Published online Sep 15, 2022. doi: 10.4251/wjgo.v14.i9.1887
Peer-review started: June 18, 2022
First decision: July 19, 2022
Revised: July 28, 2022
Accepted: August 16, 2022
Article in press: August 16, 2022
Published online: September 15, 2022
Processing time: 82 Days and 18.2 Hours
Core Tip: Immunotherapy is one of the most powerful tools for patients with unresectable hepatocellular carcinoma. CD8+ T cells are a major immune component in the tumor microenvironment with cytotoxic effects against tumor cells. However, these CD8+ T cells commonly display an exhaustion phenotype with high expression of immune checkpoints such as programmed cell death protein 1, producing less anti-tumor proteins and cytokines, such as perforin and granzyme B. Here, we show that the roles of amino acids such as glutamine in T cell activation and function are dependent on tumor types and nutrients in the tumor microenvironment. Overall, nutrient metabolism reprogramming in the tumor microenvironment plays a pivotal role in both tumor growth and immune response.
