Suppression of antitumor T cell immunity by the oncometabolite (R)-2-hydroxyglutarate

Lukas Bunse1,2,3,4, Stefan Pusch5,6, Theresa Bunse1,3,7

  • 1German Cancer Consortium (DKTK) Clinical Cooperation Unit (CCU) Neuroimmunology and Brain Tumor Immunology, German Cancer Research Center (DKFZ), Heidelberg, Germany.

Nature Medicine
|July 11, 2018
PubMed

Insights

Oncometabolite (R)-2-hydroxyglutarate (R-2-HG) from IDH-mutant gliomas suppresses T cell activity by altering their function. Inhibiting mutant IDH1 enhances anti-tumor immunity, revealing a new role for R-2HG in the tumor immune microenvironment.

Area of Science:

  • Oncology
  • Immunology
  • Metabolic pathways

Background:

  • Mutations in isocitrate dehydrogenase (IDH) produce the oncometabolite (R)-2-hydroxyglutarate (R-2-HG).
  • R-2-HG is known to promote gliomagenesis through epigenetic modifications like DNA and histone methylation.
  • The precise impact of R-2-HG on the tumor immune microenvironment remains incompletely understood.

Purpose of the Study:

  • To investigate the non-tumor cell-autonomous functions of R-2-HG.
  • To determine the effect of R-2-HG on T cell activity and function within the tumor microenvironment.
  • To explore therapeutic strategies targeting R-2-HG production or its effects in IDH-mutant gliomas.

Main Methods:

  • Analysis of T cell function and transcriptional activity in the presence of R-2-HG.
  • Assessment of polyamine biosynthesis and nuclear factor of activated T cells (NFAT) signaling pathways.
  • Evaluation of T cell abundance and calcium signaling in IDH1-mutant gliomas.
  • Testing the efficacy of inhibiting mutant IDH1's neomorphic enzymatic function in preclinical tumor models.

Main Results:

  • Tumor-derived R-2-HG is internalized by T cells, impairing their transcriptional activity and polyamine metabolism.
  • This leads to suppressed T cell activity and reduced T cell infiltration in IDH1-mutant gliomas.
  • Inhibition of mutant IDH1's neomorphic enzymatic activity enhances anti-tumor immunity.

Conclusions:

  • R-2-HG has a novel function in suppressing anti-tumor immunity by directly impacting T cells.
  • IDH1-mutant gliomas create an immunosuppressive microenvironment partly through R-2-HG.
  • Targeting the neomorphic enzymatic function of mutant IDH1 represents a promising therapeutic avenue for enhancing anti-tumor immunity in gliomas.

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