[PDF][PDF] Cholesterol induces CD8+ T cell exhaustion in the tumor microenvironment

X Ma, E Bi, Y Lu, P Su, C Huang, L Liu, Q Wang… - Cell metabolism, 2019 - cell.com
X Ma, E Bi, Y Lu, P Su, C Huang, L Liu, Q Wang, M Yang, MF Kalady, J Qian, A Zhang…
Cell metabolism, 2019cell.com
Tumor-infiltrating T cells often lose their effector function; however, the mechanisms are
incompletely understood. We report that cholesterol in the tumor microenvironment induces
CD8+ T cell expression of immune checkpoints and exhaustion. Tumor tissues enriched with
cholesterol and cholesterol content in tumor-infiltrating CD8+ T cells were positively and
progressively associated with upregulated T cell expression of PD-1, 2B4, TIM-3, and LAG-
3. Adoptively transferred CD8+ T cells acquired cholesterol, expressed high levels of …
Summary
Tumor-infiltrating T cells often lose their effector function; however, the mechanisms are incompletely understood. We report that cholesterol in the tumor microenvironment induces CD8+ T cell expression of immune checkpoints and exhaustion. Tumor tissues enriched with cholesterol and cholesterol content in tumor-infiltrating CD8+ T cells were positively and progressively associated with upregulated T cell expression of PD-1, 2B4, TIM-3, and LAG-3. Adoptively transferred CD8+ T cells acquired cholesterol, expressed high levels of immune checkpoints, and became exhausted upon entering a tumor. Tumor culture supernatant or cholesterol induced immune checkpoint expression by increasing endoplasmic reticulum (ER) stress in CD8+ T cells. Consequently, the ER stress sensor XBP1 was activated and regulated PD-1 and 2B4 transcription. Inhibiting XBP1 or reducing cholesterol in CD8+ T cells effectively restored antitumor activity. This study reveals a mechanism underlying T cell exhaustion and suggests a new strategy for restoring T cell function by reducing cholesterol to enhance T cell-based immunotherapy.
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