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Metabolic reprogramming in the tumor microenvironment of liver cancer
Open accessAbstract
The liver is essential for metabolic homeostasis. The onset of liver cancer is often accompanied by dysregulated liver function, leading to metabolic rearrangements. Overwhelming evidence has illustrated that dysregulated cellular metabolism can, in turn, promote anabolic growth and tumor propagation in a hostile microenvironment. In addition to supporting continuous tumor growth and survival, disrupted metabolic process also creates obstacles for the anticancer immune response and restrains durable clinical remission following immunotherapy. In this review, we elucidate the metabolic communication between liver cancer cells and their surrounding immune cells and discuss how metabolic reprogramming of liver cancer impacts the immune microenvironment and the efficacy of anticancer immunotherapy. We also describe the crucial role of the gut-liver axis in remodeling the metabolic crosstalk of immune surveillance and escape, highlighting novel therapeutic opportunities.
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“Reprogramming of liver microenvironment is a key feature of hepatocarcinogenesis, which encompasses but not limited to metabolic alterations of hepatocyte and immune cells, re-emergence of fetal-associated endothelial cells and altered inflammatory milieu [10, 46, 65, 66].”
From Single-cell transcriptome reveals the reprogramming of immune microenvironment during the transition from MASH to HCC (2025) · cites this paper as [65]
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Targeting fatty acid oxidation: A potential strategy for treating gastrointestinal tumors
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“72,73 In many cancers, FAO is upregulated, 74,75 which is attributed to the increased demand for energy and metabolic intermediates required for macromolecular synthesis.”
Transketolase promotes osteosarcoma progression through the YY1 ‐ PAK4 axis
Jing, D., Wu, W., Huang, X., Zhang, Z., Chen, X., Huang, F., Liu, J., Zhang, Z., Shao, Z., & Pu, F. (2025) · FEBS Journal · doi:10.1111/febs.17375 · Cited by 5
“Amino acids 201 – 228 YY1 can connect with the TKT protein. normal tissues have shown unique advantages and achieved phased results [22,23].”
Han, S., Luo, Y., Hu, Z., Li, X., Zhou, Y., & Luo, F. (2025) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.202400750 · Cited by 6
Xie, B., Li, J., Lou, Y., Chen, Q., Yang, Y., Zhang, R., Liu, Z., He, L., & Cheng, Y. (2024) · International Immunopharmacology · doi:10.1016/j.intimp.2024.113019 · Cited by 4
Wang, Y., Li, F., Li, J., Huang, T., Huang, T., Zhang, N., Li, Y., Xun, Z., Zhu, Z., Tan, Q., et al. (2026) · Cell Metabolism · doi:10.1016/j.cmet.2026.06.003 · Cited by 5
Pan, J., Feng, J., Ding, Z., Fang, M., Yu, W., Yang, L., Zhang, X., & Wang, X. (2026) · Biochemical and Biophysical Research Communications - BBRC · doi:10.1016/j.bbrc.2026.154044 · Cited by 5
Ji, Y., Wang, Y., Yu, X., Jin, Y. C., Zhao, K., Hu, Y., & He, Z. (2026) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2026.1745201 · Cited by 7
“This is characterized by systemic alterations in metabolites, fluxes, and enzyme activities (Horn and Tacke, 2024), and represents a dynamic rebalancing of cellular energy demands, nutrient availability, and environmental stressors (Lin et al., 2024).”
Obstacles and improvement strategies for CAR-T cell therapy in solid tumors
Luo, Z., Hu, Q., Ren, M., Wang, L., Zou, Q., Wen, X., Chen, S., Liu, Q., Luo, D., & Guo, Z. (2026) · Discover Oncology · doi:10.1007/s12672-026-04473-8 · Cited by 6
“A signature feature of tumor cells is that they utilize glucose through aerobic glycolysis (Warburg effect) to meet their high energy requirements for survival and metabolism, as glycolysis produces ATP at a faster rate [101].”
Zhang, B., Iqbal, M., Yan, Y., Wang, H., Wang, X., Zhang, Y., & Guo, B. (2026) · Journal of Nanobiotechnology · doi:10.1186/s12951-026-04102-0 · Cited by 2
Qian, L.-M., Fu, Z., Chen, P., Guo, Y., Li, Y., Wang, Y., Wang, B., Zhang, Q., Guo, Q., Wu, L., et al. (2026) · International Journal on Biological Sciences · doi:10.7150/ijbs.125483 · Cited by 5
Wang, Y., Zhu, Y., Wang, Y.-X., Liu, Y., Wang, P., & Yu, M.-K. (2026) · Mediators of Inflammation · doi:10.1155/mi/2952331 · Cited by 5
“In this way, the in fl ammatory properties of the TME regulate the cellular sensitivities to cell death caused by copper using reprograming of metabolism [23].”
Liang, M.-Z., Huang, X.-F., Zhu, J., Bao, J., Chen, C., Wang, X., Lou, Y.-W., Pan, Y.-T., & Dai, Y. (2025) · Computational Biology and Chemistry · doi:10.1016/j.compbiolchem.2025.108507 · Cited by 5
Gu, M.-Y., Ma, W., Ma, Z.-M., Ma, L., & Ding, X. (2025) · Scientific Reports · doi:10.1038/s41598-025-94504-1 · Cited by 3
“One reason for the limited efficacy of immune checkpoint inhibitors is that tumors weaken the killing effect of immune cells through immune evasion mechanisms 43 , and high PSMD2 expression may further exacerbate this process.”
A Bibliometric Analysis of Metabolic Reprogramming in the Tumor Microenvironment From 2003 to 2022
Xi, Y., Liu, R., Zhang, X., Guo, Q., Zhang, X., Yang, Z., Zheng, H., Song, Q., & Hua, B. (2024) · Cancer Reports · doi:10.1002/cnr2.2146 · Cited by 5
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Liu, Y., Yang, X., Qin, M., Chen, W., Liu, C., Jiang, W., Wang, Y., Tan, S., Sun, H., Chen, J., et al. (2026) · Journal of Ethnopharmacology · doi:10.1016/j.jep.2026.121554 · Cited by 3
Arshad, F., Chinnappan, R., Broering, D. C., Raptis, D. A., Mir, T. A., Khan, M. I., & Yaqinuddin, A. (2026) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2026.1748835 · Cited by 4
“…that are associated with isocitrate dehydrogenase (IDH) mutations and are essential in cell signaling and immune response, and therefore serves as a crucial biomarker in the diagnosis and prognosis of cancers, including liver cancers that occur as a consequence of NASH/MASH (Lin et al., 2024).”
Cai, P., Liu, X., Lin, M.-Z., Xie, S.-F., Yuan, L., Lin, Z.-B., Zhang, Y., & Cai, S. (2026) · Cells · doi:10.3390/cells15020207 · Cited by 4
Zhu, W.-S., Qi, H., Jing, F.-B., Shi, Y., Xing, Y., Ma, X.-L., Ning, B., Wang, Y.-S., & Jia, Y.-F. (2026) · Redox Biology · doi:10.1016/j.redox.2026.104055 · Cited by 4
“Tumor cells are compelled to undergo metabolic reprogramming to adapt to hypoxia, stress, and unrestricted proliferation conditions [15].”
Wang, Q., Qiao, H., Yuan, W., Deng, X., Xie, Z., Lei, X., Yang, X., Tang, G., & Wang, Z. (2025) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2025.118912 · Cited by 4
Jiang, L., Shen, Y., Feng, Z., Wang, Y., Zhu, Y., Shen, Y., & Peng, Q. (2025) · European journal of medical research · doi:10.1186/s40001-025-03275-y · Cited by 4
“The tumor microenvironment (TME), a complex ecosystem comprising a diverse array of cells, such as stromal and immune cells, plays a pivotal role in the effective identification of suitable patients for immunotherapeutic interventions [20].”
KBTBD11 suppresses hepatocellular carcinoma by targeting ENO1-mediated glycolysis
Liu, Y.-X., Chen, Y.-R., Tang, L.-R., Lin, F.-F., Zhuang, Q., Chen, H., Lin, X.-D., & Li, J.-L. (2025) · Journal of Translational Medicine · doi:10.1186/s12967-025-07161-3 · Cited by 4
Acylation modification-mediated metabolism reprogramming in cancer
Huang, K., Wang, Y., Li, B., Xiu, Y., Zhan, H., Wei, G., & Duan, Y. (2025) · iScience · doi:10.1016/j.isci.2025.113883 · Cited by 8
“28”
Lactylation modification in lung cancer: A review of current research and future directions (Review)
Lv, Q., Xu, J., Hu, N., Zhao, Y., Wang, X., Wang, T., & Tian, L. (2025) · Oncology Reports · doi:10.3892/or.2025.8981 · Cited by 3
Xu, J., Cheng, Y., Feng, Y., & Wang, Y. (2025) · Immunological Investigations · doi:10.1080/08820139.2025.2553774 · Cited by 4
“The intense competition for nutrients and the accumulation of inhibitory metabolic products in the tumor microenvironment of the liver together lead to immune cell dysfunction (J. Lin et al., 2024; H. Yang et al., 2025).”
Ma, J., Cheng, M. Y., Jin, L., Wang, Y., Feng, Z., Shen, Y., Zhu, Y., & Peng, Q. (2025) · Clinical & Translational Oncology · doi:10.1007/s12094-025-03963-5 · Cited by 4
“It has been reported that HCC is associated with a range of metabolic dysregulations, including abnormalities in glucose, fatty acid, and amino acid metabolism [7–9].”
Wang, M., Wang, Y.-H., Chen, L., Yu, S., Li, X.-D., Huang, G., & Jin, M.-M. (2025) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2025.177839 · Cited by 4
Huang, J.-H., Li, Y.-H., Hong, J., Li, R., Wang, R., Chen, Z.-Q., Li, S., Chi, Y.-L., Huang, J., & Zhu, Y. (2025) · Molecular Therapy — Nucleic Acids · doi:10.1016/j.omtn.2025.102560 · Cited by 4
“36 However, the role of BA metabolism in the occurrence and progression of HCC remains controversial.”
Nelson, A. B., Reese, L. E., Rono, E., Queathem, E. D., Qiu, Y., McCluskey, B. M., Crampton, A. L., Conniff, E., Cummins, K. A., Boytim, E., et al. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26051976 · Cited by 6
“Moreover, substrate fuels are used to program neighboring immune cells for repressed anti-tumor responses [7].”
Xiao, N., Chen, C., Yang, X., Hao, J., Xie, M., Wang, J., Xiang, J., Liu, C., Jiang, X., Huang, S., et al. (2026) · Frontiers in Immunology · doi:10.3389/fimmu.2026.1894189 · Cited by 2
“Resting or tolerogenic APCs may rely more on oxidative phosphorylation or lipid-associated metabolic programs (102).”
Ding, L., Du, W., Zhu, J., Zhang, Y., Wang, X., Li, L., Liu, B., Wang, X., Wang, Q., & Pei, D. (2026) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2524594123 · Cited by 3
Wang, Q., Sun, M., Han, Y., Li, Z., Liu, J., Zhou, Z., Shi, X., Zhao, X. R., & Shi, J. (2026) · Advanced Cancer Research · doi:10.55092/acr20260007 · Cited by 3
“These specific pathological features of TME mainly arise from the uncontrolled proliferation of malignant cells and the consequent metabolic disorders [15–17].”
Li, W., Wang, Z.-A., Chen, J., & Ying, S.-B. (2026) · Toxicology · doi:10.1016/j.tox.2026.154450 · Cited by 3
Targeting cancer signaling pathways and their therapeutic strategies
Salem, M. M., & Mohamed, T. M. (2026) · Discover Oncology · doi:10.1007/s12672-026-04708-8 · Cited by 4
“15) [79].”
Yang, W., Wang, C., Yu, C., Jiang, N., Yu, B., Ni, Y., Ni, C., Feng, L., & Zhang, L. (2026) · Cell Reports Medicine · doi:10.1016/j.xcrm.2026.102662 · Cited by 2
“14,15 19 Coupled with significantly reduced CO 2 production due to inhibition of the tricarboxylic acid cycle and oxidative phosphorylation, tumor cells maintain an alkaline intracellular pH and an acidic extracellular pH. 20,21 This pH gradient collectively promotes tumor invasion and metastasis…”
The role of ADAR1 in human pathophysiology
Li, J., Xiao, Y., Li, X., & Dai, Y. (2025) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2025.1672970 · Cited by 4
Metadata
- Authors
- Lin, J., Rao, D., Zhang, M., & Gao, Q.
- Affiliations
- Fudan University (CN)
- Shanghai Medical College of Fudan University (CN)
- Corresponding author
- Gao, Qiang
- Venue
- Journal of Hematology & Oncology
- Published
- 2024-01-31
- Volume
- 17
- Issue
- 1
- Pages
- 6-6
- ISSN
- 1756-8722 (ISSN-L)
- PMC
- PMC10832230
- OpenAlex
- W4391404272
- Cited by
- 251
- References
- 231
- Citations by year
- 2026: 125 · 2025: 110 · 2024: 16
- FWCI
- 12.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Hematology & Oncology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (82103314, 82130077)
- Jinshan Hospital Flexible Mobile Talent Research Startup Fund (RXRC-2020-1)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Hypoxia, and Metabolism
- Life Sciences › Immunology and Microbiology › Immunology › Immune cells in cancer
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- metabolic reprogramming, liver cancer, tumor microenvironment, tumor immune microenvironment, cancer immunotherapy, immunotherapy resistance, gut-liver axis, immune surveillance, immune evasion
- MeSH terms
- Metabolic Reprogramming, Energy Metabolism, Glycolysis, Humans, Immunotherapy, Liver Neoplasms, Neoplasms, Tumor Microenvironment
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