Cell death & disease

Lactate from low-oxygen tumor cells may cause immune cells to age and shift to a tumor-supporting type, speeding up endometrial cancer growth

Updated

Abstract

Hypoxia increases lactate production in endometrial cancer cells, facilitating tumor progression through macrophage activation.

  • Hypoxia leads to elevated levels of lactate in endometrial cancer cells via the activation of specific metabolic pathways.
  • Lactate produced by cancer cells is transported to macrophages, promoting their polarization towards an M2 phenotype.
  • The lactate triggers changes in macrophages, including modifications to histones that affect gene expression related to pH regulation.
  • Downregulation of the NHE7 gene in macrophages is associated with enhanced M2 polarization and cell aging, contributing to cancer progression.
  • In a xenograft model, macrophages that overexpress NHE7 can counteract the tumor-promoting effects of lactate, reducing tumor growth and M2 polarization.

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Funding

Competing interests

Ethical approval statement: Bioinformatics data were downloaded from publicly available databases. The study involving patient data in this database was approved by the institutional ethics committee, and all patients provided informed consent. The animal experiments were conducted in strict compliance with the National Guidelines for the Care and Use of Laboratory Animals in China and approved by the Ethics Committee of Women’s Hospital, School of Medicine, Zhejiang University (Approval No. AE20250014). The clinical sample experiments were approved by the Ethics Committee of Women’s Hospital, School of Medicine, Zhejiang University (IRB-20250185-R) and performed in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained from all participants before clinical samples were collected, ensuring they were fully informed about the research purposes and use of their samples. Competing interests: The authors declare no competing interests.
PubMed

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