The Bloomberg-Kimmel Institute for Cancer Immunotherapy at Johns Hopkins, Baltimore, MD 21287, USA.
Johns Hopkins Drug Discovery, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA.
Science. 2019 Nov 22;366(6468):1013-1021. doi: 10.1126/science.aav2588. Epub 2019 Nov 7.
The metabolic characteristics of tumors present considerable hurdles to immune cell function and cancer immunotherapy. Using a glutamine antagonist, we metabolically dismantled the immunosuppressive microenvironment of tumors. We demonstrate that glutamine blockade in tumor-bearing mice suppresses oxidative and glycolytic metabolism of cancer cells, leading to decreased hypoxia, acidosis, and nutrient depletion. By contrast, effector T cells responded to glutamine antagonism by markedly up-regulating oxidative metabolism and adopting a long-lived, highly activated phenotype. These divergent changes in cellular metabolism and programming form the basis for potent antitumor responses. Glutamine antagonism therefore exposes a previously undefined difference in metabolic plasticity between cancer cells and effector T cells that can be exploited as a "metabolic checkpoint" for tumor immunotherapy.
肿瘤的代谢特征对免疫细胞功能和癌症免疫治疗构成了相当大的障碍。我们使用谷氨酰胺拮抗剂在代谢上瓦解了肿瘤的免疫抑制微环境。我们证明,在荷瘤小鼠中阻断谷氨酰胺会抑制癌细胞的氧化和糖酵解代谢,导致缺氧、酸中毒和营养物质耗竭减少。相比之下,效应 T 细胞对谷氨酰胺拮抗剂的反应是通过显著上调氧化代谢并采用长寿、高度激活的表型。这些细胞代谢和编程的不同变化为强大的抗肿瘤反应奠定了基础。因此,谷氨酰胺拮抗剂揭示了癌细胞和效应 T 细胞之间代谢可塑性的一个以前未定义的差异,可以将其作为肿瘤免疫治疗的“代谢检查点”加以利用。