PMID: 20135644]
[http://dx.doi.org/10.4161/auto.26150] [PMID: 24184927]
[http://dx.doi.org/10.1016/j.cmet.2014.05.003] [PMID: 24930972]
[http://dx.doi.org/10.1016/j.celrep.2015.11.045] [PMID: 26686643]
[http://dx.doi.org/10.3390/ijms15046843] [PMID: 24758928]
[http://dx.doi.org/10.1038/s41598-018-35103-1] [PMID: 30429503]
[http://dx.doi.org/10.1016/j.nantod.2022.101618]
[http://dx.doi.org/10.1038/nrc.2016.76] [PMID: 27562463]
[http://dx.doi.org/10.1038/icb.2016.58] [PMID: 27377765]
[http://dx.doi.org/10.1016/j.ceb.2004.06.014] [PMID: 15261679]
[http://dx.doi.org/10.1038/35052055] [PMID: 11252952]
[http://dx.doi.org/10.1038/ni.3487] [PMID: 27270400]
[http://dx.doi.org/10.1126/science.1250684] [PMID: 25258083]
[http://dx.doi.org/10.1016/j.celrep.2019.05.020] [PMID: 31167140]
[http://dx.doi.org/10.1091/mbc.e07-10-1092] [PMID: 18094039]
[http://dx.doi.org/10.1038/nm934] [PMID: 14502282]
[http://dx.doi.org/10.1016/j.immuni.2005.03.013] [PMID: 15894280]
[http://dx.doi.org/10.1016/j.celrep.2015.08.077] [PMID: 26411680]
[http://dx.doi.org/10.1186/s12957-021-02346-8] [PMID: 34399782]
[http://dx.doi.org/10.1007/164_2017_38] [PMID: 28744586]
[http://dx.doi.org/10.1158/1541-7786.MCR-17-0166] [PMID: 29117944]
[http://dx.doi.org/10.1016/j.cell.2018.03.026] [PMID: 29656892]
[http://dx.doi.org/10.1016/j.immuni.2004.08.010] [PMID: 15485628]
[http://dx.doi.org/10.1038/415536a] [PMID: 11823861]
[http://dx.doi.org/10.1084/jem.20100637] [PMID: 20819923]
[http://dx.doi.org/10.1084/jem.20100643] [PMID: 20819927]
[http://dx.doi.org/10.1038/s41419-019-1322-x] [PMID: 30692522]
[http://dx.doi.org/10.1186/s13046-021-02041-2] [PMID: 34303383]
[http://dx.doi.org/10.1016/j.dld.2020.01.008] [PMID: 32113888]
[http://dx.doi.org/10.1097/COC.0000000000000433] [PMID: 29509593]
[http://dx.doi.org/10.1016/j.juro.2011.03.004] [PMID: 21571344]
[http://dx.doi.org/10.1002/pros.22671] [PMID: 23633265]
[http://dx.doi.org/10.1016/j.clinre.2020.101588] [PMID: 33662632]
[http://dx.doi.org/10.3390/cancers12030671] [PMID: 32183029]
[http://dx.doi.org/10.1002/ijc.33333] [PMID: 33034053]
[http://dx.doi.org/10.1111/bjh.16635] [PMID: 32304100]
[http://dx.doi.org/10.1016/j.ymthe.2021.05.012] [PMID: 33992804]
[http://dx.doi.org/10.18632/oncotarget.12694] [PMID: 27756885]
[http://dx.doi.org/10.1016/j.canlet.2011.09.034] [PMID: 22019047]
[http://dx.doi.org/10.1186/1471-2407-10-370] [PMID: 20630104]
[http://dx.doi.org/10.1080/15548627.2018.1474314] [PMID: 29940786]
[http://dx.doi.org/10.1016/j.bbrc.2009.03.051] [PMID: 19289106]
[http://dx.doi.org/10.1007/s00018-015-2104-y]
[http://dx.doi.org/10.1016/j.phrs.2014.03.005] [PMID: 24657238]
[http://dx.doi.org/10.1073/pnas.91.11.4960] [PMID: 8197165]
[http://dx.doi.org/10.1093/jrr/rrz102] [PMID: 32052028]
[http://dx.doi.org/10.1016/S0021-9258(17)37680-9] [PMID: 8106507]
[http://dx.doi.org/10.1016/j.cell.2006.03.035] [PMID: 16647110]
[http://dx.doi.org/10.1021/ml900028r] [PMID: 24900173]
[http://dx.doi.org/10.1038/nchembio.1681] [PMID: 25326666]
[http://dx.doi.org/10.1080/15548627.2015.1033601] [PMID: 25905679]
[http://dx.doi.org/10.1038/ncb3053] [PMID: 25327288]
[http://dx.doi.org/10.1016/j.cell.2011.08.037] [PMID: 21962518]
[http://dx.doi.org/10.1038/ncb2757] [PMID: 23685627]
[http://dx.doi.org/10.1021/cb500835z] [PMID: 25551253]
[http://dx.doi.org/10.1074/jbc.A114.627778] [PMID: 26614783]
[http://dx.doi.org/10.1016/j.molcel.2015.05.031] [PMID: 26118643]
[http://dx.doi.org/10.1038/cddis.2016.472] [PMID: 28230855]
[http://dx.doi.org/10.3892/ol.2020.12183] [PMID: 33093924]
[http://dx.doi.org/10.1016/j.bbagen.2013.04.011] [PMID: 23583370]
[http://dx.doi.org/10.5009/gnl15195] [PMID: 26470769]
[http://dx.doi.org/10.1111/j.1572-0241.2007.01773.x] [PMID: 18371146]
[http://dx.doi.org/10.1093/carcin/bgx018] [PMID: 28207072]
[http://dx.doi.org/10.1038/s41420-020-0252-9] [PMID: 32257389]
[http://dx.doi.org/10.1080/15384101.2019.1676581] [PMID: 31599189]
[http://dx.doi.org/10.2147/CMAR.S247876] [PMID: 32606957]
[http://dx.doi.org/10.2147/OTT.S106906] [PMID: 27621652]
[http://dx.doi.org/10.4161/auto.29961] [PMID: 25046107]
[http://dx.doi.org/10.1172/jci.insight.153842] [PMID: 34874916]
[http://dx.doi.org/10.1111/j.1349-7006.2009.01084.x] [PMID: 19469020]
[http://dx.doi.org/10.4103/0973-1482.235356] [PMID: 29970718]
[http://dx.doi.org/10.1186/s13046-019-1165-4] [PMID: 30975171]
[PMID: 32509386]
[http://dx.doi.org/10.1007/s10637-022-01278-8] [PMID: 35802287]
[http://dx.doi.org/10.1038/s41591-018-0014-x] [PMID: 29686425]