Bile acids in tumors fuel cancer metabolism and help tumors hide from the immune system.

Bile acids (BAs) are significantly enriched in melanoma and breast cancer tumor microenvironments. BA enrichment drives tumor aerobic glycolysis and immune evasion by activating and stabilizing the FXR-RARα complex, upregulating glycolytic pathways and impairing anti-tumor immunity. BA depletion…

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Bile acids in tumors fuel cancer metabolism and help tumors hide from the immune system.

Bile acids in tumors fuel cancer metabolism and help tumors hide from the immune system.

Bile acids (BAs) are significantly enriched in melanoma and breast cancer tumor microenvironments. BA enrichment drives tumor aerobic glycolysis and immune evasion by activating and stabilizing the FXR-RARα complex, upregulating glycolytic pathways and impairing anti-tumor immunity. BA depletion (cholestyramine diet) suppressed tumor progression, enhanced T cell infiltration, and reduced T cell exhaustion in mouse models.

Key Findings

  • Bile acids significantly enriched in melanoma and breast cancer TMEs
  • BA enrichment drives aerobic glycolysis via FXR-RARα signaling
  • BA depletion suppressed tumor progression and enhanced T cell infiltration in vivo
  • FXR-RARα complex is key mediator of BA effects on tumor metabolism and immunity
  • BA-FXR-RARα axis is a potential therapeutic target

Implications

Targeting the BA-FXR-RARα axis could offer new cancer therapy and diagnosis strategies. Cholestyramine or FXR/RARα inhibitors combined with immunotherapy may have synergistic anti-tumor effects.

Caveats

Preclinical mouse model study; abstract-only. BA biology is complex—targeting requires precision to avoid disrupting normal bile acid functions. Human clinical validation needed.

Source: Frontiers in immunology — 2026-01-01

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