Laboratory of Translational Immunology, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.
Center for Cancer Research, National Cancer Institute, Bethesda, Maryland, USA.
JCI Insight. 2018 Sep 20;3(18). doi: 10.1172/jci.insight.122299.
Adoptive T cell transfer (ACT) immunotherapy benefits from early differentiated stem cell memory T (Tscm) cells capable of persisting in the long term and generating potent antitumor effectors. Due to their paucity ex vivo, Tscm cells can be derived from naive precursors, but the molecular signals at the basis of Tscm cell generation are ill-defined. We found that less differentiated human circulating CD8+ T cells display substantial antioxidant capacity ex vivo compared with more differentiated central and effector memory T cells. Limiting ROS metabolism with antioxidants during naive T cell activation hindered terminal differentiation, while allowing expansion and generation of Tscm cells. N-acetylcysteine (NAC), the most effective molecule in this regard, induced transcriptional and metabolic programs characteristic of self-renewing memory T cells. Upon ACT, NAC-generated Tscm cells established long-term memory in vivo and exerted more potent antitumor immunity in a xenogeneic model when redirected with CD19-specific CAR, highlighting the translational relevance of NAC as a simple and inexpensive method to improve ACT.
过继性 T 细胞转移(ACT)免疫疗法受益于早期分化的干细胞记忆 T(Tscm)细胞,这些细胞能够长期存在并产生有效的抗肿瘤效应物。由于其数量稀少,Tscm 细胞可以从幼稚前体中衍生出来,但 Tscm 细胞产生的分子信号尚不清楚。我们发现,与更分化的中央和效应记忆 T 细胞相比,体外分化程度较低的人循环 CD8+ T 细胞具有相当大的抗氧化能力。在幼稚 T 细胞激活过程中,用抗氧化剂限制 ROS 代谢会阻碍终末分化,同时允许 Tscm 细胞的扩增和产生。在这方面最有效的分子 N-乙酰半胱氨酸(NAC)诱导了自我更新记忆 T 细胞的特征性转录和代谢程序。在 ACT 之后,NAC 产生的 Tscm 细胞在体内建立了长期记忆,并在转导 CD19 特异性嵌合抗原受体后在异种模型中发挥更强的抗肿瘤免疫作用,突出了 NAC 作为一种简单廉价的方法来改善 ACT 的转化相关性。