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使用二氯乙酸抑制肿瘤乳酸代谢可改善 T 细胞功能。

Restricting tumor lactic acid metabolism using dichloroacetate improves T cell functions.

机构信息

Department of Medical Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Department of Laboratory Sciences, Sirjan School of Medical Sciences, Sirjan, Iran.

出版信息

BMC Cancer. 2022 Jan 6;22(1):39. doi: 10.1186/s12885-021-09151-2.


DOI:10.1186/s12885-021-09151-2
PMID:34991504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8734242/
Abstract

BACKGROUND: Lactic acid produced by tumors has been shown to overcome immune surveillance, by suppressing the activation and function of T cells in the tumor microenvironment. The strategies employed to impair tumor cell glycolysis could improve immunosurveillance and tumor growth regulation. Dichloroacetate (DCA) limits the tumor-derived lactic acid by altering the cancer cell metabolism. In this study, the effects of lactic acid on the activation and function of T cells, were analyzed by assessing T cell proliferation, cytokine production and the cellular redox state of T cells. We examined the redox system in T cells by analyzing the intracellular level of reactive oxygen species (ROS), superoxide and glutathione and gene expression of some proteins that have a role in the redox system. Then we co-cultured DCA-treated tumor cells with T cells to examine the effect of reduced tumor-derived lactic acid on proliferative response, cytokine secretion and viability of T cells. RESULT: We found that lactic acid could dampen T cell function through suppression of T cell proliferation and cytokine production as well as restrain the redox system of T cells by decreasing the production of oxidant and antioxidant molecules. DCA decreased the concentration of tumor lactic acid by manipulating glucose metabolism in tumor cells. This led to increases in T cell proliferation and cytokine production and also rescued the T cells from apoptosis. CONCLUSION: Taken together, our results suggest accumulation of lactic acid in the tumor microenvironment restricts T cell responses and could prevent the success of T cell therapy. DCA supports anti-tumor responses of T cells by metabolic reprogramming of tumor cells.

摘要

背景:肿瘤产生的乳酸已被证明可以通过抑制肿瘤微环境中 T 细胞的激活和功能来克服免疫监视。损害肿瘤细胞糖酵解的策略可以改善免疫监视和肿瘤生长调节。二氯乙酸(DCA)通过改变癌细胞代谢来限制肿瘤源性乳酸。在这项研究中,通过评估 T 细胞增殖、细胞因子产生和 T 细胞的细胞氧化还原状态来分析乳酸对 T 细胞激活和功能的影响。我们通过分析细胞内活性氧(ROS)、超氧自由基和谷胱甘肽的水平以及参与氧化还原系统的某些蛋白质的基因表达来研究 T 细胞中的氧化还原系统。然后,我们将 DCA 处理的肿瘤细胞与 T 细胞共培养,以检查减少肿瘤源性乳酸对 T 细胞增殖反应、细胞因子分泌和活力的影响。

结果:我们发现乳酸可以通过抑制 T 细胞增殖和细胞因子产生来抑制 T 细胞功能,并通过降低氧化和抗氧化分子的产生来抑制 T 细胞的氧化还原系统。DCA 通过操纵肿瘤细胞中的葡萄糖代谢来降低肿瘤乳酸的浓度。这导致 T 细胞增殖和细胞因子产生增加,并使 T 细胞免于凋亡。

结论:综上所述,我们的研究结果表明,肿瘤微环境中乳酸的积累限制了 T 细胞的反应,并可能阻止 T 细胞治疗的成功。DCA 通过肿瘤细胞的代谢重编程来支持 T 细胞的抗肿瘤反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/fb8f733c4848/12885_2021_9151_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/e11492dfff80/12885_2021_9151_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/2b07e08646da/12885_2021_9151_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/6eb0ddd4a812/12885_2021_9151_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/d200d763013c/12885_2021_9151_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/bf8b0efb9a6b/12885_2021_9151_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/fb8f733c4848/12885_2021_9151_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/e11492dfff80/12885_2021_9151_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/2b07e08646da/12885_2021_9151_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/6eb0ddd4a812/12885_2021_9151_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/d200d763013c/12885_2021_9151_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/bf8b0efb9a6b/12885_2021_9151_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dde/8734242/fb8f733c4848/12885_2021_9151_Fig6_HTML.jpg

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[4]
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本文引用的文献

[1]
Lactate anions participate in T cell cytokine production and function.

Sci China Life Sci. 2021-11

[2]
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Oxid Med Cell Longev. 2020

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Cell Rep. 2020-12-15

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Cancer Lett. 2021-3-1

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Lactic Acid and an Acidic Tumor Microenvironment suppress Anticancer Immunity.

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Lactate Buildup at the Site of Chronic Inflammation Promotes Disease by Inducing CD4 T Cell Metabolic Rewiring.

Cell Metab. 2019-11-7

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