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Metabolic engineering of SLC38A2 reprograms glutamine utilization and enhances CAR-macrophage antitumor function in solid tumors.

Cancer biology & medicine 2026 Vol.23(3) p. 392-417

Liu M, Chen Q, Zhang L, Zhou Y, Wen N, Jin J, Cai J, Su S, Li J, Zhao Q

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[OBJECTIVE] This study was aimed at investigating metabolic dysregulation in tumor-associated macrophages (TAMs) in breast cancer and developing a metabolically enhanced chimeric antigen receptor macr

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APA Liu M, Chen Q, et al. (2026). Metabolic engineering of SLC38A2 reprograms glutamine utilization and enhances CAR-macrophage antitumor function in solid tumors.. Cancer biology & medicine, 23(3), 392-417. https://doi.org/10.20892/j.issn.2095-3941.2025.0775
MLA Liu M, et al.. "Metabolic engineering of SLC38A2 reprograms glutamine utilization and enhances CAR-macrophage antitumor function in solid tumors.." Cancer biology & medicine, vol. 23, no. 3, 2026, pp. 392-417.
PMID 41925028

Abstract

[OBJECTIVE] This study was aimed at investigating metabolic dysregulation in tumor-associated macrophages (TAMs) in breast cancer and developing a metabolically enhanced chimeric antigen receptor macrophage (CAR-M) strategy to boost antitumor potency in solid tumors.

[METHODS] Integrated scRNA-seq and metabolomic analyses were performed to characterize metabolic alterations in macrophages within the breast cancer tumor microenvironment (TME). According to the identified metabolic vulnerabilities, SLC38A2-overexpressing anti-HER2 CAR-Ms were engineered. Glutamine uptake and phagocytic activity were assessed to evaluate functional enhancement.

[RESULTS] TAMs in breast cancer exhibited substantial metabolic dysregulation, particularly impaired glutamine metabolism accompanied by decreased expression of the glutamine transporter SLC38A2. Overexpression of SLC38A2 in anti-HER2 CAR-Ms, compared with conventional anti-HER2 CAR-Ms, enhanced glutamine uptake and markedly augmented phagocytosis of HER2 breast cancer cells.

[CONCLUSIONS] Metabolic engineering SLC38A2 restored glutamine fitness and enhanced the antitumor activity of HER2-targeted CAR-Ms, thus providing a promising strategy to boost CAR-M-mediated tumor suppression in solid tumors.

MeSH Terms

Glutamine; Humans; Female; Mice; Animals; Tumor Microenvironment; Metabolic Engineering; Breast Neoplasms; Tumor-Associated Macrophages; Cell Line, Tumor; Receptors, Chimeric Antigen; Erb-b2 Receptor Tyrosine Kinases; Macrophages; Phagocytosis; Xenograft Model Antitumor Assays; Immunotherapy, Adoptive

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