Evidence map›Paper›PMID 40014923›Full record

ArticleCancer discovery2025

Functional Reprogramming of Neutrophils within the Brain Tumor Microenvironment by Hypoxia-Driven Histone Lactylation.

Alessio Ugolini, Alessandra De Leo, Xiaoqing Yu, Fabio Scirocchi, Xiaoxian Liu, Barbara Peixoto, Delia Scocozza, Angelica Pace, Michela Perego, Alessandro Gardini and 10 more

Abstract read
In one paragraph

Article in Cancer discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Targeting Lactate and Lactylation in Cancer Metabolism and Immunotherapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Alessio UgoliniDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-5970-9693
Alessandra De LeoDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0003-3630-5765
Xiaoqing YuDepartment of Biostatistics and Bioinformatic, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0003-4585-9372
Fabio ScirocchiDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-6408-2055
Xiaoxian LiuDepartment of Biostatistics and Bioinformatic, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0001-6386-1527
Barbara PeixotoDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-8228-0194
Delia ScocozzaDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0009-0001-1261-8233
Angelica PaceDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-2097-7874
Michela PeregoImmunology, Genome Regulation and Cell Signaling Program, The Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0002-5671-928X
Alessandro GardiniImmunology, Genome Regulation and Cell Signaling Program, The Wistar Institute, Philadelphia, Pennsylvania.ORCID 0000-0003-0413-2855
Luca D'AngeloDepartment of Human Neurosciences, Neurosurgery Division, "Sapienza" University, AOU Policlinico Umberto I, Rome, Italy.ORCID 0000-0001-9182-1928
James K C LiuDepartment of Neuro-Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-1907-7150
Arnold B EtameDepartment of Neuro-Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-9656-4702
Aurelia RughettiDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0002-1863-8251
Marianna NutiDepartment of Experimental Medicine, Sapienza University of Rome, Rome, Italy.ORCID 0000-0003-1809-1003
Antonio SantoroDepartment of Human Neurosciences, Neurosurgery Division, "Sapienza" University, AOU Policlinico Umberto I, Rome, Italy.ORCID 0000-0002-0798-6816
Michael A VogelbaumDepartment of Neuro-Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-9833-2374
Jose R Conejo-GarciaDepartment of Integrative Immunobiology, Duke School of Medicine, Durham, North Carolina.ORCID 0000-0001-6431-4074
Paulo C RodriguezDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0001-7480-6566
Filippo VegliaDepartment of Immunology, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0001-6710-1584

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Plant-derived extracts regulate immunosuppressive myelopoiesis in Breast cancer patientsR01CA262121 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2021 to 2025
$2.1M
Mitochondrial stress promotes immunosuppressive potential of myeloid subsets in tumorsR01CA273034 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2022 to 2025
$1.9M
Metabolic and molecular regulation of myeloid cell functions in brain cancerR01NS131912 · NINDS · WISTAR INSTITUTE · PI Filippo Veglia · 2023 to 2026
$1.6M
American Cancer Society (ACS) IRG-21-145-25Ben and Catherine Ivy Foundation (BCIF)NCI NIH HHS P30 CA010815NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA262121NCI NIH HHS R01 CA273034NINDS NIH HHS R01 NS131912
6 · The paper itself

Abstract

Despite functional heterogeneity, the high frequency of intratumoral neutrophils predicts poor clinical outcomes. The tumor microenvironment reprograms neutrophils into immunosuppressive subsets that hinder anticancer immunity, thereby contributing to tumor growth and resistance to immunotherapies. However, the mechanisms underlying neutrophil reprogramming remain elusive. In this study, we report that the immunosuppressive ability of brain tumor-infiltrating neutrophils was restricted to a highly glycolytic and long-lived subset expressing CD71, which acquired immunosuppressive properties in response to hypoxia. Mechanistically, hypoxia boosted glucose metabolism in CD71+ neutrophils, leading to high lactate production. Lactate caused histone lactylation, which subsequently regulated arginase-1 expression, required for T-cell suppression. Targeting histone lactylation with the antiepileptic drug isosafrole blocked CD71+ neutrophil immunosuppressive ability, delayed tumor progression, and sensitized brain tumors to immunotherapy. A distinctive gene signature characterizing immunosuppressive CD71+ neutrophils correlated with adverse clinical outcomes across diverse human malignancies. This study identifies histone lactylation as a potential therapeutic target to counteract neutrophil-induced immunosuppression within tumors. SIGNIFICANCE: Neutrophils are critical contributors to the immunosuppressive microenvironment that restricts the effects of promising immunotherapies in glioblastoma. Our study identifies hypoxia-driven histone lactylation as a potential target to block immunosuppressive neutrophils and boost the effects of immunotherapy in glioblastoma and in other cancer settings beyond brain tumors.

Indexed as

Brain NeoplasmsHistonesNeutrophilsTumor MicroenvironmentAnimalsCell Line, TumorHumansMiceHistones

Identifiers

PMID40014923
PMCPMC12133432

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.