CTLA-4 blockade drives loss of Treg stability in glycolysis-low tumours.

TitleCTLA-4 blockade drives loss of Treg stability in glycolysis-low tumours.
Publication TypeJournal Article
Year of Publication2021
AuthorsZappasodi R, Serganova I, Cohen IJ, Maeda M, Shindo M, Senbabaoglu Y, Watson MLJ, Leftin A, Maniyar R, Verma S, Lubin M, Ko M, Mane MM, Zhong H, Liu C, Ghosh A, Abu-Akeel M, Ackerstaff E, Koutcher JA, Ho P-C, Delgoffe GM, Blasberg R, Wolchok JD, Merghoub T
JournalNature
Volume591
Issue7851
Pagination652-658
Date Published2021 Mar
ISSN1476-4687
KeywordsAnimals, Breast Neoplasms, Cell Line, Tumor, CTLA-4 Antigen, Female, Glycolysis, Humans, Melanoma, Mice, Mice, Inbred BALB C, Mice, Inbred C57BL, Neoplasms, T-Lymphocytes, Regulatory
Abstract

Limiting metabolic competition in the tumour microenvironment may increase the effectiveness of immunotherapy. Owing to its crucial role in the glucose metabolism of activated T cells, CD28 signalling has been proposed as a metabolic biosensor of T cells1. By contrast, the engagement of CTLA-4 has been shown to downregulate T cell glycolysis1. Here we investigate the effect of CTLA-4 blockade on the metabolic fitness of intra-tumour T cells in relation to the glycolytic capacity of tumour cells. We found that CTLA-4 blockade promotes metabolic fitness and the infiltration of immune cells, especially in glycolysis-low tumours. Accordingly, treatment with anti-CTLA-4 antibodies improved the therapeutic outcomes of mice bearing glycolysis-defective tumours. Notably, tumour-specific CD8+ T cell responses correlated with phenotypic and functional destabilization of tumour-infiltrating regulatory T (Treg) cells towards IFNγ- and TNF-producing cells in glycolysis-defective tumours. By mimicking the highly and poorly glycolytic tumour microenvironments in vitro, we show that the effect of CTLA-4 blockade on the destabilization of Treg cells is dependent on Treg cell glycolysis and CD28 signalling. These findings indicate that decreasing tumour competition for glucose may facilitate the therapeutic activity of CTLA-4 blockade, thus supporting its combination with inhibitors of tumour glycolysis. Moreover, these results reveal a mechanism by which anti-CTLA-4 treatment interferes with Treg cell function in the presence of glucose.

DOI10.1038/s41586-021-03326-4
Alternate JournalNature
PubMed ID33588426
PubMed Central IDPMC8057670
Grant ListP30 CA008748 / CA / NCI NIH HHS / United States
R01 CA215136 / CA / NCI NIH HHS / United States
R50 CA221810 / CA / NCI NIH HHS / United States
T32 CA082084 / CA / NCI NIH HHS / United States
F31 AI149971 / AI / NIAID NIH HHS / United States
DP2 AI136598 / AI / NIAID NIH HHS / United States
R21 AI135367 / AI / NIAID NIH HHS / United States