From:  Unraveling the connection: M2 macrophage polarization and cancer metabolism

 Oncogene and metabolite effects in the tumor microenvironment

CategoryMoleculeEffectReference
OncogenesHIF-1αUpregulates glycolysis
Promotes M2 polarization via lactate
Suppresses CD8+ T cells
[1214]
MycEnhances glutaminolysis and glycolysis
Drives immune evasion by lactate and PD-L1 upregulation
[19, 20]
NF-ĸBInduces IL-10 and TGF-β secretion, inducing M2 polarization[22, 34]
Nrf2Antioxidant response suppresses ROS
Sustains immunosuppression
[12, 13]
MetaboliteLactateActivates GPR132 inducing M2 polarization
Inhibits NK and CD8+ T cells
[43, 53]
L-arginineImpairs T cell function (anergy)[46, 48]
Tryptophan (kynurenine)Expands T reg population through AhR activation[42, 55]
GlutaminePromotes T cell exhaustion[13, 42]

HIF-1α: hypoxia-inducible factor 1 alpha; PD-L1: programmed death ligand 1; NF-ĸB: nuclear factor kappa-light-chain-enhancer of activated B cells; IL-10: interleukin-10; TGF-β: transforming growth factor β; Nrf2: nuclear factor erythroid 2-related factor 2; ROS: reactive oxygen species; GPR132: G protein-coupled receptor 132; NK: natural killer; AhR: aryl hydrocarbon receptor