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Metabolic Competition in the Tumor Microenvironment Is a Driver of Cancer Progression

机译:肿瘤微环境中的代谢竞争是癌症进展的驱动力

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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-g 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-gamma 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.
机译:人们认为,T细胞未能抵抗癌症是由于缺乏抗原识别,慢性激活和/或被其他细胞抑制所致。使用小鼠肉瘤模型,我们表明肿瘤消耗的葡萄糖在代谢上限制了T细胞,导致它们的mTOR活性,糖酵解能力和IFN-g产生减弱,从而使肿瘤进展。我们显示出增强抗原性“回归”肿瘤中的糖酵解作用足以抵消T细胞控制肿瘤生长的保护能力,还显示了针对CTLA-4,PD-1和PD-L1的检查点阻断抗体被用于临床,可在肿瘤微环境中恢复葡萄糖,允许T细胞糖酵解和IFN-γ的产生;此外,我们发现直接在肿瘤上阻断PD-L1可通过抑制mTOR活性和降低糖酵解酶的表达来抑制糖酵解,这反映了PD的作用-L1在肿瘤葡萄糖利用中的研究结果证实,肿瘤施加的代谢限制可以介导癌症期间的T细胞反应低下。

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