Ma Shijun, Ong Li-Teng, Jiang Zemin, Lee Wee Chyan, Lee Puay Leng, Yusuf Mubaraka, Ditzel Henrik J, Wang Yulan, Chen Qingfeng, Wang Wenyu, Wu Xiaojian, Tan Ern Yu, Yu Qiang
Genome Institute of Singapore, Agency for Science, Technology, and Research (A(∗)STAR), 60 Biopolis Street, Singapore.
Department of Oncology, Odense University Hospital and Department of Cancer and Inflammation Research, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark.
Cancer Cell. 2025 Feb 10;43(2):213-231.e9. doi: 10.1016/j.ccell.2024.12.001. Epub 2024 Dec 26.
Successful immunotherapy relies on both intratumoral and systemic immunity, which is yet to be achieved for most patients with cancer. Here, we identify P4HA1, encoding prolyl 4-hydroxylase 1, as a crucial regulator of CD8 T cell differentiation strongly upregulated in tumor-draining lymph nodes (TDLNs) and hypoxic tumor microenvironment. P4HA1 accumulates in mitochondria, disrupting the tricarboxylic acid (TCA) cycle through aberrant α-ketoglutarate and succinate metabolism, promoting mitochondria unfitness and exhaustion while suppressing progenitor expansion. Targeting P4HA1 enhances both adoptive and endogenous TCF1 CD8 T progenitor expansion while mitigating the development of exhaustion in the tumor, TDLN, and blood, enabling a notable and durable systemic anti-cancer immunity. We propose that P4HA1 induction in CD8 T cells in cancer orchestrates an immune-escape program, offering a T cell-directed target for system immunotherapy in solid tumors.
成功的免疫疗法依赖于肿瘤内免疫和全身免疫,而这对大多数癌症患者来说尚未实现。在此,我们确定编码脯氨酰4-羟化酶1的P4HA1是CD8 T细胞分化的关键调节因子,其在肿瘤引流淋巴结(TDLN)和缺氧肿瘤微环境中强烈上调。P4HA1在线粒体中积累,通过异常的α-酮戊二酸和琥珀酸代谢破坏三羧酸(TCA)循环,促进线粒体功能失调和耗竭,同时抑制祖细胞扩增。靶向P4HA1可增强过继性和内源性TCF1 CD8 T祖细胞的扩增,同时减轻肿瘤、TDLN和血液中耗竭的发展,从而实现显著且持久的全身抗癌免疫。我们提出,癌症中CD8 T细胞中P4HA1的诱导协调了一个免疫逃逸程序,为实体瘤的系统免疫治疗提供了一个针对T细胞的靶点。
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