Impaired mitochondrial oxidative phosphorylation limits the self-renewal of T cells exposed to persistent antigen

Nat Immunol. 2020 Sep;21(9):1022-1033. doi: 10.1038/s41590-020-0725-2. Epub 2020 Jul 13.

Abstract

The majority of tumor-infiltrating T cells exhibit a terminally exhausted phenotype, marked by a loss of self-renewal capacity. How repetitive antigenic stimulation impairs T cell self-renewal remains poorly defined. Here, we show that persistent antigenic stimulation impaired ADP-coupled oxidative phosphorylation. The resultant bioenergetic compromise blocked proliferation by limiting nucleotide triphosphate synthesis. Inhibition of mitochondrial oxidative phosphorylation in activated T cells was sufficient to suppress proliferation and upregulate genes linked to T cell exhaustion. Conversely, prevention of mitochondrial oxidative stress during chronic T cell stimulation allowed sustained T cell proliferation and induced genes associated with stem-like progenitor T cells. As a result, antioxidant treatment enhanced the anti-tumor efficacy of chronically stimulated T cells. These data reveal that loss of ATP production through oxidative phosphorylation limits T cell proliferation and effector function during chronic antigenic stimulation. Furthermore, treatments that maintain redox balance promote T cell self-renewal and enhance anti-tumor immunity.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Diphosphate / metabolism
  • Animals
  • Antigens, Neoplasm / immunology
  • Antioxidants / pharmacology
  • CD8-Positive T-Lymphocytes / immunology*
  • Cell Proliferation
  • Cell Self Renewal
  • Clonal Anergy / genetics
  • Energy Metabolism
  • Immune Tolerance
  • Lymphocyte Activation
  • Lymphocytes, Tumor-Infiltrating / immunology*
  • Melanoma, Experimental
  • Mice
  • Mice, Inbred C57BL
  • Mitochondria / metabolism*
  • Neoplasms / immunology*
  • Oxidative Phosphorylation

Substances

  • Antigens, Neoplasm
  • Antioxidants
  • Adenosine Diphosphate