In addition, the expressions of arginase 1, arginase 2, and tryptophan-consuming enzyme indoleamine 2,3-dioxygenase 1 (IDO1) are elevated and enhanced the depletion of auxotroph (e.g., arginine, tryptophan) in the TME [50, 51]. leukocytes or monocytes with an oval nucleus and Gr-1hi IL-4Rhi cells without immunosuppressive function against CD8 T cells. Thus, these cells were classified as MDSC-like cells (MDSC-LCs). Intratumoral CD11b+ cells included TET2 macrophages with a round nucleus and were F4/80hi Gr-1lo IL-4Rhi cells. Early stage intratumoral CD11b+ cells inhibited CD8 T cells via TNF. Thus, this cell population was classified as TAMs. Metabolomic analyses of intratumoral TAMs and MDSC-LCs during tumor growth were conducted. Metabolic profiles of intratumoral TAMs showed larger changes in various metabolic pathways, e.g., glycolysis, TCA cycle, and glutamic acid pathways, during tumor growth compared with MDSL-LCs. Our findings demonstrated that intratumoral TAMs showed an immunosuppressive capacity from the early tumor stage and underwent intracellular metabolism changes during tumor growth. These results clarify the intracellular metabolism of TAMs during tumor growth and contribute to our understanding of tumor immunity. and corrected migration times with our standards library. Concentrations were calculated using external standards based on relative area, i.e., the area divided by the area of the internal standards. To compare the metabolic data between MDSCs and Acenocoumarol TAMs, Students are defined as M2-like macrophages from a role in M1/M2 polarization. Several studies using intratumoral macrophages in a mouse model or histopathology in both mouse and human tumor tissue have shown that the characteristics of M1-like macrophages or characteristics of M1 and Acenocoumarol M2 overlap [43C45]. Based on these reports, when focusing on macrophages in the TME but not in the peritoneal macrophages of tumor-bearing mice, TAM function and polarity rely on the Acenocoumarol TME heterogeneity Acenocoumarol [46, 47]. TAMs also upregulate HIF1 and shift to glycolysis because of the hypoxic environment in the tumor, and HIF1 induces NO production by TAMs [46, 48]. This glycolysis shift is caused by the AKT-mTOR-HIF1 pathway [49]. Therefore, TAMs under hypoxic environments are also expected to show a shift to glycolysis. Our study also suggested that glycolysis is enhanced in intratumoral TAMs with tumor growth. Furthermore, the intermediate metabolites in the methionine cycle branching from glycolysis also increased. Although TAMs have been reported to shift to glycolysis, our study further indicates that glutamine and glutamic acid are enhanced in TAMs and flow into the TCA cycle, resulting in glutaminolysis during tumor growth. In addition, the expressions of arginase 1, arginase 2, and tryptophan-consuming enzyme indoleamine 2,3-dioxygenase 1 (IDO1) are elevated and enhanced the depletion of auxotroph (e.g., arginine, tryptophan) in the TME [50, 51]. Thus, the metabolic changes in TAMs would contribute to the escape of tumors from immunosurveillance [37, 52]. In this study, the above-mentioned intracellular metabolism changes of TAMs during tumor growth, such as these factors (e.g., Arg1 and IDO1), may occur. A previous study showed that lactic acid is accumulated in the TME, and the expression of Arg1 and VEGFRA by M2-like macrophages is increased through HIF1 activity [53, 54]. In contrast, the accumulation of lactic acid was not observed in the intracellular metabolism of TAMs during tumor growth in this study. Therefore, our data indicated that the accumulation of lactic acid in the TME may induce the immunosuppressive function of TAMs. We initially considered intrasplenic CD11b+ cells as MDSCs in tumor-bearing mice based on cell surface antigens. However, these cells were later considered as MDSC-LCs rather than MDSCs, as the intrasplenic CD11b+ cells showed no immune suppressive function against CD8 T cells even at the late tumor stage. Because intrasplenic CD11b+ cells in this study are heterogeneous cells including monocytes and neutrophils, it will be necessary to perform finer cell sorting for Acenocoumarol distinct MDSCs, not MDSC-LCs, to determine immunosuppressive capacity and the metabolic change with tumor growth. Future studies should thus investigate changes in the immunosuppressive capacity of TAMs and MDSCs during tumor growth and clarify the association between intracellular metabolism and the immunosuppressive capacity. In conclusion, MDSC-LCs increased with tumor growth but did not show a clear immune suppressive function like intratumoral TAMs even at the early stage and late stage of the tumor. In contrast, intratumoral TAMs distinctly showed immunosuppressive function from the early stage of the tumor via TNF-. Regarding the intracellular metabolism of TAMs, we showed that glucose uptake increased, methionine cycle was enhanced, and glutamine and glutamic acid accumulated with tumor growth. In this study, we clarified the intracellular metabolic changes of intratumoral TAMs and MDSC-LCs associated with tumor growth. These results may lead to the development of novel immunotherapies that target intracellular metabolic changes in intratumoral TAMs. Acknowledgements We thank Edanz Group ( for editing a draft of this manuscript. This study was.