Title | CTLA-4 blockade drives loss of Treg stability in glycolysis-low tumours. |
Publication Type | Journal Article |
Year of Publication | 2021 |
Authors | Zappasodi 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 |
Journal | Nature |
Volume | 591 |
Issue | 7851 |
Pagination | 652-658 |
Date Published | 2021 Mar |
ISSN | 1476-4687 |
Keywords | Animals, 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. |
DOI | 10.1038/s41586-021-03326-4 |
Alternate Journal | Nature |
PubMed ID | 33588426 |
PubMed Central ID | PMC8057670 |
Grant List | P30 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 |