MEK inhibition reprograms CD8+ T lymphocytes into memory stem cells with potent antitumor effects

Nat Immunol. 2021 Jan;22(1):53-66. doi: 10.1038/s41590-020-00818-9. Epub 2020 Nov 23.

Abstract

Regenerative stem cell-like memory (TSCM) CD8+ T cells persist longer and produce stronger effector functions. We found that MEK1/2 inhibition (MEKi) induces TSCM that have naive phenotype with self-renewability, enhanced multipotency and proliferative capacity. This is achieved by delaying cell division and enhancing mitochondrial biogenesis and fatty acid oxidation, without affecting T cell receptor-mediated activation. DNA methylation profiling revealed that MEKi-induced TSCM cells exhibited plasticity and loci-specific profiles similar to bona fide TSCM isolated from healthy donors, with intermediate characteristics compared to naive and central memory T cells. Ex vivo, antigenic rechallenge of MEKi-treated CD8+ T cells showed stronger recall responses. This strategy generated T cells with higher efficacy for adoptive cell therapy. Moreover, MEKi treatment of tumor-bearing mice also showed strong immune-mediated antitumor effects. In conclusion, we show that MEKi leads to CD8+ T cell reprogramming into TSCM that acts as a reservoir for effector T cells with potent therapeutic characteristics.

Publication types

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

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • CD8-Positive T-Lymphocytes / cytology
  • CD8-Positive T-Lymphocytes / drug effects*
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Cycle / drug effects
  • Humans
  • Immunologic Memory / drug effects*
  • Immunologic Memory / immunology
  • Immunotherapy, Adoptive*
  • Mice
  • Mice, Inbred C57BL
  • Mitochondria / drug effects
  • Mitogen-Activated Protein Kinase Kinases / antagonists & inhibitors*
  • Neoplasms / therapy*
  • Receptors, Antigen, T-Cell / physiology
  • Stem Cells / cytology*
  • Tumor Microenvironment

Substances

  • Antineoplastic Agents
  • Receptors, Antigen, T-Cell
  • Mitogen-Activated Protein Kinase Kinases