CTLA-4 blockade drives loss of Treg stability in glycolysis-low tumours

Roberta Zappasodi1,2,3, Inna Serganova4,5, Ivan J Cohen5,6

  • 1Ludwig Collaborative and Swim Across America Laboratory, MSK, New York, NY, USA. roz4002@med.cornell.edu.

Nature
|February 15, 2021
PubMed

Insights

Blocking CTLA-4 enhances anti-tumour T cell responses, particularly in tumours with low glucose metabolism. This immunotherapy approach destabilizes regulatory T cells, improving treatment outcomes by reducing metabolic competition.

Area of Science:

  • Immunology
  • Cancer Biology
  • Metabolic Regulation

Background:

  • Metabolic competition within the tumour microenvironment can limit immunotherapy efficacy.
  • CD28 signalling acts as a metabolic biosensor for T cells, while CTLA-4 engagement downregulates T cell glycolysis.
  • Understanding the interplay between tumour metabolism and T cell function is crucial for enhancing cancer immunotherapy.

Purpose of the Study:

  • To investigate the impact of CTLA-4 blockade on the metabolic fitness of intra-tumour T cells.
  • To determine the relationship between CTLA-4 blockade, tumour cell glycolysis, and T cell responses.
  • To elucidate the mechanism by which CTLA-4 blockade affects regulatory T cell stability in varying glycolytic environments.

Main Methods:

  • Analysis of intra-tumour T cell metabolic fitness in relation to tumour cell glycolytic capacity.
  • Treatment of mice bearing tumours with anti-CTLA-4 antibodies.
  • In vitro mimicry of high and low glycolytic tumour microenvironments to assess T cell responses and regulatory T cell destabilization.

Main Results:

  • CTLA-4 blockade enhanced T cell metabolic fitness and immune cell infiltration, especially in tumours with low glycolysis.
  • Anti-CTLA-4 antibody treatment improved therapeutic outcomes in mice with glycolysis-defective tumours.
  • Tumour-specific CD8+ T cell responses were associated with the destabilization of regulatory T cells in glycolysis-defective tumours.

Conclusions:

  • Reducing tumour glucose competition can enhance the efficacy of CTLA-4 blockade immunotherapy.
  • CTLA-4 blockade destabilizes regulatory T cells in a manner dependent on T cell glycolysis and CD28 signalling.
  • Combining CTLA-4 blockade with tumour glycolysis inhibitors may represent a promising therapeutic strategy.