阿尔茨海默病相关淀粉样前体蛋白可预防衰老应激诱导的线粒体自噬和富马酸耗竭,从而改善抗肿瘤免疫。

Alzheimer's Disease-Associated Amyloid Beta Precursor Protein Prevents Aging Stress-Induced Mitophagy and Fumarate Depletion to Improve Anti-Tumor Immunity.

作者信息

Kassir Mohamed Faisal, Lee Han Gyul, Oleinik Natalia V, Wofford Wyatt, Walton Chase, Atilgan Firdevs Cansu, Janneh Alhaji H, Chakraborty Paramita, Calisir Kubra, Percin Elif, Vaena Silvia G, Sonawane Kalyani, Deshmukh Ashish, Bhat Narayan R, Sambamurti Kumar, Albayram Onder, Sahin Ozgur, Mehrotra Shikhar, Ogretmen Besim

机构信息

Medical University of South Carolina, Charleston, SC, United States.

Memorial Sloan Kettering Cancer Center, New York, NY, United States.

出版信息

Cancer Res. 2025 Aug 7. doi: 10.1158/0008-5472.CAN-24-4740.

Abstract

Alzheimer's disease (AD) patients have a decreased incidence of cancer., with a cross-sectional analysis of a nationwide sample of adults finding 21-fold higher odds of cancer diagnosis in non-AD compared to AD patients. Here, we demonstrated that mitochondrial localization of AD-associated amyloid-β precursor protein (APP) and its cleavage product amyloid-β 40, but not mutant APP that lacks a mitochondrial localization signal, inhibits lipid stress-mediated hyperactive mitophagy in aging T-cells, improving their anti-tumor functions. Growth of melanoma xenograft or carcinogen-induced oral cancer models was highly reduced in AD mice. Additionally, adoptive cell transfer (ACT)-based immunotherapy using aging T cells isolated from AD mice suppressed tumor growth. The metabolic signature of stress-dependent mitophagy in T cells showed fumarate depletion, which was linked to decreased succination of Parkin and enhanced mitochondrial damage. Mechanistically, APP interaction with TOMM complex at the outer mitochondrial membrane attenuated trafficking of ceramide synthase CerS6 to mitochondria in aging AD T-cells, preventing ceramide-dependent mitophagy. Thus, APP restored mitochondrial fumarate metabolism and Parkin succination, improving anti-tumor functions of AD T cells in vitro and in vivo. Exogenous fumarate supplementation or healthy AD mitochondria transfer functionally mimicked the AD/APP phenotype in aging T-cells, enhancing their anti-tumor activity to control tumor growth. Moreover, T cells isolated from aging donors showed elevated mitophagy with fumarate depletion, which was restored in T cells isolated from age-matched AD patients. Together, these findings show that AD protects T cells against ceramide-dependent mitophagy and fumarate depletion to enhance anti-tumor functions.

摘要

阿尔茨海默病(AD)患者的癌症发病率较低。对全国范围内的成年人样本进行横断面分析发现,与AD患者相比,非AD患者的癌症诊断几率高出21倍。在此,我们证明,与AD相关的淀粉样前体蛋白(APP)及其裂解产物淀粉样β40定位于线粒体,但缺乏线粒体定位信号的突变型APP则不然,它会抑制衰老T细胞中脂质应激介导的过度活跃的线粒体自噬,从而改善其抗肿瘤功能。黑色素瘤异种移植模型或致癌物诱导的口腔癌模型在AD小鼠中的生长显著降低。此外,使用从AD小鼠中分离出的衰老T细胞进行基于过继性细胞转移(ACT)的免疫疗法可抑制肿瘤生长。T细胞中应激依赖性线粒体自噬的代谢特征显示富马酸盐耗竭,这与帕金蛋白琥珀酰化减少和线粒体损伤增强有关。从机制上讲,APP与线粒体外膜上的TOMM复合物相互作用减弱了衰老的AD T细胞中神经酰胺合酶CerS6向线粒体的转运,从而阻止了神经酰胺依赖性线粒体自噬。因此,APP恢复了线粒体富马酸盐代谢和帕金蛋白琥珀酰化,在体外和体内改善了AD T细胞的抗肿瘤功能。外源性富马酸盐补充或健康的AD线粒体转移在功能上模拟了衰老T细胞中的AD/APP表型,增强了它们控制肿瘤生长的抗肿瘤活性。此外,从衰老供体中分离出的T细胞显示出线粒体自噬增强和富马酸盐耗竭,而从年龄匹配的AD患者中分离出的T细胞中这种情况得到了恢复。总之,这些发现表明,AD保护T细胞免受神经酰胺依赖性线粒体自噬和富马酸盐耗竭的影响,从而增强抗肿瘤功能。

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