Investigating the functional effects of enhanced glucose metabolism in T cells with chimeric antigen receptors

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Abstract/Contents

Abstract
The combination of intensive nutrient requirements needed to sustain T cell activation and proliferation, alongside competition for nutrients within the tumor microenvironment suggest that glucose availability could limit CAR T cell function. Here we sought to test the hypothesis that stable overexpression (OE) of the glucose transporter GLUT1 in primary human CAR-T cells would improve function and antitumor potency. We observed that GLUT1OE CAR T cells manifest increased glucose uptake at rest and following activation, and this is associated with increased glycolysis and oxidative phosphorylation. In addition, GLUT1OE also enhanced MTOR signaling and broadly modulated metabolic programming, with substantial increases in glutathione mediated resistance to reactive oxygen species, and enhanced urea cycle and arginine metabolism. We observed no evidence for increased T cell exhaustion with GLUT1OE, but rather observed increased TCF1+ and CD62L, consistent with stemness programming. GLUT1OE CAR T cells showed increased cytokine production in response to tumor challenge and manifested superior tumor control in vivo. Our collective findings support a model wherein glucose availability is rate limiting for optimal effector CAR-T cell function and demonstrate that enhancing glucose availability via GLUT1 OE provides a new approach to augment antitumor immune function.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Arredondo-Guerrero, Justin
Degree supervisor Mackall, Crystal
Thesis advisor Mackall, Crystal
Thesis advisor Bendall, Sean, 1979-
Thesis advisor Bollyky, Paul
Thesis advisor Majzner, Robbie
Thesis advisor Meyer, Everett
Degree committee member Bendall, Sean, 1979-
Degree committee member Bollyky, Paul
Degree committee member Majzner, Robbie
Degree committee member Meyer, Everett
Associated with Stanford University, School of Medicine
Associated with Stanford University, Program in Immunology

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Justin Arredondo-Guerrero.
Note Submitted to the Program in Immunology.
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/pv518bj2942

Access conditions

Copyright
© 2023 by Justin Arredondo-Guerrero
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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