CD276 suppresses CAR-T cell function by promoting tumor cell glycolysis in esophageal squamous cell carcinoma

Guangxing Yue1, Jingwen Tang1, Lihan Zhang1

  • 1Department of Integrated Chinese and Western Medicine, Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.

Abstract

Insights

CD276 overexpression in esophageal squamous cell carcinoma promotes tumor growth by increasing glucose metabolism and hindering CD8+ T cell function. Targeting CD276 may enhance cancer immunotherapy effectiveness.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • CD276 acts as an immune checkpoint, suppressing antitumor immunity and representing a potential target for cancer immunotherapy.
  • The specific role of CD276 in esophageal squamous cell carcinoma (ESCC) and its regulatory mechanisms require further investigation to optimize immunotherapy outcomes.

Purpose of the Study:

  • To investigate the role and regulatory mechanisms of CD276 in esophageal squamous cell carcinoma (ESCC).
  • To determine the impact of CD276 on tumor glucose metabolism and T cell function.
  • To evaluate the potential of targeting CD276 to improve cancer immunotherapy efficacy in ESCC.

Main Methods:

  • CD276 expression analyzed using qRT-PCR, IHC, and flow cytometry.
  • T cell infiltration assessed via qRT-PCR and immunofluorescence.
  • CD276's role in glucose metabolism examined through metabolism assays, western blotting, and small molecule inhibitors.
  • Gene editing performed using transfection; oncogenic function evaluated in vivo using a CAR-T cell therapy model.

Main Results:

  • CD276 was found to regulate the pyruvate kinase M2 (PKM2) gene in ESCC.
  • Overexpression of CD276 induced PKM2 phosphorylation via the STAT3 signaling pathway, enhancing tumor glucose metabolism.
  • Tumor-derived CD276 overexpression impaired the therapeutic efficacy of chimeric antigen receptor T cells (CAR-T).

Conclusions:

  • Tumor-derived CD276 promotes disease progression in ESCC by enhancing glucose metabolism and inhibiting CD8+ T cell function.
  • CD276 overexpression limits the effectiveness of CAR-T cell immunotherapy.
  • Targeting CD276 presents a promising strategy to improve immunotherapy response in ESCC patients.

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