Glutamine blockade induces divergent metabolic programs to overcome tumor immune evasion
By R. Leone, Liang Zhao, J. Englert, Im-Meng Sun, M. Oh, Im-Hong Sun, Matthew L. Arwood, Ian A. Bettencourt, Chirag H. Patel, Jiayu Wen and 7 more. Science, 2019
978 citations recorded by the source corpus.
A fresh look at glutamine targeting Glutamine is essential for tumor growth and has long been an attractive therapeutic target for cancer researchers. Some attempts at blocking glutamine metabolism in cancer patients resulted in toxicity, prompting Leone et al. to develop an innovative approach to reduce general side effects. They designed a prodrug form (JHU083) of the glutamine antagonist 6-diazo-5-oxo-l-norleucine (DON), which is administered in an inert state but then preferentially activated by enzymes enriched in the tumor microenvironment. JHU083 simultaneously shut down glycolysis and oxidative phosphorylation in mouse cancer cells while enhancing T cell oxidative phosphorylation and anticancer immune responses. Science, this issue p. 1013 Disruption of glutamine metabolism reveals differences in the metabolic plasticity of cancer cells and proliferating effector T cells. The metabolic characteristics of tumors present considerable hurdles to immune cell function and cancer immunotherapy. Using a glutamine antagonist, we metabolically dismantled the immunosuppressive microenvironment of tumors. We demonstrate that glutamine blockade in tumor-bearing mice suppresses oxidative and glycolytic metabolism of cancer cells, leading to decreased hypoxia, acidosis, and nutrient depletion. By contrast, effector T cells responded to glutamine antagonism by markedly up-regulating oxidative metabolism and adopting a long-lived, highly activated phenotype. These divergent changes in cellular metabolism and programming form the basis for potent antitumor responses. Glutamine antagonism therefore exposes a previously undefined difference in metabolic plasticity between cancer cells and effector T cells that can be exploited as a “metabolic checkpoint” for tumor immunotherapy.
Subfields: Biotechnology, Cancer Research, Immunology
View Paper: https://www.semanticscholar.org/paper/d4447c4d8c0b49389f08b04b9bdb39a9c67608f3
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In Cancer Research
- B. Faubert
- Ashley Solmonson
- Ralph J. Deberardinis
- J. Rathmell
- M. V. Vander Heiden
- Craig B. Thompson
- C. V. Dang
- Navdeep S. Chandel
In Immunology
Citations in the corpus
- Mitochondrial stress induced by continuous stimulation under hypoxia rapidly drives T cell exhaustion (2021, positive): “We and others have also shown correcting this faulty metabolic state (through a variety of approaches) can invigorate immunity and enable immunotherapeutic outcomes 16–20 .”
- Metabolic reprogramming and cancer progression (2020, background): “But a recent DON analog, JHU083, is a prodrug that is activated in the tumor microenvironment, improving the therapeutic window (118).”
- Targeting Metabolism to Improve the Tumor Microenvironment for Cancer Immunotherapy. (2020, background): “Indeed, broad blockade of glutamine metabolism combined with anti-PD-1 dramatically improved antitumor effects by suppressing tumor metabolism while promoting T cell glucose metabolism, epigenetic reprogramming, and cytotoxic function (Leone et al., 2019).”