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Impaired mitochondrial oxidative phosphorylation limits the self-renewal of T cells exposed to persistent antigen
Open accessAbstract
The majority of tumor-infiltrating T cells exhibit a terminally exhausted phenotype, marked by a loss of self-renewal capacity. How repetitive antigenic stimulation impairs T cell self-renewal remains poorly defined. Here, we show that persistent antigenic stimulation impaired ADP-coupled oxidative phosphorylation. The resultant bioenergetic compromise blocked proliferation by limiting nucleotide triphosphate synthesis. Inhibition of mitochondrial oxidative phosphorylation in activated T cells was sufficient to suppress proliferation and upregulate genes linked to T cell exhaustion. Conversely, prevention of mitochondrial oxidative stress during chronic T cell stimulation allowed sustained T cell proliferation and induced genes associated with stem-like progenitor T cells. As a result, antioxidant treatment enhanced the anti-tumor efficacy of chronically stimulated T cells. These data reveal that loss of ATP production through oxidative phosphorylation limits T cell proliferation and effector function during chronic antigenic stimulation. Furthermore, treatments that maintain redox balance promote T cell self-renewal and enhance anti-tumor immunity. Thompson and colleagues show that repetitive antigenic stimulation within the tumor environment triggers mitochondrial dysfunction by inhibiting oxidative phosphorylation, which leads to T cell exhaustion.
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“Even though both oxidative and ER stress have been shown to contribute to T cell dysfunction across different tumor types (44-51),”
From Bile acid synthesis impedes tumor-specific T cell responses during liver cancer (2025) · cites this paper as [50]
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Howard, E. D., Hurrell, B. P., Helou, D. G., Shafiei-Jahani, P., Hasiakos, S., Painter, J. D., Srikanth, S., Gwack, Y., & Akbari, O. (2023) · Nature Communications · doi:10.1038/s41467-023-41065-4 · Cited by 27
Potential mechanisms of cancer stem‐like progenitor T‐cell bio‐behaviours
Ni, L. (2024) · Clinical and Translational Medicine · doi:10.1002/ctm2.1817 · Cited by 26
Impact of Drp1-Mediated Mitochondrial Dynamics on T Cell Immune Modulation
Song, J., Yi, X., Gao, R.-L., Sun, L., Wu, Z., Zhang, S., Huang, L., Han, C., & Ma, J. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.873834 · Cited by 29
Polymorphic KIR3DL3 expression modulates tissue-resident and innate-like T cells
Palmer, W. H., Leaton, L. A., Codo, A. C., Crute, B. W., Roest, J., Zhu, S., Petersen, J., Tobin, R. P., Hume, P. S., Stone, M. L., et al. (2023) · Science Immunology · doi:10.1126/sciimmunol.ade5343 · Cited by 24
Metabolic plasticity of T cell fate decision
Pan, X., Wang, J., Zhang, L., Li, G., & Huang, B. (2023) · Chinese Medical Journal · doi:10.1097/cm9.0000000000002989 · Cited by 26
Giorgioni, L., Ambrosone, A., Cometa, M. F., Salvati, A. L., Nisticò, R., & Magrelli, A. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms251910365 · Cited by 27
CD8+ T-cell exhaustion: Impediment to triple-negative breast cancer (TNBC) immunotherapy
Feng, D., Pu, D., Ren, J., Liu, M., Zhang, Z., Liu, Z., & Li, J. (2024) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2024.189193 · Cited by 26
Tejero, J. D., Hesterberg, R. S., Drápela, S., Ilter, D., Raizada, D., Lazure, F., Kashfi, H., Liu, M., Silvane, L., Avram, D., et al. (2024) · Oncogene · doi:10.1038/s41388-024-03191-1 · Cited by 26
Tinkering under the Hood: Metabolic Optimisation of CAR-T Cell Therapy
Jenkins, Y. R., Zabkiewicz, J., Ottmann, O. G., & Jones, N. (2021) · Antibodies · doi:10.3390/antib10020017 · Cited by 24
T cell exhaustion and senescence for ovarian cancer immunotherapy
Zhao, J., Wang, Z., Tian, Y., Ning, J., & Ye, H. (2024) · Seminars in Cancer Biology · doi:10.1016/j.semcancer.2024.07.001 · Cited by 26
Zhu, Z., Luo, Y., Lou, G., Yihunie, K. D., Wizzard, S., DeVilbiss, A., Muh, S., Ma, C., Shinde, S. S., Hoar, J., et al. (2024) · Science Immunology · doi:10.1126/sciimmunol.adk2954 · Cited by 25
The prostacyclin receptor PTGIR is a NRF2-dependent regulator of CD8+ T cell exhaustion
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Multifaceted roles of aerobic glycolysis and oxidative phosphorylation in hepatocellular carcinoma
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Single cell metabolic imaging of tumor and immune cells in vivo in melanoma bearing mice
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Molecular insight into T cell exhaustion in hepatocellular carcinoma
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Metabolic reprogramming and dysregulated IL-17 production impairs CD4 T cell function post sepsis
de Assis, P. A., Allen, R., Schaller, M. A., Kunkel, S. L., & Bermick, J. (2024) · iScience · doi:10.1016/j.isci.2024.110114 · Cited by 23
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Metadata
- Authors
- Vardhana, S. A., Hwee, M. A., Berisa, M., Wells, D. K., Yost, K. E., King, B., Smith, M., Herrera, P. S., Chang, H. Y., Satpathy, A. T., van den Brink, M. R. M., Cross, J. R., & Thompson, C. B.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Parker Institute for Cancer Immunotherapy (US)
- Stanford Medicine (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Thompson, Craig B.
- ORCID
- Venue
- Nature Immunology
- Published
- 2020-07-13
- Volume
- 21
- Issue
- 9
- Pages
- 1022-1033
- ISSN
- 1529-2908 (ISSN-L)
- 1529-2916
- PMC
- PMC7442749
- OpenAlex
- W3040911066
- Semantic Scholar
- 0e26544b84036d0da9a73a3a38337fc7b1573819
- Cited by
- 575
- References
- 67
- Citations by year
- 2026: 133 · 2025: 117 · 2024: 112 · 2023: 90 · 2022: 68 · 2021: 46 · 2020: 9
- FWCI
- 18.62
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Nature Immunology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (1r01hl147584-01a1)
- National Heart, Lung, and Blood Institute (R01‐HL147584)
- National Cancer Institute (K08CA237731, P30CA008748)
- National Institute of Allergy and Infectious Diseases (R25AI140472)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Keywords
- T cell exhaustion, mitochondrial oxidative phosphorylation, T cell self-renewal, chronic antigenic stimulation, T cell proliferation, mitochondrial oxidative stress, antioxidant treatment, redox homeostasis, tumor-infiltrating T cells, antitumor immunity
- MeSH terms
- Cell Self Renewal, Adenosine Diphosphate, Animals, Antigens, Neoplasm, Antioxidants, Energy Metabolism, Immune Tolerance, Lymphocyte Activation, Melanoma, Experimental, Mice, Inbred C57BL, Mitochondria, Neoplasms, Oxidative Phosphorylation, Lymphocytes, Tumor-Infiltrating, Clonal Anergy, CD8-Positive T-Lymphocytes, Cell Proliferation, Mice
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