S-adenosylmethionine metabolism shapes CD8+ T cell functions in colorectal cancer

Xiaohua Yang1, Tianzhang Kou1,2, Hongmiao Wang1,2

  • 1Interdisciplinary Research Center on Biology and Chemistry, Shanghai Institute of Organic Chemistry, Chinese Academy of Sciences, Shanghai, 200032, China.

Cancer & Metabolism
|May 19, 2025
PubMed

Insights

Cancer cells exploit S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH) to resist immunotherapy. Supplementing SAM boosts T cell function and suppresses tumor growth in colorectal cancer (CRC) models.

Area of Science:

  • Immunology
  • Metabolomics
  • Oncology

Background:

  • Tumor microenvironment metabolites influence cancer progression and immune response.
  • The metabolic interplay between T cells and tumor cells in immunotherapy resistance is not fully understood.

Purpose of the Study:

  • Investigate metabolic heterogeneity in colorectal cancer (CRC).
  • Elucidate the role of S-adenosylmethionine (SAM) and S-adenosylhomocysteine (SAH) in immunotherapy resistance.

Main Methods:

  • Untargeted metabolomics on CRC patient samples.
  • In vitro functional assays on T cell activation and effector functions.
  • In vivo studies with SAM supplementation in tumor-bearing mice.

Main Results:

  • Microsatellite stable (MSS) CRC exhibits elevated SAM and SAH metabolism.
  • SAM and SAH initially enhance CD8+ T cell activation but are depleted by cancer cells, impairing T cell survival.
  • SAM supplementation in vivo increased T cell proliferation, reduced exhaustion, and suppressed tumor growth.

Conclusions:

  • Metabolic crosstalk between T cells and CRC cells drives immunotherapy resistance.
  • Targeting SAM and SAH metabolism presents a potential therapeutic strategy for MSS CRC.