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LDHA-driven lactate metabolism promotes MDSC activation and immunosuppressive microenvironment in prostate cancer - PubMed

4 hours ago
  • #Lactate Metabolism
  • #Immunosuppression
  • #LDHA
  • LDHA-driven lactate metabolism in prostate cancer promotes MDSC activation and an immunosuppressive microenvironment.
  • LDHA-high tumors show increased lactate production, immune exclusion, and infiltration of PMN-MDSCs co-localized with LDHA-positive regions.
  • Lactate uptake via MCT1 enhances PMN-MDSC differentiation and upregulates Arg1 and NOS2, leading to T cell suppression.
  • Genetic LDHA ablation in mice reduces PMN-MDSC infiltration, restores CD8+ T cell activity, and inhibits tumor growth.
  • Pharmacological LDHA inhibition with FX-11 synergizes with anti-PD-L1 therapy, achieving durable tumor regression.