RT Journal Article T1 Immunometabolism Modulation in Therapy. A1 Monferrer, Ezequiel A1 Sanegre, Sabina A1 Vieco-Martí, Isaac A1 López-Carrasco, Amparo A1 Fariñas, Fernando A1 Villatoro, Antonio A1 Abanades, Sergio A1 Mañes, Santos A1 de la Cruz-Merino, Luis A1 Noguera, Rosa A1 Álvaro Naranjo, Tomás K1 immunometabolites K1 metabolic reprogramming K1 oncometabolites K1 regulatory balance AB The study of cancer biology should be based around a comprehensive vision of the entire tumor ecosystem, considering the functional, bioenergetic and metabolic state of tumor cells and those of their microenvironment, and placing particular importance on immune system cells. Enhanced understanding of the molecular bases that give rise to alterations of pathways related to tumor development can open up new therapeutic intervention opportunities, such as metabolic regulation applied to immunotherapy. This review outlines the role of various oncometabolites and immunometabolites, such as TCA intermediates, in shaping pro/anti-inflammatory activity of immune cells such as MDSCs, T lymphocytes, TAMs and DCs in cancer. We also discuss the extraordinary plasticity of the immune response and its implication in immunotherapy efficacy, and highlight different therapeutic intervention possibilities based on controlling the balanced systems of specific metabolites with antagonistic functions. SN 2227-9059 YR 2021 FD 2021-07-09 LK https://hdl.handle.net/10668/27701 UL https://hdl.handle.net/10668/27701 LA en DS RISalud RD Apr 8, 2025