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Publication : Coenzyme A fuels T cell anti-tumor immunity.

First Author  St Paul M Year  2021
Journal  Cell Metab Volume  33
Issue  12 Pages  2415-2427.e6
PubMed ID  34879240 Mgi Jnum  J:325192
Mgi Id  MGI:6875511 Doi  10.1016/j.cmet.2021.11.010
Citation  St Paul M, et al. (2021) Coenzyme A fuels T cell anti-tumor immunity. Cell Metab 33(12):2415-2427.e6
abstractText  Metabolic programming is intricately linked to the anti-tumor properties of T cells. To study the metabolic pathways associated with increased anti-tumor T cell function, we utilized a metabolomics approach to characterize three different CD8(+) T cell subsets with varying degrees of anti-tumor activity in murine models, of which IL-22-producing Tc22 cells displayed the most robust anti-tumor activity. Tc22s demonstrated upregulation of the pantothenate/coenzyme A (CoA) pathway and a requirement for oxidative phosphorylation (OXPHOS) for differentiation. Exogenous administration of CoA reprogrammed T cells to increase OXPHOS and adopt the CD8(+) Tc22 phenotype independent of polarizing conditions via the transcription factors HIF-1alpha and the aryl hydrocarbon receptor (AhR). In murine tumor models, treatment of mice with the CoA precursor pantothenate enhanced the efficacy of anti-PDL1 antibody therapy. In patients with melanoma, pre-treatment plasma pantothenic acid levels were positively correlated with the response to anti-PD1 therapy. Collectively, our data demonstrate that pantothenate and its metabolite CoA drive T cell polarization, bioenergetics, and anti-tumor immunity.
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