Restricting glycolysis preserves T cell effector functions and augments checkpoint therapy

Abstract: Tumor-derived lactic acid inhibits T and natural killer (NK) cell function and, thereby, tumor immunosurveillance. Here, we report that melanoma patients with high expression of glycolysis-related genes show a worse progression free survival upon anti-PD1 treatment. The non-steroidal anti-inflammatory drug (NSAID) diclofenac lowers lactate secretion of tumor cells and improves anti-PD1-induced T cell killing in vitro. Surprisingly, diclofenac, but not other NSAIDs, turns out to be a potent inhibitor of the lactate transporters monocarboxylate transporter 1 and 4 and diminishes lactate efflux. Notably, T cell activation, viability, and effector functions are preserved under diclofenac treatment and in a low glucose environment in vitro. Diclofenac, but not aspirin, delays tumor growth and improves the efficacy of checkpoint therapy in vivo. Moreover, genetic suppression of glycolysis in tumor cells strongly improves checkpoint therapy. These findings support the rationale for targeting glycolysis in patients with high glycolytic tumors together with checkpoint inhibitors in clinical trials

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch
Anmerkungen
Cell reports. - 29, 1 (2019) , 135-150.e9, ISSN: 2211-1247

Schlagwort
Fixpunkt
Glykolyse
Lactate
Diclofenac
T-Lymphozyt
Natürliche Killerzelle
Interferon
Tumor

Ereignis
Veröffentlichung
(wo)
Freiburg
(wer)
Universität
(wann)
2019
Urheber
Renner, Kathrin
Bruss, Christina
Schnell, Annette
Lang, Sven Arke
Kreutz, Marina

DOI
10.1016/j.celrep.2019.08.068
URN
urn:nbn:de:bsz:25-freidok-1510826
Rechteinformation
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Letzte Aktualisierung
15.08.2025, 07:26 MESZ

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Beteiligte

  • Renner, Kathrin
  • Bruss, Christina
  • Schnell, Annette
  • Lang, Sven Arke
  • Kreutz, Marina
  • Universität

Entstanden

  • 2019

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