Deficiency of metabolic regulator PKM2 activates the pentose phosphate pathway and generates TCF1+ progenitor CD8+ T cells to improve checkpoint blockade.

TitleDeficiency of metabolic regulator PKM2 activates the pentose phosphate pathway and generates TCF1+ progenitor CD8+ T cells to improve checkpoint blockade.
Publication TypeJournal Article
Year of Publication2023
AuthorsMarkowitz 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
JournalRes Sq
Date Published2023 Sep 21
ISSN2693-5015
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.

DOI10.21203/rs.3.rs-3356477/v1
Alternate JournalRes Sq
PubMed ID37790365
PubMed Central IDPMC10543315
Grant ListKL2 TR002385 / TR / NCATS NIH HHS / United States
T32 CA203702 / CA / NCI NIH HHS / United States
UL1 TR002384 / TR / NCATS NIH HHS / United States