[PDF][PDF] CD36-mediated ferroptosis dampens intratumoral CD8+ T cell effector function and impairs their antitumor ability

X Ma, L Xiao, L Liu, L Ye, P Su, E Bi, Q Wang, M Yang… - Cell metabolism, 2021 - cell.com
Cell metabolism, 2021cell.com
Understanding the mechanisms underlying how T cells become dysfunctional in a tumor
microenvironment (TME) will greatly benefit cancer immunotherapy. We found that
increased CD36 expression in tumor-infiltrating CD8+ T cells, which was induced by TME
cholesterol, was associated with tumor progression and poor survival in human and murine
cancers. Genetic ablation of Cd36 in effector CD8+ T cells exhibited increased cytotoxic
cytokine production and enhanced tumor eradication. CD36 mediated uptake of fatty acids …
Summary
Understanding the mechanisms underlying how T cells become dysfunctional in a tumor microenvironment (TME) will greatly benefit cancer immunotherapy. We found that increased CD36 expression in tumor-infiltrating CD8+ T cells, which was induced by TME cholesterol, was associated with tumor progression and poor survival in human and murine cancers. Genetic ablation of Cd36 in effector CD8+ T cells exhibited increased cytotoxic cytokine production and enhanced tumor eradication. CD36 mediated uptake of fatty acids by tumor-infiltrating CD8+ T cells in TME, induced lipid peroxidation and ferroptosis, and led to reduced cytotoxic cytokine production and impaired antitumor ability. Blocking CD36 or inhibiting ferroptosis in CD8+ T cells effectively restored their antitumor activity and, more importantly, possessed greater antitumor efficacy in combination with anti-PD-1 antibodies. This study reveals a new mechanism of CD36 regulating the function of CD8+ effector T cells and therapeutic potential of targeting CD36 or inhibiting ferroptosis to restore T cell function.
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