| Title | Deficiency of metabolic regulator PKM2 activates the pentose phosphate pathway and generates TCF1+ progenitor CD8+ T cells to improve checkpoint blockade. |
| Publication Type | Journal Article |
| Year of Publication | 2023 |
| Authors | Markowitz GJ, Ban Y, Tavarez DA, Yoffe L, Podaza E, He Y, Martin MT, Crowley MJP, Sandoval TA, Gao D, M Martin L, Elemento O, Cubillos-Ruiz JR, McGraw TE, Altorki NK, Mittal V |
| Journal | Res Sq |
| Date Published | 2023 Sep 21 |
| ISSN | 2693-5015 |
| Abstract | TCF1 progenitor CD8+ T cells mediate the efficacy of PD-1 blockade, however the mechanisms that govern their generation and maintenance are poorly understood. Here, we show that targeting glycolysis through deletion of pyruvate kinase muscle 2 (PKM2) results in elevated pentose phosphate pathway (PPP) activity, leading to enrichment of a TCF1 central memory-like phenotype and increased responsiveness to PD-1 blockade . PKM2 CD8+ T cells showed reduced glycolytic flux, accumulation of glycolytic intermediates and PPP metabolites, and increased PPP cycling as determined by 1,2 C glucose carbon tracing. Small molecule agonism of the PPP without acute glycolytic impairment skewed CD8+ T cells towards a TCF1 population, generated a unique transcriptional landscape, enhanced tumor control in mice in combination with PD-1 blockade, and promoted tumor killing in patient-derived tumor organoids. Our study demonstrates a new metabolic reprogramming that contributes to a progenitor-like T cell state amenable to checkpoint blockade. |
| DOI | 10.21203/rs.3.rs-3356477/v1 |
| Alternate Journal | Res Sq |
| PubMed ID | 37790365 |
| PubMed Central ID | PMC10543315 |
| Grant List | KL2 TR002385 / TR / NCATS NIH HHS / United States T32 CA203702 / CA / NCI NIH HHS / United States UL1 TR002384 / TR / NCATS NIH HHS / United States |
