Glutamine blockade induces divergent metabolic programs to overcome tumor immune evasion

RD Leone, L Zhao, JM Englert, IM Sun, MH Oh, IH Sun… - Science, 2019 - science.org
RD Leone, L Zhao, JM Englert, IM Sun, MH Oh, IH Sun, ML Arwood, IA Bettencourt, CH Patel
Science, 2019science.org
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 …
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.
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