Suen Tsz Kin, Al Burcu, Ulas Thomas, Reusch Nico, Bahrar Harsh, Bekkering Siroon, Bhat Jaydeep, Kabelitz Dieter, Schultze Joachim L, van de Veerdonk Frank L, van Lennep Jeanine Roeters, Riksen Niels P, Joosten Leo A B, Netea Mihai G, Placek Katarzyna
Immunology and Metabolism, Life and Medical Sciences Institute, University of Bonn, Bonn, Germany.
Systems Medicine, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany.
Immunology. 2025 Jul;175(3):300-322. doi: 10.1111/imm.13931. Epub 2025 Apr 22.
Vδ2 T cells, a predominant human peripheral γδ T cell population, are a promising candidate for the development of immunotherapies against cancer and infected cells. Aminobisphosphonate drugs, such as zoledronate, are commonly used to expand Vδ2 T cells. Yet, such in vitro generated cells have limited efficacy in the clinic. We found that despite inducing excessive proliferation of Vδ2 T cells, zoledronate impaired their effector function and caused the upregulation of the inhibitory receptor TIM3. This effect was due to the inhibition of mevalonate metabolism and dysregulation of downstream biological processes such as protein prenylation and intracellular signalling. In vitro and in vivo inhibition of mevalonate metabolism with zoledronate, statins, and 6-fluoromevalonate, as well as genetic deficiency of the mevalonate kinase, all resulted in compromised cytokine and cytotoxic molecule production by Vδ2 T cells. Impaired Vδ2 T cell function was accompanied by transcriptome and kinome changes. Our findings reveal the importance of mevalonate metabolism for the proper functioning of Vδ2 T cells. This observation provides important considerations for improving their therapeutic use and has repercussions for patients with statin or aminobisphosphonate treatments.
Vδ2 T细胞是人类外周血中主要的γδ T细胞群体,是开发抗癌和抗感染细胞免疫疗法的一个有前景的候选对象。氨基双膦酸盐药物,如唑来膦酸,常用于扩增Vδ2 T细胞。然而,这种体外培养的细胞在临床上疗效有限。我们发现,尽管唑来膦酸能诱导Vδ2 T细胞过度增殖,但它会损害其效应功能,并导致抑制性受体TIM3上调。这种效应是由于甲羟戊酸代谢受到抑制以及下游生物过程失调,如蛋白质异戊二烯化和细胞内信号传导。在体外和体内用唑来膦酸、他汀类药物和6-氟甲羟戊酸抑制甲羟戊酸代谢,以及甲羟戊酸激酶的基因缺陷,均导致Vδ2 T细胞产生细胞因子和细胞毒性分子的能力受损。Vδ2 T细胞功能受损伴随着转录组和激酶组的变化。我们的研究结果揭示了甲羟戊酸代谢对Vδ2 T细胞正常功能的重要性。这一观察结果为改善其治疗用途提供了重要考虑因素,并对接受他汀类药物或氨基双膦酸盐治疗的患者产生影响。
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