Cited by 330Cancer Immunotherapy and BiomarkersMitochondrial Function and PathologyAutophagy in Disease and Therapy

Immune evasion through mitochondrial transfer in the tumour microenvironment

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Ikeda, Hideki, Kawase, Katsushige, Nishi, Tatsuya, Watanabe, Tomofumi, Takenaga, Keizo, Inozume, Takashi, Ishino, Takamasa, Aki, Sho +27 more·2025·Nature

Abstract

Cancer cells in the tumour microenvironment use various mechanisms to evade the immune system, particularly T cell attack1. For example, metabolic reprogramming in the tumour microenvironment and mitochondrial dysfunction in tumour-infiltrating lymphocytes (TILs) impair antitumour immune responses2–4. However, detailed mechanisms of such processes remain unclear. Here we analyse clinical specimens and identify mitochondrial DNA (mtDNA) mutations in TILs that are shared with cancer cells. Moreover, mitochondria with mtDNA mutations from cancer cells are able to transfer to TILs. Typically, mitochondria in TILs readily undergo mitophagy through reactive oxygen species. However, mitochondria transferred from cancer cells do not undergo mitophagy, which we find is due to mitophagy-inhibitory molecules. These molecules attach to mitochondria and together are transferred to TILs, which results in homoplasmic replacement. T cells that acquire mtDNA mutations from cancer cells exhibit metabolic abnormalities and senescence, with defects in effector functions and memory formation. This in turn leads to impaired antitumour immunity both in vitro and in vivo. Accordingly, the presence of an mtDNA mutation in tumour tissue is a poor prognostic factor for immune checkpoint inhibitors in patients with melanoma or non-small-cell lung cancer. These findings reveal a previously unknown mechanism of cancer immune evasion through mitochondrial transfer and can contribute to the development of future cancer immunotherapies. Mitochondria with mutations in their DNA from cancer cells can be transferred to T cells in the tumour microenvironment, which leads to T cell dysfunction and impaired antitumour immunity.

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  1. [1]Schreiber, R. D., Old, L. J. & Smyth, M. J. Cancer immunoediting: integrating immunity’s roles in cancer suppression and promotion. Science 331, 1565–1570 (2011). 21436444
  2. [2]DePeaux, K. & Delgoffe, G. M. Metabolic barriers to cancer immunotherapy. Nat. Rev. Immunol. 21, 785–797 (2021). 33927375 PMC8553800
  3. [4]Yu, Y. R. et al. Disturbed mitochondrial dynamics in CD8. Nat. Immunol. 21, 1540–1551 (2020). 33020660
  4. [5]Topalian, S. L. et al. Safety, activity, and immune correlates of anti-PD-1 antibody in cancer. N. Engl. J. Med. 366, 2443–2454 (2012). 22658127 PMC3544539
  5. [6]Hodi, F. S. et al. Improved survival with ipilimumab in patients with metastatic melanoma. N. Engl. J. Med. 363, 711–723 (2010). 20525992 PMC3549297
  6. [8]Nagasaki, J., Ishino, T. & Togashi, Y. Mechanisms of resistance to immune checkpoint inhibitors. Cancer Sci. 113, 3303–3312 (2022). 35848888 PMC9530865
  7. [9]Sharma, P., Hu-Lieskovan, S., Wargo, J. A. & Ribas, A. Primary, adaptive, and acquired resistance to cancer immunotherapy. Cell 168, 707–723 (2017). 28187290 PMC5391692
  8. [10]Mills, E. L., Kelly, B. & O’Neill, L. A. J. Mitochondria are the powerhouses of immunity. Nat. Immunol. 18, 488–498 (2017). 28418387
  9. [12]Alexeyev, M., Shokolenko, I., Wilson, G. & LeDoux, S. The maintenance of mitochondrial DNA integrity—critical analysis and update. Cold Spring Harb. Perspect. Biol. 5, a012641 (2013). 23637283 PMC3632056
  10. [13]Sabharwal, S. S. & Schumacker, P. T. Mitochondrial ROS in cancer: initiators, amplifiers or an Achilles’ heel? Nat. Rev. Cancer 14, 709–721 (2014). 25342630 PMC4657553
  11. [14]Yuan, Y. et al. Comprehensive molecular characterization of mitochondrial genomes in human cancers. Nat. Genet. 52, 342–352 (2020). 32024997 PMC7058535
  12. [15]Hopkins, J. F. et al. Mitochondrial mutations drive prostate cancer aggression. Nat. Commun. 8, 656 (2017). 28939825 PMC5610241
  13. [16]Gorelick, A. N. et al. Respiratory complex and tissue lineage drive recurrent mutations in tumour mtDNA. Nat. Metab. 3, 558–570 (2021). 33833465 PMC9304985
  14. [17]Ishikawa, K. et al. ROS-generating mitochondrial DNA mutations can regulate tumor cell metastasis. Science 320, 661–664 (2008). 18388260
  15. [18]Petros, J. A. et al. mtDNA mutations increase tumorigenicity in prostate cancer. Proc. Natl Acad. Sci. USA 102, 719–724 (2005). 15647368 PMC545582
  16. [19]Mahmood, M. et al. Mitochondrial DNA mutations drive aerobic glycolysis to enhance checkpoint blockade response in melanoma. Nat. Cancer 5, 659–672 (2024). 38286828 PMC11056318
  17. [20]Spees, J. L., Olson, S. D., Whitney, M. J. & Prockop, D. J. Mitochondrial transfer between cells can rescue aerobic respiration. Proc. Natl Acad. Sci. USA 103, 1283–1288 (2006). 16432190 PMC1345715
  18. [21]Borcherding, N. & Brestoff, J. R. The power and potential of mitochondria transfer. Nature 623, 283–291 (2023). 37938702 PMC11590279
  19. [22]Zhang, H. et al. Systematic investigation of mitochondrial transfer between cancer cells and T cells at single-cell resolution. Cancer Cell 41, 1788–1802 (2023). 37816332 PMC10568073
  20. [23]Tan, A. S. et al. Mitochondrial genome acquisition restores respiratory function and tumorigenic potential of cancer cells without mitochondrial DNA. Cell Metab. 21, 81–94 (2015). 25565207
  21. [24]Saha, T. et al. Intercellular nanotubes mediate mitochondrial trafficking between cancer and immune cells. Nat. Nanotechnol. 17, 98–106 (2022). 34795441 PMC10071558
  22. [25]Crewe, C. et al. Extracellular vesicle-based interorgan transport of mitochondria from energetically stressed adipocytes. Cell Metab. 33, 1853–1868 (2021). 34418352 PMC8429176
  23. [26]Torralba, D. et al. Priming of dendritic cells by DNA-containing extracellular vesicles from activated T cells through antigen-driven contacts. Nat. Commun. 9, 2658 (2018). 29985392 PMC6037695
  24. [27]Takenaga, K., Koshikawa, N. & Nagase, H. Intercellular transfer of mitochondrial DNA carrying metastasis-enhancing pathogenic mutations from high- to low-metastatic tumor cells and stromal cells via extracellular vesicles. BMC Mol. Cell Biol. 22, 52 (2021). 34615464 PMC8496074
  25. [28]Ebrahimi-Fakhari, D. et al. Impaired mitochondrial dynamics and mitophagy in neuronal models of tuberous sclerosis complex. Cell Rep. 17, 1053–1070 (2016). 27760312 PMC5078873
  26. [29]Chen, C., Li, H., Zhang, J. & Cheng, S. C. Exploring the limitations of mitochondrial dye as a genuine horizontal mitochondrial transfer surrogate. Commun. Biol. 7, 281 (2024). 38448655 PMC10917768
  27. [30]Catalano, M. & O’Driscoll, L. Inhibiting extracellular vesicles formation and release: a review of EV inhibitors. J. Extracell. Vesicles 9, 1703244 (2020). 32002167 PMC6968539
  28. [31]Li, B., Antonyak, M. A., Zhang, J. & Cerione, R. A. RhoA triggers a specific signaling pathway that generates transforming microvesicles in cancer cells. Oncogene 31, 4740–4749 (2012). 22266864 PMC3607381
  29. [32]Ikeda, G. et al. Mitochondria-rich extracellular vesicles from autologous stem cell-derived cardiomyocytes restore energetics of ischemic myocardium. J. Am. Coll. Cardiol. 77, 1073–1088 (2021). 33632482 PMC8626617
  30. [33]Chiavarina, B. et al. HIF1-α functions as a tumor promoter in cancer associated fibroblasts, and as a tumor suppressor in breast cancer cells: autophagy drives compartment-specific oncogenesis. Cell Cycle 9, 3534–3551 (2010). 20864819 PMC3047618
  31. [34]Zhang, Q. et al. Microvesicles derived from hypoxia/reoxygenation-treated human umbilical vein endothelial cells promote apoptosis and oxidative stress in H9c2 cardiomyocytes. BMC Cell Biol. 17, 25 (2016). 27338159 PMC4919832
  32. [35]Aryapour, E. & Kietzmann, T. Mitochondria, mitophagy, and the role of deubiquitinases as novel therapeutic targets in liver pathology. J. Cell. Biochem. 123, 1634–1646 (2022). 35924961 PMC9804494
  33. [36]Cunningham, C. N. et al. USP30 and parkin homeostatically regulate atypical ubiquitin chains on mitochondria. Nat. Cell Biol. 17, 160–169 (2015). 25621951
  34. [38]Niu, K. et al. USP33 deubiquitinates PRKN/parkin and antagonizes its role in mitophagy. Autophagy 16, 724–734 (2020). 31432739 PMC7138199
  35. [39]Wang, Y. et al. Deubiquitinating enzymes regulate PARK2-mediated mitophagy. Autophagy 11, 595–606 (2015). 25915564 PMC4502823
  36. [40]Suzuki, T. The expanding world of tRNA modifications and their disease relevance. Nat. Rev. Mol. Cell Biol. 22, 375–392 (2021). 33658722
  37. [41]Asano, K. et al. Metabolic and chemical regulation of tRNA modification associated with taurine deficiency and human disease. Nucleic Acids Res. 46, 1565–1583 (2018). 29390138 PMC5829720
  38. [42]Imanishi, H. et al. Mitochondrial DNA mutations regulate metastasis of human breast cancer cells. PLoS ONE 6, e23401 (2011). 21853128 PMC3154938
  39. [43]Balaban, R. S., Nemoto, S. & Finkel, T. Mitochondria, oxidants, and aging. Cell 120, 483–495 (2005). 15734681
  40. [44]Shidara, Y. et al. Positive contribution of pathogenic mutations in the mitochondrial genome to the promotion of cancer by prevention from apoptosis. Cancer Res. 65, 1655–1663 (2005). 15753359
  41. [47]Desdín-Micó, G. et al. T cells with dysfunctional mitochondria induce multimorbidity and premature senescence. Science 368, 1371–1376 (2020). 32439659 PMC7616968
  42. [48]van der Windt, G. J. et al. Mitochondrial respiratory capacity is a critical regulator of CD8 + T cell memory development. Immunity 36, 68–78 (2012). 22206904 PMC3269311
  43. [49]Caicedo, A. et al. MitoCeption as a new tool to assess the effects of mesenchymal stem/stromal cell mitochondria on cancer cell metabolism and function. Sci. Rep. 5, 9073 (2015). 25766410 PMC4358056
  44. [52]He, R. et al. Follicular CXCR5- expressing CD8 + T cells curtail chronic viral infection. Nature 537, 412–428 (2016). 27501245
  45. [53]Krishnan, K. J. & Birch-Machin, M. A. The incidence of both tandem duplications and the common deletion in mtDNA from three distinct categories of sun-exposed human skin and in prolonged culture of fibroblasts. J. Invest. Dermatol. 126, 408–415 (2006). 16374450
  46. [54]Wallace, D. C. Mitochondrial genetic medicine. Nat. Genet. 50, 1642–1649 (2018). 30374071
  47. [55]Buzas, E. I. The roles of extracellular vesicles in the immune system. Nat. Rev. Immunol. 23, 236–250 (2023). 35927511 PMC9361922
  48. [56]O’Hara, R. et al. Quantitative mitochondrial DNA copy number determination using droplet digital PCR with single-cell resolution. Genome Res. 29, 1878–1888 (2019). 31548359 PMC6836731
  49. [57]White, E. Deconvoluting the context-dependent role for autophagy in cancer. Nat. Rev. Cancer 12, 401–410 (2012). 22534666 PMC3664381
  50. [58]Hong, Y. S. et al. Deleterious heteroplasmic mitochondrial mutations are associated with an increased risk of overall and cancer-specific mortality. Nat. Commun. 14, 6113 (2023). 37777527 PMC10542802
  51. [59]Stewart, J. B. & Chinnery, P. F. The dynamics of mitochondrial DNA heteroplasmy: implications for human health and disease. Nat. Rev. Genet. 16, 530–542 (2015). 26281784
  52. [60]Inozume, T. et al. Analysis of the tumor reactivity of tumor-infiltrating lymphocytes in a metastatic melanoma lesion that lost MHC class I expression after anti-PD-1 therapy. J. Invest. Dermatol. 139, 1490–1496 (2019). 30684558
  53. [61]Cingolani, P. et al. A program for annotating and predicting the effects of single nucleotide polymorphisms, SnpEff: SNPs in the genome of Drosophila melanogaster strain w1118; iso-2; iso-3. Fly 6, 80–92 (2012). 22728672 PMC3679285
  54. [62]Kuo, T., Frith, M. C., Sese, J. & Horton, P. EAGLE: explicit alternative genome likelihood evaluator. BMC Med. Genomics 11, 28 (2018). 29697369 PMC5918433
  55. [63]Weissensteiner, H. et al. HaploGrep 2: mitochondrial haplogroup classification in the era of high-throughput sequencing. Nucleic Acids Res. 44, W58–W63 (2016). 27084951 PMC4987869
  56. [64]Akimoto, M., Hayashi, J. I., Nakae, S., Saito, H. & Takenaga, K. Interleukin-33 enhances programmed oncosis of ST2L-positive low-metastatic cells in the tumour microenvironment of lung cancer. Cell Death Dis. 7, e2057 (2016). 26775708 PMC4816191
  57. [65]Takenaga, K., Nakamura, Y. & Sakiyama, S. Expression of antisense RNA to S100A4 gene encoding an S100-related calcium-binding protein suppresses metastatic potential of high-metastatic Lewis lung carcinoma cells. Oncogene 14, 331–337 (1997). 9018119
  58. [66]Diebold, S. S., Cotten, M., Koch, N. & Zenke, M. MHC class II presentation of endogenously expressed antigens by transfected dendritic cells. Gene Ther. 8, 487–493 (2001). 11313828
  59. [67]Morgenstern, J. P. & Land, H. Advanced mammalian gene transfer: high titre retroviral vectors with multiple drug selection markers and a complementary helper-free packaging cell line. Nucleic Acids Res. 18, 3587–3596 (1990). 2194165 PMC331014
  60. [68]Kitay, B. M., McCormack, R., Wang, Y., Tsoulfas, P. & Zhai, R. G. Mislocalization of neuronal mitochondria reveals regulation of Wallerian degeneration and NMNAT/WLD(S)-mediated axon protection independent of axonal mitochondria. Hum. Mol. Genet. 22, 1601–1614 (2013). 23314018 PMC3657477
  61. [69]Dull, T. et al. A third-generation lentivirus vector with a conditional packaging system. J. Virol. 72, 8463–8471 (1998). 9765382 PMC110254
  62. [71]Sanz-Ros, J. et al. Small extracellular vesicles from young adipose-derived stem cells prevent frailty, improve health span, and decrease epigenetic age in old mice. Sci. Adv. 8, eabq2226 (2022). 36260670 PMC9581480
  63. [72]Keeney, J. N., Winters, A. D., Sitcheran, R. & West, A. P. NF-κB-inducing kinase governs the mitochondrial respiratory capacity, differentiation, and inflammatory status of innate immune cells. J. Immunol. 210, 1123–1133 (2023). 36881877 PMC10073338
  64. [73]Kumagai, S. et al. An oncogenic alteration creates a microenvironment that promotes tumor progression by conferring a metabolic advantage to regulatory T cells. Immunity 53, 187–203.e188 (2020). 32640259

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Authors
Ikeda, H., Kawase, K., Nishi, T., Watanabe, T., Takenaga, K., Inozume, T., Ishino, T., Aki, S., Lin, J., Kawashima, S., Nagasaki, J., Ueda, Y., Suzuki, S., Makinoshima, H., Itami, M., Nakamura, Y., Tatsumi, Y., Suenaga, Y., Morinaga, T., Honobe-Tabuchi, A., Ohnuma, T., Kawamura, T., Umeda, Y., Nakamura, Y., Kiniwa, Y., Ichihara, E., Hayashi, H., Ikeda, J.-I., Hanazawa, T., Toyooka, S., Mano, H., Suzuki, T., Osawa, T., Kawazu, M., & Togashi, Y.
Affiliations
  • Chiba University (JP)
  • Okayama University (JP)
  • Chiba Cancer Center Research Institute (JP)
  • The University of Tokyo (JP)
  • Kindai University Hospital (JP)
  • Chiba Cancer Center (JP)
  • Saitama International Medical Center (JP)
  • University of Yamanashi (JP)
  • Shinshu University (JP)
  • Okayama University Hospital (JP)
  • National Cancer Center Research Institute (JP)
Corresponding author
Togashi, Yosuke
Venue
Nature
Published
2025-01-22
Volume
638
Issue
8049
Pages
225-236
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W4406731670
Cited by
330
References
9
Citations by year
2026: 198 · 2025: 132
FWCI
136.66
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Okayama University Scientific Achievement Repository (Okayama University) (submittedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Institutional Repositories DataBase (IRDB) (submittedVersion)
Funders
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • Pfizer
  • AstraZeneca
  • Nvidia
  • Suzuken Memorial Foundation
  • Japan Agency for Medical Research and Development (JP 19cm0106502, CREST)
  • GlaxoSmithKline Japan
  • Kowa Company
  • Taiju Life Social Welfare Foundation
  • SGH Foundation
  • Daiichi-Sankyo
  • Inamori Foundation
  • Kato Memorial Bioscience Foundation
  • Kowa Life Science Foundation
  • Astellas Pharma
  • Astellas Foundation for Research on Metabolic Disorders
  • Kobayashi Foundation for Cancer Research
  • Princess Takamatsu Cancer Research Fund
  • Ono Pharmaceutical
  • Novartis Pharma
  • Pfizer Japan
  • Chugai Pharmaceutical
  • Eli Lilly Japan
  • Japan Society for the Promotion of Science (24K02459, 24K10137, 22KJ0489, 24K18933, 24K22071, 23K07303, 23K24337, 23K18234, 24K11153, 23KK0149, CREST, 22H04923)
  • Japan Science and Technology Agency (CREST, JPMJAX2321, JPMJFR2049)
  • Core Research for Evolutional Science and Technology
  • ACT-X
  • Fusion Oriented REsearch for disruptive Science and Technology
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
  • Health Sciences › Medicine › Epidemiology › Autophagy in Disease and Therapy
Keywords
tumor immune evasion, mitochondrial transfer, tumor microenvironment, tumor-infiltrating lymphocytes, mitochondrial DNA mutations, mitophagy, reactive oxygen species, T cell senescence, antitumor immunity, immune checkpoint inhibitors, melanoma, non-small cell lung cancer, prognostic factors
MeSH terms
Immune Checkpoint Inhibitors, Animals, Carcinoma, Non-Small-Cell Lung, DNA, Mitochondrial, Female, Humans, Lung Neoplasms, Male, Melanoma, Mitochondria, Mutation, Neoplasms, Prognosis, T-Lymphocytes, Lymphocytes, Tumor-Infiltrating, Cellular Senescence, Reactive Oxygen Species, Tumor Escape, Cell Line, Tumor, Mice, Immune Evasion, Tumor Microenvironment, Mitophagy

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