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TSC2 S1365A mutation potently regulates CD8+ T cell function and differentiation and improves adoptive cellular cancer therapy
Chirag H. Patel, Yi Dong, Navid Koleini, Xiaoxu Wang, Brittany L. Dunkerly-Eyring, Jiayu Wen, Mark J. Ranek, Laura M. Bartle, Daniel B. Henderson, Jason Sagert, David A. Kass, Jonathan D. Powell
Chirag H. Patel, Yi Dong, Navid Koleini, Xiaoxu Wang, Brittany L. Dunkerly-Eyring, Jiayu Wen, Mark J. Ranek, Laura M. Bartle, Daniel B. Henderson, Jason Sagert, David A. Kass, Jonathan D. Powell
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Research Article Cell biology Immunology

TSC2 S1365A mutation potently regulates CD8+ T cell function and differentiation and improves adoptive cellular cancer therapy

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Abstract

MTORC1 integrates signaling from the immune microenvironment to regulate T cell activation, differentiation, and function. TSC2 in the tuberous sclerosis complex tightly regulates mTORC1 activation. CD8+ T cells lacking TSC2 have constitutively enhanced mTORC1 activity and generate robust effector T cells; however, sustained mTORC1 activation prevents generation of long-lived memory CD8+ T cells. Here we show that manipulating TSC2 at Ser1365 potently regulated activated but not basal mTORC1 signaling in CD8+ T cells. Unlike nonstimulated TSC2-KO cells, CD8+ T cells expressing a phosphosilencing mutant TSC2-S1365A (TSC2-SA) retained normal basal mTORC1 activity. PKC and T cell receptor (TCR) stimulation induced TSC2 S1365 phosphorylation, and preventing this with the SA mutation markedly increased mTORC1 activation and T cell effector function. Consequently, SA CD8+ T cells displayed greater effector responses while retaining their capacity to become long-lived memory T cells. SA CD8+ T cells also displayed enhanced effector function under hypoxic and acidic conditions. In murine and human solid-tumor models, SA CD8+ T cells used as adoptive cell therapy displayed greater antitumor immunity than WT CD8+ T cells. These findings reveal an upstream mechanism to regulate mTORC1 activity in T cells. The TSC2-SA mutation enhanced both T cell effector function and long-term persistence/memory formation, supporting an approach to engineer better CAR-T cells for treating cancer.

Authors

Chirag H. Patel, Yi Dong, Navid Koleini, Xiaoxu Wang, Brittany L. Dunkerly-Eyring, Jiayu Wen, Mark J. Ranek, Laura M. Bartle, Daniel B. Henderson, Jason Sagert, David A. Kass, Jonathan D. Powell

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Figure 6

TSC2 SA CD8+ T cells promote strong anti-tumor immunity with adoptive T cell therapy.

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TSC2 SA CD8+ T cells promote strong anti-tumor immunity with adoptive T ...
(A) WT mice with B16-melanoma OVA cells received preactivated WT (n = 12), TSC2 WT/SA (n = 10) or SA/SA (n = 13) OTI CD8+ T cells (or no cell controls, n = 8). Tumor volume was assessed every 2-3 days. (B) Survival curves with Mantel-Cox test for differences. Mice receiving TSC2 WT/SA and SA/SA CD8+ T cells had better survival over TSC2-WT (P=0.0085 and 1.7e-5, respectively) with some dose dependence (WT/SA versus SA/SA P=0.027). (C) Left: Equal number of activated WT and TSC2 (SA) heterozygous OTI+ CD8+ T cells co-transferred to same B16-melanoma OVA bearing host. Middle: Relative counts of TSC2 WT or WT/SA CD8+ T cells by flow cytometry in tumor. Right: summary data; P values for paired t-test. (D) Exhaustion profile (top) and function (bottom) of donor TSC2 WT or WT/SA CD8+ from these tumors. Quadrant numbers are percent cells in each; summary on right, paired T-test. (E) Murine CD19 CAR-T model targeting B16 tumors expressing human CD19. Growth curves until first sacrifice (WT n = 15 and SA/SA n = 16). Interaction of time and TSC2 genotype determined by 2W repeated measures ANOVA. Sidak’s multiple comparisons test: *P=0.07, †P=0.00002 between curves. (F) Similar experiment as in 6E, CAR-T cells tumor (day 8) were majority WT/SA displaying less exhaustion. WT and WT/SA CAR-T cells similar in draining lymph node. Wilcoxon, n = 9-10. (G) CAR-T experiment using human CD70 CAR-T cells against CD70 expressing human small cell lung tumor (NCI-H1975) in NSG mice (No cells n = 4, control n = 12, TSC2KO n = 12, TSC2 (SA) n = 12). *P=0.00006 for interaction of time and TSC2 genotype comparing TSC2 WT to SA. Data are representative of at least 2 independent experiments.

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