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Publication : CD36-mediated metabolic adaptation supports regulatory T cell survival and function in tumors.

First Author  Wang H Year  2020
Journal  Nat Immunol Volume  21
Issue  3 Pages  298-308
PubMed ID  32066953 Mgi Jnum  J:292988
Mgi Id  MGI:6435832 Doi  10.1038/s41590-019-0589-5
Citation  Wang H, et al. (2020) CD36-mediated metabolic adaptation supports regulatory T cell survival and function in tumors. Nat Immunol 21(3):298-308
abstractText  Depleting regulatory T cells (Treg cells) to counteract immunosuppressive features of the tumor microenvironment (TME) is an attractive strategy for cancer treatment; however, autoimmunity due to systemic impairment of their suppressive function limits its therapeutic potential. Elucidating approaches that specifically disrupt intratumoral Treg cells is direly needed for cancer immunotherapy. We found that CD36 was selectively upregulated in intrautumoral Treg cells as a central metabolic modulator. CD36 fine-tuned mitochondrial fitness via peroxisome proliferator-activated receptor-beta signaling, programming Treg cells to adapt to a lactic acid-enriched TME. Genetic ablation of Cd36 in Treg cells suppressed tumor growth accompanied by a decrease in intratumoral Treg cells and enhancement of antitumor activity in tumor-infiltrating lymphocytes without disrupting immune homeostasis. Furthermore, CD36 targeting elicited additive antitumor responses with anti-programmed cell death protein 1 therapy. Our findings uncover the unexplored metabolic adaptation that orchestrates the survival and functions of intratumoral Treg cells, and the therapeutic potential of targeting this pathway for reprogramming the TME.
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