[PDF][PDF] Lactate limits T cell proliferation via the NAD (H) redox state

WJ Quinn, J Jiao, T TeSlaa, J Stadanlick, Z Wang… - Cell reports, 2020 - cell.com
WJ Quinn, J Jiao, T TeSlaa, J Stadanlick, Z Wang, L Wang, T Akimova, A Angelin
Cell reports, 2020cell.com
Immune cell function is influenced by metabolic conditions. Low-glucose, high-lactate
environments, such as the placenta, gastrointestinal tract, and the tumor microenvironment,
are immunosuppressive, especially for glycolysis-dependent effector T cells. We report that
nicotinamide adenine dinucleotide (NAD+), which is reduced to NADH by lactate
dehydrogenase in lactate-rich conditions, is a key point of metabolic control in T cells.
Reduced NADH is not available for NAD+-dependent enzymatic reactions involving …
Summary
Immune cell function is influenced by metabolic conditions. Low-glucose, high-lactate environments, such as the placenta, gastrointestinal tract, and the tumor microenvironment, are immunosuppressive, especially for glycolysis-dependent effector T cells. We report that nicotinamide adenine dinucleotide (NAD+), which is reduced to NADH by lactate dehydrogenase in lactate-rich conditions, is a key point of metabolic control in T cells. Reduced NADH is not available for NAD+-dependent enzymatic reactions involving glyceraldehyde 3-phosphate dehydrogenase (GAPDH) and 3-phosphoglycerate dehydrogenase (PGDH). We show that increased lactate leads to a block at GAPDH and PGDH, leading to the depletion of post-GAPDH glycolytic intermediates, as well as the 3-phosphoglycerate derivative serine that is known to be important for T cell proliferation. Supplementing serine rescues the ability of T cells to proliferate in the presence of lactate-induced reductive stress. Directly targeting the redox state may be a useful approach for developing novel immunotherapies in cancer and therapeutic immunosuppression.
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