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Int J Biol Sci 2024; 20(7):2779-2789. doi:10.7150/ijbs.95484 This issue Cite

Review

Seleno-amino Acid Metabolism Reshapes the Tumor Microenvironment: from Cytotoxicity to Immunotherapy

Rui Liang^1#, Aoyu Cheng^1#, Shengxin Lu^1#, Xiaokun Zhang¹, Maomao Ren¹, Jiayi Lin¹, Ye Wu¹ , Weidong Zhang^1,2,3 , Xin Luan¹

1. Shanghai Frontiers Science Center of TCM Chemical Biology, Institute of Interdisciplinary Integrative Medicine Research and Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
2. School of Pharmacy, Second Military Medical University, Shanghai 200433, China.
3. State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs, Institute of Medicinal Plant Development, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100700, China.
# These authors contributed equally to this work.

✉ Corresponding authors: wuyeedu.cn (Y. W), wdzhangycom (W.-D. Zhang), luanxinedu.cn (X. Luan).

Abstract

Selenium (Se) is an essential trace element for biological processes. Seleno-amino acids (Se-AAs), known as the organic forms of Se, and their metabolic reprogramming have been increasingly recognized to regulate antioxidant defense, enzyme activity, and tumorigenesis. Therefore, there is emerging interest in exploring the potential application of Se-AAs in antitumor therapy. In addition to playing a vital role in inhibiting tumor growth, accumulating evidence has revealed that Se-AA metabolism could reshape the tumor microenvironment (TME) and enhance immunotherapy responses. This review presents a comprehensive overview of the current progress in multifunctional Se-AAs for antitumor treatment, with a particular emphasis on elucidating the crosstalk between Se-AA metabolism and various cell types in the TME, including tumor cells, T cells, macrophages, and natural killer cells. Furthermore, novel applications integrating Se-AAs are also discussed alongside prospects to provide new insights into this emerging field.

Keywords: Cancer, Selenium, Seleno-amino acid, Metabolic reprogramming, Immunotherapy

Introduction

Cancer continues to be a prominent global cause of mortality, but conventional treatments are frequently limited by issues such as toxicity, resistance, and adverse effects ^[1]. In recent years, tumor immunotherapy, including immune checkpoint blockade (ICB), adoptive cell transfer, and cancer vaccination, has emerged as a promising alternative for harnessing the power of the immune system to recognize and eliminate cancer cells ^[2]. However, despite its potential benefits, many cancer patients exhibit a low response to this treatment modality, highlighting the need for innovative strategies that can augment its efficacy ^[3]. Many studies have shown that abnormal amino acid metabolism can affect both tumor and immune cells in the tumor microenvironment (TME), leading to tumor immune evasion ^[4]. For example, tryptophan facilitates the survival and activity of CD8+ T cells ^[5]. However, kynurenine, an amino acid metabolite of tryptophan, can increase the expression level of programmed cell death protein 1 (PD-1) on CD8+ T cells and mediate immunosuppression by activating regulatory T cells (Tregs) ^[6]. Hence, inspired by these findings, strategies targeting amino acid metabolism to improve the response to tumor immunotherapy have been proposed and entered clinical trials ^[7].

Selenium (Se) is an essential trace element that plays a crucial role in regulating biological processes ^[8]. Se-AAs, the organic forms of Se, are considered valuable forms for Se supplementation owing to their high safety and bioavailability compared to those of inorganic Se, such as selenite and selenate ^[9]. Increasing evidence has indicated that Se plays an important role in cancer progression, drug resistance, and immune evasion ^[10]. Se-AA deficiency can impair the antitumor effects of chemotherapy and radiotherapy, increasing tumor resistance ^{[11, 12]}. In addition to their impact on traditional cancer treatments, Se-AAs and their metabolism have been proven to show excellent potential for tumor immunotherapy, as they significantly improve the immune response by regulating the crosstalk between tumor cells and immune cells and reshaping the TME ^[13].

Given the diverse functions and implications of Se-AA metabolism relevant to the TME, we summarize recent advancements in the development of Se-AAs for tumor treatment to enhance our understanding of their pharmacological mechanisms, with an emphasis on their immunomodulatory effects on different kinds of cells in the TME. Additionally, we discuss the current applications and perspectives of Se-AAs for more effective tumor treatment as a novel adjunctive therapeutic strategy, which will contribute to tumor immunotherapy developments in the future.

Biological forms of Se

Se exists in nature in three main forms: monomeric Se, inorganic Se, and organic Se. The absorption and utilization of monomeric Se are limited. Inorganic Se exists in the valence states of +4 and +6 and is found predominantly as inorganic selenate (SeO₄^2-) and selenite (SeO₃^2-) in living organisms. However, the estimated toxic effects of inorganic Se intake were found to occur at a level of 16 µg/day, whereas the corresponding threshold for organic Se was determined to be 260 μg/day ^[14]. Organic Se found within living organisms can be classified into two main types: Se-AAs and Se-containing proteins. Mammals and microorganisms have been observed to contain two major types of Se-AAs: selenocysteine (SeCys) and selenomethionine (SeMet) ^[15]. The primary means by which humans acquire Se are through Se-enriched plant and animal products ^[16], typically in the form of SeMet from grains, yeast, and meat proteins, as well as L-Se-methyl selenocysteine (MeSeCys) found in certain plant foods such as garlic and cauliflower ^{[12, 17]}. It has been reported that Se deficiency can lead to various diseases, including myocardial infarction, neurological damage, and low immunity. Therefore, understanding the metabolic transformation mechanism of Se within biological systems is essential for investigating its functional role ^{[18, 19]}.

Physicochemical properties of Se in amino acids

SeCys is formed by substituting the oxygen atom in serine (Ser) at precisely the same position as Cys in its homologous protein. The enhanced biological activity exhibited by SeCys may be attributed to the distinctive physicochemical properties of Se. A thorough comparison of the chemical structures of Cys and SeCys revealed that this disparity arises from the inherent dissimilarities between sulfur (S) and Se atoms ^[20].

Compared to S, molecules containing Se exhibit lower redox potentials and higher reactivity, and are susceptible to oxidation or reduction. Moreover, when comparing the thiol group to the selenol group, it is evident that the pKa value of the latter is significantly lower. This observation suggested that a larger proportion of the selenol group in SeCys undergoes deprotonation and exists in its more electrophilic state as -Se. This higher reactivity can be attributed to such a transformation. Notably, the electrostatic interaction between Se and other molecules should be emphasized ^[21].

Based on the above physicochemical comparison, the primary merit of SeCys, which features Se as its active center, lies in its enduring catalytic efficacy during redox reactions ^{[20, 22, 23]}. Significantly, Se exhibits a distinctive and readily reversible reaction with oxygen and ROS, which is not observed in sulfur ^[24]. Therefore, Se-AAs are more versatile than common amino acids.

Absorption and metabolic pathways of Se-AAs

To comprehensively investigate the antitumor mechanism of Se-AAs, we conducted a thorough analysis of the complete Se metabolism pathway, which encompasses both inorganic and organic forms (Figure 1). Overall, hydrogen selenide(H₂Se) plays a pivotal role in Se metabolism, as it serves as the nexus between two crucial metabolic pathways. Initially, Se is present in an oxidized state (selenite, Se⁴⁺ and selenate, Se⁶⁺) within inorganic substances; however, this high-valent form of Se undergoes reduction to its low-valent counterpart through the involvement of reduced glutathione and reduced nicotinamide adenine dinucleotide phosphate (NADPH) within living organisms ^[25]. The resultant metabolite from this process, H₂Se, actively participates in the synthesis of selenoproteins ^[26] while also demonstrating significant potential as an antitumor agent through the production of methylselenol (CH₃SeH) ^[27]. Although the various forms of Se-AAs undergo distinct metabolic pathways, they can exert antitumor effects either directly or by converting them into selenoproteins ^[28-30]. The dietary absorption of SeCys does not directly contribute to selenoprotein synthesis; rather, SeCys is metabolized to H₂Se by a β-cleaving enzyme (Figure 1) ^[26], and the substance undergoes conversion from selenide to selenophosphate ^[31]. Simultaneously, Ser binds to a specialized tRNA, forming a serine-tRNA complex catalyzed by serine-tRNA synthetase. Subsequently, SeCys synthetase facilitates a uniquely specialized process wherein the -OH group of serine is replaced by -SeH derived from selenophosphate. This results in the formation of selenocysteine-RNA (SeCys-tRNA), which ultimately undergoes translation into selenoproteins ^[32].

SeMet is a popular form of dietary Se due to its exceptional bioavailability and minimal toxicity. As a Se analog of Met, SeMet can actively participate in the process of protein synthesis by substituting Met or converting it to SeCys ^[25]. In addition, the conversion of SeMet to SeCys occurs through the transsulfuration pathway, which is also responsible for the synthesis of Cys from Met ^[33]. The final step in the multistep process of synthesizing SeCys from SeMet involves the synthesis of selenohomocysteine and Ser followed by the elimination of SeMet via cystathionine-γ-cleaving enzymes ^[34]. Studies have demonstrated that rats produce more SeCys when additional dietary SeMet is provided, indirectly suggesting that the storage of SeMet in proteins hinders its efficient metabolism ^[35].

MeSeCys, which is exclusively consumed as a dietary source and not endogenously present in the human body, is directly cleaved to CH₃SeH by β-lyase upon ingestion. As previously mentioned, CH₃SeH serves as a pivotal antitumor metabolite of Se; hence, MeSeCys exhibits superior biological activity in vivo compared to other forms of Se compounds ^[36]. Furthermore, under the influence of β-lyase, MeSeCys can generate selenophosphoric acid, which acts as a precursor for synthesizing diverse selenoproteins and remains active when it is incorporated as a SeCys within various proteins ^[37].

The crosstalk between Se-AA metabolism and various cells in the TME

The absorption and metabolism of Se have garnered significant attention within the field of oncology ^[38]. A higher incidence of cancer, including breast cancer, lung cancer, gastric carcinoma, bladder cancer, oophoroma, pancreatic carcinoma, and melanoma, has been observed among individuals with inadequate dietary Se intake or lower plasma Se levels ^{[12, 39, 40]}. Furthermore, mutations in the SeCys insertion sequence are associated with impaired lymphocyte proliferation, abnormal cytokine secretion, and telomere shortening. This finding further highlights the importance of Se in cancer treatment ^[41]. Among the various Se compounds, the clinical application of inorganic Se compounds is limited due to their low lipid solubility, high mutagenicity, and high genotoxicity. Conversely, organic Se compounds, such as SeCys, SeMet, and MeSeCys, demonstrate enhanced cell membrane permeability and reduced side effects and systemic toxicity. Thus, organic Se holds great potential for cancer therapy ^{[42, 43]}.

 Figure 1 

Absorption and metabolic pathways of inorganic Se and Se-AAs. Inorganic Se (selenate and selenite) could be stepwise reduced to produce H₂Se, which is the bridge connecting inorganic Se metabolism and organic Se metabolism, via the intermediate selenodiglutathione. Meanwhile, Se-AAs (SeMet, SeCys, and MeCys) could also be converted to H₂Se, followed by its transformation into selenophosphate for the synthesis of selenoproteins. Furthermore, H₂Se is excreted through methylation reactions.

Se-AAs are a class of essential amino acids, and their metabolism has been implicated in numerous tumors. Together with their direct involvement in regulating various signaling pathways crucial for tumor growth and survival, several studies have highlighted the active roles of Se-AAs in remodeling the TME by modulating the crosstalk between immune cells and tumor cells. Se-AAs can activate multiple enzyme systems in lymphocytes and enhance the activity of immune cells, such as NK and T cells. Se-AAs further stimulate the secretion of lymphocyte factors with immunomodulatory effects ^{[44, 45]}. Moreover, Se-AAs exhibit the potential for improving the functionality of immunoglobulin M (IgM), immunoglobulin G (IgG), and other antibodies that are crucial factors in humoral immunity ^[46].

The multiple mechanisms of Se-AAs on tumor cells

The effects of Se-AAs on normal tissues and cells are primarily related to the various biological functions of selenoproteins, ranging from cellular redox regulation to the biosynthesis of hormones ^[30]. The involvement of selenoproteins in tumor cells is multifaceted, with oxidoreductase being identified as the pivotal selenoprotein ^[47]. These oxidoreductases include glutathione peroxidase (GPx), thioredoxin reductase (TrxR), and iodothyronine deiodinase (DIO) ^[43]. The GPx family primarily comprises GPx1, GPx2, GPx3, and GPx4. The enzymatic activity of these selenoproteins effectively counteracts oxidative stress and inhibits cell death processes induced by inflammation ^{[48, 49]}. Among them, GPx1 and GPx4 exert their protective effects against lipid peroxidation by effectively neutralizing phosphatases through the action of H₂O₂, thereby impeding the phosphorylation cascade ^[50]. GPx2 acts as a negative regulator of the oncogene p53, not only inhibiting its transcriptional activity and promoting the degradation of p53 proteins but also downregulating the downstream target genes of p53. Thus, it plays a vital role in regulating the cell cycle ^[51]. GPx3 is considered a tumor suppressor due to its role in maintaining the regulation of the thromboxane biosynthesis pathway, thereby inhibiting platelet aggregation ^[52]. In addition, SeCys-containing TrxRs are present in both the cytoplasm (TrxR1) and mitochondria (TrxR2) and play crucial roles in reducing oxidized thioredoxin, catalyzing NADPH, regulating ascorbic acid levels, and modulating metabolism. These activities ultimately contribute to tumor growth promotion and impact patient prognosis ^[53].

In addition to selenoproteins, Se-AAs themselves can also exert antitumor effects. SeCys, the active center of selenoproteins, can exert its effects on tumors through the regulation of selenoproteins ^[54]. For instance, selenophosphate synthetase 2 (SEPHS2), an enzyme regulating SeCys biosynthesis, is crucial for the survival of tumor cells to detoxify Se. The depletion of SEPHS2 in tumor cells led to the accumulation of selenide, a toxic intermediate produced during SeCys biosynthesis, resulting in the inhibition of cell proliferation, loss of colony-forming ability, and cell death ^[11]. In addition, SeCys plays a role in blocking the tumor cell cycle ^[55] and promoting the activation of the p38 MAPK, JNK, and ERK signaling pathways while inhibiting AKT activity, inducing DNA damage in tumor cells ^{[56, 57]}. SeCys can also induce mitochondrial dysfunction and activate ROS-mediated p53 phosphorylation to facilitate apoptosis in tumor cells ^[58-60]. At the same time, SeCys has demonstrated targeted inhibition of TrxR1 expression ^[61] and radiosensitizing effects ^[62].

Numerous studies have demonstrated the potent inhibitory effects of SeMet on the proliferation of various tumor cells, including breast cancer, prostate cancer, and melanoma cells ^{[63, 64]}. SeMet exhibited remarkable selectivity toward tumor cells in comparison to normal diploid fibroblasts or primary cells of the human prostate ^{[65, 66]}. Mechanistically, SeMet selectively led to an increase in G2-M cell cycle arrest in tumor cells through the phosphorylation of P-Tyr15-p34/cell division cycle 2 kinase (cdc 2) ^[66], and induced apoptosis by promoting poly-ADP ribose polymerase (PARP) cleavage and the generation of ROS ^[67] (Table 1).

MeSeCys has been shown to inhibit the proliferation of certain tumor cell lines, such as A549 ^[68], LNCap ^[69], and HOP-62 cells ^[70]. MeSeCys can also trigger apoptosis in tumor cells by promoting lipid peroxidation and ROS generation ^[68], as well as inhibiting the PI3K-Akt signaling pathway ^[70]. In particular, MeSeCys exhibited the potential to normalize angiogenesis and downregulate tumor-related proteins (such as androgen receptor and estrogen receptor α), thus overcoming tumor resistance to various therapeutic approaches, including chemotherapy ^[70], targeted therapy ^[71], and androgen deprivation therapy ^[69] (Table 1).

Se-AAs reprogram macrophage immune responses

Tumor-associated macrophages (TAMs) are prone to polarize to immunosuppressive M2 macrophages in the TME, thereby accelerating cancer progression and metastasis, while proinflammatory M1 macrophages exhibit preferential antitumor immune activation ^[72]. The majority of therapeutic approaches targeting macrophages have focused on reprogramming TAMs, terminating macrophage recruitment, and interfering with TAM survival ^[73]. However, existing approaches that depend on the blockade of the colony-stimulating factor 1/colony-stimulating factor 1 receptor (CSF1/CSF1R) axis will unavoidably compromise tissue-resident macrophages, resulting in imprecise therapeutic effectiveness ^[74]. Chen et al. ^[75] designed Se nanoparticles coated with mushroom polysaccharides to restore immunity in the malignant pleural effusion of lung cancer. Their study revealed that Se nanoparticles can be gradually metabolized into selenocystine (SeCys₂) within macrophages and educate M2 TAMs into an M1 phenotype. These results suggest that SeCys₂ plays a key regulatory role in macrophage immune responses (Figure 2B).

Se-AAs regulate T-cell functions

The intake of Se has been shown to impact T-cell-based adaptive immunity. Se deficiency causes atrophy of the thymus, spleen, and lymph nodes in mice, thereby inhibiting the activation and proliferation of T cells. These findings strongly indicate a close relationship between Se levels and compromised T-cell immune function ^[81]. Se intake also promoted the proliferation and differentiation of activated CD4+ T cells into Th1 cells (Figure 2C), which are known to play a crucial role in antitumor or bacterial infection responses ^[81].

γδ T cells are a distinct subset of T cells that possess a unique T-cell receptor (TCR) composed of a γ and a δ chain that serves as a bridge between innate and adaptive immunity, making them crucial players in the maintenance of overall immune function ^[82]. γδ T cells have demonstrated robust therapeutic efficacy against tumors by secreting proapoptotic molecules and inflammatory cytokines without the presence of dendritic cells. To enhance the cytotoxicity of γδ T cells, Hu et al. ^[83] selected Se nanoparticles to tune the antitumor ability of γδ T cells. The authors found that Se nanoparticles could increase the cancer cell-killing efficacy of γδ T cells and significantly upregulate the expression of natural killer group 2, member D (NKG2D), and interferon γ (IFN-γ) on the surface of γδ T cells while downregulating the expression of PD-1 to reduce their immunosuppressive effects (Figure 2C).

 Figure 2 

The mechanism diagram illustrates the crosstalk between Se-AA metabolism and various cell types in the TME. A) The multiple action of Se-AAs on tumor cell-related pathways. B) The functions of Se-AAs in programming macrophage immune responses. C) Se-AAs promote T-cell proliferation, differentiation, and cytotoxicity. D) Se-AAs boost the antitumor activities of NK cells.

Overall, the biological effects of Se on T cells largely rely on selenoproteins synthesized from SeCys. Selenoproteins actively participate in various T-cell functions, including regulating TRC-induced calcium flux, modulating the redox activity of T cells, and linking TCR-induced activation to the metabolic reprogramming required for T-cell proliferation and differentiation ^[84].

Se-AAs enhance NK-cell functions

NK cells are key effector cells in tumor immunotherapy because they can recognize specific cell surface receptors on tumor cells and pathogen-infected cells. This recognition subsequently triggers receptor-mediated cytotoxicity and cytokine production ^[85]. NK cell cytotoxicity is attributed to the inhibitory effect of the NKG2A receptor on signaling pathways. However, within the immunosuppressive TME, NK cells encounter challenges in recognizing ligands expressed by tumor cells, which significantly impedes the therapeutic efficacy of NK cells ^[86]. Therefore, it is important to overcome the inhibitory effects of the TME to enhance NK cell activity and tumor cell recognition. Several studies have used organic Se to effectively enhance NK cell recognition by upregulating the expression of NKG2D and NKG2DL, which is dependent on the DNA damage response pathway ^[87]. Wei et al. ^[88] introduced the Sec derivative into a peptide consisting of a tumor-targeting sequence and an enzyme cleavage motif to form selenopeptide nanoparticles by self-assembly. The authors found that the combination of chemotherapy and selenopeptide-induced immunotherapy promoted reprogramming of the human leukocyte antigen E/natural killer group 2 member A (HLA-E/NKG2A) axis, activated NK cell recognition of tumors, and ultimately achieved synergistic antitumor therapy (Figure 2D) ^{[88, 89]}. In addition, Se-containing complexes can also enhance therapeutic efficacy against prostate cancer by activating the death receptor (TRAIL/FasL) signaling pathway (Figure 2D) ^[89]. These studies confirmed that Se can significantly enhance the activity of NK cells and effectively kill tumor cells via NK cells.

Antitumor application of Se-AAs

To date, inorganic Se has several limitations due to its immeasurable toxicity, and research on Se-containing drugs has favored organic Se and Se nanoparticles. As a homolog of S, Se not only has antitumor effects but also has stronger chemical reactivity than S. Several studies have explored the utilization of diselenide bonds (Se-Se) as an alternative to disulfide bonds (S-S) in the development of chemotherapeutics, photochemotherapy and photodynamic therapy ^[90-92]. Similar cystine, which is formed by the disulfide bond between two cysteines, SeCys₂ readily forms a dimer due to the decreased redox potential of its selenyl group. Liu C et al. ^[79] constructed a nanoemulsion system (named SSB NMs) by using SeCys₂ in combination with a TGF-β inhibitor, which resulted in a significant enhancement of NK cell-mediated antitumor efficacy against TNBC. Their findings revealed that the potentiation effect of NK cells relies on the upregulation of NKG2D signaling and NKG2D ligands (NKG2DLs). Moreover, SSB NMs effectively rebalanced the TGF-β/TGF-β RI/Smad2/3/Smad 7 signaling pathways to increase the expression of NKG2D on NK cells and NKG2DL on tumor cells (Figure 3A) ^[79].

 Figure 3 

Antitumor application of Se-AAs. A) SSB NMs effectively suppressed the TGF-β/TGF-β RI/Smad2/3/Smad 7 signaling pathway, thereby promoting the expression of NKG2D on NK cells and NKG2DL on tumor cells, ultimately enhancing the NK cell-mediated immune response. B) The SeCys₂ released by SeC-CSNPs and SeC@MSNs-Tf/TAT synergized with chemotherapy and radiotherapy to promote the overproduction of intracellular ROS, thereby affecting apoptosis-related signaling pathways and ultimately inducing tumor cell apoptosis.

Cytokine-induced killer (CIK) cell-based adoptive cell transfer has great potential in clinical cancer immunotherapy in an MHC-unrestricted manner. However, the limited in vivo persistence and suboptimal therapeutic efficacy of CIK cells significantly constrain their further application ^[93]. To address these challenges, Liu et al. ^[80] developed an effective strategy by combining Se nanoparticles with CIK cells for synergistic immunotherapy. These authors found that SeCys₂ was the main functional metabolite of Se nanoparticles and not only significantly prolonged the persistence of CIK cells in vivo but also effectively enhanced the cytotoxicity of CIK cells through upregulating the expression of NKG2D/NKG2DLs and PD-1/PD-L1 and reshaping the TME in multiple mouse tumor models (hepatic, breast and prostate tumors) ^[80].

In addition, numerous studies have demonstrated that SeCys₂ can promote the overproduction of intracellular ROS. This phenomenon subsequently leads to DNA damage and influences crucial signaling pathways, such as the p53, AKT, and MAPK pathways, ultimately leading to tumor cell apoptosis (Figure 3B) ^{[76, 77]}. Notably, SeCys₂-induced ROS can also be combined with traditional chemotherapy ^[78] and radiotherapy to effectively overcome tumor resistance ^[62]. For example, SeCys₂ effectively promoted 5-FU-induced apoptosis through its modulation of Bcl2 family protein expression and the augmentation of mitochondrial membrane potential (Figure 3B). Moreover, SeCys not only exhibited radiosensitizing effects on tumors ^[62] but also increased radioresistance in healthy tissue by promoting cytokine secretion and augmenting the population of white blood cells while concurrently reducing bone marrow DNA inhibition ^[94].

Conclusion and future perspectives

Abnormal tumor metabolism is considered a hallmark of cancer ^[95] and one of the main underlying factors impeding the efficacy of cancer immunotherapies ^[96]. In addition to the well-studied glucose-dependent metabolic landscape (termed the “Warburg effect”), amino acid metabolism reprogramming in the TME is also extensively involved in the manipulation of tumor immune escape ^[97]. Thus, targeting amino acid metabolism in tumors opens up new avenues for cancer immunotherapies by orchestrating the uptake, transport, and metabolism of amino acids, such as glutamine ^[98], tryptophan ^[99], and arginine ^[100]. Among them, Se-AAs are crucial for maintaining the cellular oxidation-reduction balance and the immune system in mammals, and remarkable progress has been made in Se-AA metabolism reprogramming within the TME ^[101]. With an increasing understanding of the various underlying mechanisms, targeting Se-AA metabolism has emerged as a promising therapeutic strategy with potential clinical implications.

Recently, owing to the unique physiochemical properties and pharmacological activities of Se, numerous Se-containing small molecules have exhibited decreased toxicity and improved antitumor bioactivities by incorporating Se into structural scaffolds, making them promising compounds ^[102]. Additionally, Se-AAs have also been used as chemical handles for the synthesis and functionalization of peptides and proteins, such as metal-free/metal-catalyzed transformations, traceless chemical modifications, and protein folding ^[103]. However, current research related to Se-AA-containing drugs, especially peptide drugs, is very scarce. Therefore, it is imperative and highly important to study the pharmacological effects of Se-AA-containing compounds in the future. Considering the potential advantages of organoselenium in medicinal chemistry, we hypothesize that the development of Se-AA-based conjugates will be a powerful strategy for generating novel tumor immunotherapy agents or adjuvants to enhance current regimens used in clinical immunology.

Abbreviations

cdc 2: P-Tyr15-p34/cell division cycle 2 kinase; CH₃SeH: Methylselenol; CIK: Cytokine-induced killer; CSF1/CSF1R: Colony-stimulating factor 1/colony-stimulating factor 1 receptor; DIO: iodinated thyrotropine; GPx: Glutathione peroxidase; HLA-E: human leukocyte antigen E; H₂Se: Hydrogen selenide; ICB: Immune checkpoint blockade; IFN-γ: Interferon gamma; IgG: Immunoglobulin G; IgM: Immunoglobulin M; MSeA: Methylselenic acid; MeSeCys: L-Se-methyl selenocysteine; MTB: Mycobacterium tuberculosis; NADPH: Nicotinamide adenine dinucleotide phosphate; NKG2A: Killer Cell Lectin Like Receptor C1; NKG2D: natural killer group 2 member D; PARP: poly-ADP ribose polymerase; PD-1: Programmed cell death protein 1; ROS: Reactive oxygen species; S: Sulfur; Se: selenium; Se-AAs: Seleno-amino acids; SeCys: Selenocysteine; SeCys-tRNA: Selenocysteine-RNA; SeCys₂: Selenocystine; SeMet: Selenomethionine; SEPHS2: Selenophosphate synthetase 2; Ser: Serine; SIRPα: Signal-regulated protein alpha; TAM: Tumor-associated macrophage; TCR: T-cell receptor; TME: Tumor microenvironment; Tregs: Regulatory T cells; TrxR: Thioredoxin reductase.

Acknowledgements

Funding

This work was supported by the National Natural Science Foundation of China (No. 82322073, 82173846, 82304533), CAMS Innovation Fund for Medical Sciences (CIFMS) (No. 2023-I2M-3-009), Key Project at Central Government Level: The Ability Establishment of Sustainable Use for Valuable Chinese Medicine Resources (2060302), Oriental Scholars of Shanghai Universities (TP2022081), Jiangxi Province Thousand Talents Program (jxsq2023102168), Young Talent Lifting Project of China Association of Chinese Medicine [No. CACM-(2021-QNRC2-A08)], Shanghai Rising-Star Program (No.22QA1409100), Shanghai Sailing Program (No. 22YF1445000), 2021 Shanghai Science and Technology Innovation Action Plan (No. 21S11902800), Three-year Action Plan for Shanghai TCM Development and Inheritance Program [No. ZY(2021-2023)-0208, ZY(2021-2023)-0401], High-level Key Discipline of National Administration of Traditional Chinese Medicine (No. zyyzdxk-2023071), Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine (No. ZYYCXTD-D-202004), and Innovation team of high-level local universities in Shanghai: Strategic Innovation Team of TCM Chemical Biology. All figures were created with BioRender.com.

Author contributions

Rui Liang, Aoyu Cheng, and Shengxin Lu conceived the concept and were mainly responsible for writing, painting, and revision this review. Xiaokun Zhang, Maomao Ren, and Jiayi Lin participated in reviewing literature and provided feedback on this review. Ye Wu, Weidong Zhang, and Xin Luan provided guidance and valuable feedback. All authors read, revised, and approved the manuscript.

Competing Interests

The authors have declared that no competing interest exists.

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Author contact

Corresponding authors: wuyeedu.cn (Y. W), wdzhangycom (W.-D. Zhang), luanxinedu.cn (X. Luan).

Received 2024-2-19
Accepted 2024-4-26
Published 2024-5-5

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