Impaired lipid biosynthesis hinders anti-tumor efficacy of intratumoral iNKT cells

Nat Commun. 2020 Jan 23;11(1):438. doi: 10.1038/s41467-020-14332-x.

Abstract

Dysfunction of invariant natural killer T (iNKT) cells in tumor microenvironment hinders their anti-tumor efficacy, and the underlying mechanisms remain unclear. Here we report that iNKT cells increase lipid biosynthesis after activation, and that is promoted by PPARγ and PLZF synergically through enhancing transcription of Srebf1. Among those lipids, cholesterol is required for the optimal IFN-γ production from iNKT cells. Lactic acid in tumor microenvironment reduces expression of PPARγ in intratumoral iNKT cells and consequently diminishes their cholesterol synthesis and IFN-γ production. Importantly, PPARγ agonist pioglitazone, a thiazolidinedione drug for type 2 diabetes, successfully restores IFN-γ production in tumor-infiltrating iNKT cells from both human patients and mouse models. Combination of pioglitazone and alpha-galactosylceramide treatments significantly enhances iNKT cell-mediated anti-tumor immune responses and prolongs survival of tumor-bearing mice. Our studies provide a strategy to augment the anti-tumor efficacy of iNKT cell-based immunotherapies via promoting their lipid biosynthesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Carcinoma, Hepatocellular / metabolism
  • Carcinoma, Hepatocellular / pathology
  • Cholesterol / metabolism
  • Galactosylceramides / pharmacology
  • Gene Expression Regulation
  • Humans
  • Immunotherapy / methods*
  • Interferon-gamma / metabolism
  • Lipids / biosynthesis*
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / pathology
  • Melanoma, Experimental / immunology
  • Melanoma, Experimental / pathology
  • Mice, Inbred C57BL
  • Natural Killer T-Cells / drug effects
  • Natural Killer T-Cells / pathology
  • Natural Killer T-Cells / physiology*
  • PPAR gamma / genetics
  • PPAR gamma / metabolism
  • Pioglitazone / pharmacology
  • Sterol Regulatory Element Binding Protein 1 / genetics
  • Sterol Regulatory Element Binding Protein 1 / metabolism
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / immunology*

Substances

  • Galactosylceramides
  • Lipids
  • PPAR gamma
  • Pparg protein, mouse
  • Srebf1 protein, mouse
  • Sterol Regulatory Element Binding Protein 1
  • alpha-galactosylceramide
  • Interferon-gamma
  • Cholesterol
  • Pioglitazone