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World J Gastroenterol. Aug 21, 2018; 24(31): 3500-3512
Published online Aug 21, 2018. doi: 10.3748/wjg.v24.i31.3500
Immunometabolism: A novel perspective of liver cancer microenvironment and its influence on tumor progression
Qi Zhang, Yu Lou, Xue-Li Bai, Ting-Bo Liang
Qi Zhang, Yu Lou, Xue-Li Bai, Ting-Bo Liang, Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Qi Zhang, Yu Lou, Xue-Li Bai, Ting-Bo Liang, Zhejiang Provincial Key Laboratory of Pancreatic Disease, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zhang Q and Lou Y contributed equally to this work; Liang TB and Bai XL designed the research; Zhang Q and Lou Y performed the research; Zhang Q and Lou Y wrote the paper; Liang TB and Bai XL revised the paper.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Ting-Bo Liang, MD, PhD, Attending Doctor, Chief Doctor, Doctor, Full Professor, Research Fellow, Surgeon, Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China. liangtingbo@zju.edu.cn
Telephone: +86-571-87783510 Fax: +86-571-87783510
Received: April 16, 2018
Peer-review started: April 16, 2018
First decision: May 16, 2018
Revised: May 29, 2018
Accepted: June 27, 2018
Article in press: June 27, 2018
Published online: August 21, 2018
Processing time: 124 Days and 4.3 Hours
Abstract

The initiation and progression of liver cancer, including hepatocellular carcinoma and intrahepatic cholangiocarcinoma, are dependent on its tumor microenvironment. Immune cells are key players in the liver cancer microenvironment and show complicated crosstalk with cancer cells. Emerging evidence has shown that the functions of immune cells are closely related to cell metabolism. However, the effects of metabolic changes of immune cells on liver cancer progression are largely undefined. In this review, we summarize the recent findings of immunometabolism and relate these findings to liver cancer progression. We also explore the translation of the understanding of immunometabolism for clinical use.

Keywords: Cholangiocarcinoma; Hepatocellular carcinoma; Tumor microenvironment; Local immune status; Metabolite

Core tip: The liver microenvironment provides a special place for initiation and progression of liver cancer, in which immune cells play a vital role. On the one hand, immunosuppression leads to tumor survival and progression; on the other hand, the instigation of tumor metabolites and signal molecules to immune cells makes the state of immunosuppression further strengthened. Intensive studies of the metabolic state of immune cells in the tumor microenvironment is beneficial to our understanding of the regulation of pro-tumor patterns, and to provide theoretical basis and guidance for immunometabolic therapies for liver cancer.