[PDF][PDF] Metabolic competition in the tumor microenvironment is a driver of cancer progression

CH Chang, J Qiu, D O'Sullivan, MD Buck, T Noguchi… - Cell, 2015 - cell.com
CH Chang, J Qiu, D O'Sullivan, MD Buck, T Noguchi, JD Curtis, Q Chen, M Gindin
Cell, 2015cell.com
Failure of T cells to protect against cancer is thought to result from lack of antigen
recognition, chronic activation, and/or suppression by other cells. Using a mouse sarcoma
model, we show that glucose consumption by tumors metabolically restricts T cells, leading
to their dampened mTOR activity, glycolytic capacity, and IFN-γ production, thereby allowing
tumor progression. We show that enhancing glycolysis in an antigenic" regressor" tumor is
sufficient to override the protective ability of T cells to control tumor growth. We also show …
Summary
Failure of T cells to protect against cancer is thought to result from lack of antigen recognition, chronic activation, and/or suppression by other cells. Using a mouse sarcoma model, we show that glucose consumption by tumors metabolically restricts T cells, leading to their dampened mTOR activity, glycolytic capacity, and IFN-γ production, thereby allowing tumor progression. We show that enhancing glycolysis in an antigenic "regressor" tumor is sufficient to override the protective ability of T cells to control tumor growth. We also show that checkpoint blockade antibodies against CTLA-4, PD-1, and PD-L1, which are used clinically, restore glucose in tumor microenvironment, permitting T cell glycolysis and IFN-γ production. Furthermore, we found that blocking PD-L1 directly on tumors dampens glycolysis by inhibiting mTOR activity and decreasing expression of glycolysis enzymes, reflecting a role for PD-L1 in tumor glucose utilization. Our results establish that tumor-imposed metabolic restrictions can mediate T cell hyporesponsiveness during cancer.
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