Ionic immune suppression within the tumour microenvironment limits T cell effector function.

Ionic immune suppression within the tumour microenvironment limits T cell effector function.
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DOI:
10.1038/nature19364
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发表时间:
2016-09-22
期刊:
影响因子:
64.8
通讯作者:
Restifo, Nicholas P.
Restifo, Nicholas P.
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Eil, Robert;Vodnala, Suman K.;Clever, David;Klebanoff, Christopher A.;Sukumar, Madhusudhanan;Pan, Jenny H.;Palmer, Douglas C.;Gros, Alena;Yamamoto, Tori N.;Patel, Shashank J.;Guittard, Geoffrey C.;Yu, Zhiya;Carbonaro, Valentina;Okkenhaug, Klaus;Schrump, David S.;Linehan, W. Marston;Roychoudhuri, Rahul;Restifo, Nicholas P.

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Tumours progress despite being infiltrated by tumour-specific effector T cells. Tumours contain areas of cellular necrosis, which is associated with poor survival in a variety of cancers. Here, we show that necrosis releases an intracellular ion, potassium, into the extracellular fluid of mouse and human tumours causing profound suppression of T cell effector function. We find that elevations in the extracellular potassium concentration [K+]e act to impair T cell receptor (TCR)-driven Akt-mTOR phosphorylation and effector programmes, this potassium-mediated suppression of Akt-mTOR signalling and T cell function is dependent upon the activity of the serine/threonine phosphatase PP2A. While the suppressive effect mediated by elevated [K+]e is independent of changes in plasma membrane potential (Vm), it does require an increase in intracellular potassium ([K+]i). Concordantly, ionic reprogramming of tumour-specific T cells through overexpression of the potassium channel Kv1.3 lowers [K+]i and improves effector functions in vitro and in vivo. Consequently, Kv1.3 T cell overexpression enhances tumour clearance and survival of melanoma-bearing mice. These results uncover a previously undescribed ionic checkpoint blocking T cell function within tumours and identify new strategies for cancer immunotherapy.
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