Background: This study systematically explored the effects of moderate-intensity exercise on tumor immunotherapy efficacy and its mechanisms of action using the MC38 colon cancer mouse model.
Methods: Tumor-bearing mice were randomly assigned to the control group, immunotherapy group, and exercise intervention group. Flow cytometry, Luminex multiplex cytokine assays, and other techniques were employed to assess the regulatory effects of exercise on the tumor immune microenvironment and systemic immune responses.
Results: The results showed that exercise intervention significantly inhibited tumor growth, with a 32.0% reduction in tumor volume and a 34.5% reduction in tumor weight, placing its effect between that of the control and immunotherapy groups (p < 0.05). Exercise training increased CD8+ T cell infiltration in the tumor microenvironment by 83.3%, while decreasing the proportion of Tregs and MDSCs by 26.5% and 28.0%, respectively. Furthermore, exercise significantly enhanced serum IFN-γ levels (+65.6%) and IgG concentrations (+29.4%). Circulating tumor DNA (ctDNA) analysis revealed that the total ctDNA concentration in the exercise group decreased by 66.1% compared to the control group (p < 0.01), with KRAS and TP53 mutation frequencies reduced by 66.4% and 67.8%, respectively. Correlation analysis indicated that the CD8+/Tregs ratio was strongly associated with tumor suppression (r = 0.76), and the IFN-γ/IL-6 ratio increased by 97.4%, showing a significant correlation with efficacy (r = 0.79).
Conclusion: This study confirms that exercise training exerts anti-tumor effects by remodeling the tumor immune microenvironment, activating systemic immune responses, and reducing ctDNA burden. Its unique "immune normalization" effect provides important evidence for the development of "exercise-immunotherapy" combination treatment strategies.
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