Impaired mitochondrial oxidative phosphorylation limits the self-renewal of T cells exposed to persistent antigen

SA Vardhana, MA Hwee, M Berisa, DK Wells… - Nature …, 2020 - nature.com
SA Vardhana, MA Hwee, M Berisa, DK Wells, KE Yost, B King, M Smith, PS Herrera…
Nature immunology, 2020nature.com
The majority of tumor-infiltrating T cells exhibit a terminally exhausted phenotype, marked by
a loss of self-renewal capacity. How repetitive antigenic stimulation impairs T cell self-
renewal remains poorly defined. Here, we show that persistent antigenic stimulation
impaired ADP-coupled oxidative phosphorylation. The resultant bioenergetic compromise
blocked proliferation by limiting nucleotide triphosphate synthesis. Inhibition of mitochondrial
oxidative phosphorylation in activated T cells was sufficient to suppress proliferation and …
Abstract
The majority of tumor-infiltrating T cells exhibit a terminally exhausted phenotype, marked by a loss of self-renewal capacity. How repetitive antigenic stimulation impairs T cell self-renewal remains poorly defined. Here, we show that persistent antigenic stimulation impaired ADP-coupled oxidative phosphorylation. The resultant bioenergetic compromise blocked proliferation by limiting nucleotide triphosphate synthesis. Inhibition of mitochondrial oxidative phosphorylation in activated T cells was sufficient to suppress proliferation and upregulate genes linked to T cell exhaustion. Conversely, prevention of mitochondrial oxidative stress during chronic T cell stimulation allowed sustained T cell proliferation and induced genes associated with stem-like progenitor T cells. As a result, antioxidant treatment enhanced the anti-tumor efficacy of chronically stimulated T cells. These data reveal that loss of ATP production through oxidative phosphorylation limits T cell proliferation and effector function during chronic antigenic stimulation. Furthermore, treatments that maintain redox balance promote T cell self-renewal and enhance anti-tumor immunity.
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