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    Home > Active Ingredient News > Immunology News > Immunity CD36 inhibits the anti-tumor function of CD8 T cells by attracting oxidized lipids and regulating lipid peroxidation

    Immunity CD36 inhibits the anti-tumor function of CD8 T cells by attracting oxidized lipids and regulating lipid peroxidation

    • Last Update: 2021-06-17
    • Source: Internet
    • Author: User
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    Editor | The unknown mechanism of strong immunosuppression in the tumor microenvironment has been a research hotspot in recent years
    .

    Answering key questions in these mechanisms will further advance the effectiveness of tumor immunotherapy in more people
    .

    Metabolic disorders or metabolic changes are a major feature of tumor cells
    .

    A large number of research evidences in recent years have shown that the tumor microenvironment (TME) has significantly different metabolic characteristics from normal tissue environment or blood [1,2], and how metabolic pathways regulate tumor immune response is an important factor.
    Problem
    .

    One of the characteristics of the tumor microenvironment is the disorder and imbalance of lipid metabolism, which is mainly manifested by lipid enrichment
    .

    Increased lipid absorption (including fatty acids, cholesterol) and intracellular neutral lipid enrichment not only inhibit the anti-tumor immune response, but enhance the tumor-promoting immune response
    .

    The tumor-infiltrating immune cells affected by this include antigen-presenting dendritic cells, neutrophils, myeloid-derived suppressor cells (MDSC), tumor-associated macrophages, regulatory CD4 T cells (Treg), and Cytotoxic CD8 T cells
    .

    On June 7, 2021, the Susan Kaech team of the Salk Institute and the Cui Guoliang team of the German Cancer Research Center (Dr.
    Xu Shihao as the first author) published a titled Uptake of oxidized lipids by the scavenger receptor CD36 promotes lipid in Immunity.
    peroxidation and dysfunction in CD8+ T cells in tumors
    .

    In the article, the author mainly discussed how CD8 T cells adapt to the tumor microenvironment at the level of lipid metabolism, and how their metabolic changes affect their tumor-killing immune response
    .

    The authors found that in the tumor microenvironment, the content of various lipids increased, especially oxidized phospholipids; the intracellular lipid content of tumor-infiltrating CD8 T cells (CD8 TILs) increased
    .

    At the same time, dysfunctional tumor-infiltrating CD8 T cells increase the expression of lipid membrane receptor CD36 molecules
    .

    The author discovered for the first time that CD36 molecules on the surface of tumor-infiltrating CD8 T cells absorb oxidized low-density lipoprotein (OxLDL), activate lipid peroxidation, and thereby inhibit the effector function of CD8 cells
    .

    First, in order to understand which lipids and their concentration changes are contained in the tumor microenvironment, the author used a mouse subcutaneous tumor model to separate tumor interstitial fluid (TIF), and together with the separated serum, the lipid mass spectrometry was performed
    .

    The results showed that the content of free fatty acids, acyl carnitine, and cholesterol ester in the tumor tissue fluid was significantly increased
    .

    In order to further understand the response of tumor-infiltrating CD8 T cells to the high-fat tumor microenvironment, combined with flow cytometry, the authors tested the lipid uptake and intracellular lipid content of tumor-infiltrating CD8 T cells
    .

    The results showed that tumor-infiltrating CD8 T cells enhanced the uptake of different lipids, including fatty acids and cholesterol, and increased intracellular lipid content
    .

    Unsaturated fatty acids are easily oxidized by free radicals, and the oxidized lipids are unstable, which can mediate oxidative stress-related and iron-dependent programmed cell death, also known as ferroptosis
    .

    Through immunohistochemical staining, the authors found that tumors contain higher levels of oxidized phospholipids than normal tissues
    .

    At the same time, tumor-infiltrating CD8 T cells increased the absorption of OxLDL and lipid peroxidation
    .

    These results indicate that tumor-infiltrating CD8 T cells do have adaptations or changes in lipid metabolism in the high-fat tumor microenvironment
    .

    The transmembrane transport of lipids usually depends on the membrane receptors or transporters of various lipids
    .

    By combining genomic expression profiling and flow cytometry, the authors found that tumor-infiltrating CD8 T cells up-regulated the expression of the lipid receptor CD36, especially in terminally exhausted CD8 TILs
    .

    Human-derived tumor-infiltrating CD8 T cells have similar characteristics
    .

    In order to understand whether CD36 is involved in regulating the anti-tumor function of CD8 T cells, the authors used a CD36 knockout transgenic mouse model and found that CD36 knockout (Cd36-/-) CD8 T cells are better than wild-type (Cd36+/+) CD8 T cells.
    Cells have stronger anti-tumor function and activity
    .

    These experimental results show that the high expression level of CD36 is not only related to the dysfunction of tumor-infiltrating CD8 T cells, but also directly involved in regulating the anti-tumor function of CD8 T cells
    .

    As a lipid receptor, CD36 participates in the binding and absorption of various lipids in different cells
    .

    In order to understand whether CD36 binds certain lipids in CD8 T cells, the authors compared the absorption of various lipids by Cd36-/- and Cd36+/+ cells
    .

    The results showed that compared with Cd36+/+ cells, Cd36-/- cells had no significant difference in the absorption of long-chain or medium-chain fatty acids or cholesterol, or the content of intracellular neutral lipids, or the mitochondrial oxidation of fatty acids.

    .

    However, in the absorption of OxLDL, Cd36-/- cells have a significant decrease
    .

    Through imaging flow cytometry, the authors found that OxLDL co-localizes with CD36 in the cell membrane
    .

    These experimental results indicate that the CD36 molecules on tumor-infiltrating CD8 T cells are involved in the absorption of OxLDL
    .

    In order to further clarify how CD36 and OxLDL regulate CD8 T cells, the authors found that OxLDL inhibits the effector function of CD8 T cells through CD36
    .

    The immunosuppressive function of OxLDL on CD8 T cells is through the activation of lipid peroxidation and downstream p38 kinase
    .

    In order to test whether lipid peroxidation can be regulated to change the anti-tumor function of CD8 T cells, the authors overexpressed glutathione-peroxidized lipid degrading enzyme (GPX4) in CD8 T cells and adopted it into tumor-bearing mice
    .

    The results showed that, compared with the control group, GPX4 overexpressed CD8 T cells showed stronger tumor suppressor activity, which was accompanied by higher effector functions
    .

    Figure 1 Oxidized lipids are a significant feature of inflammation, including atherosclerosis, but its role in the tumor microenvironment is not clear
    .

    This paper shows a new immunosuppressive mode in the tumor microenvironment: through high expression of the lipid receptor CD36, tumor-infiltrating CD8 T cells absorb oxidized low-density lipoproteins, increase lipid peroxidation, and enhance p38 kinase activity, thereby Loss of its anti-tumor effector function (Figure 1)
    .

    Recently, p38 kinase has also been found to be involved in negatively regulating the anti-tumor function of tumor-infiltrating CD8 T cells [3]
    .

    Too high lipid peroxide can trigger iron death of cells
    .

    Another recent paper found a very similar result: CD36 inhibits the anti-tumor function of CD8 T cells by regulating lipid peroxidation and cell iron death (see BioArt report: Cell Metab | Yi Qing team reveals that the lipid metabolism molecule CD36 regulates tumors The new mechanism of internal CD8+ T cell function) [4]
    .

    The transport of most fatty acids or other lipids depends on lipoproteins or albumin, and apoptotic cells in tumors produce large amounts of highly active oxidized lipids
    .

    The results of the study further clarify that oxidized lipids or oxidized low-density lipoproteins, through the lipid receptor CD36, which is highly expressed by CD8 T cells, activate p38 to affect the effector function of CD8 T cells
    .

    Iron death based on lipid peroxidation has attracted widespread attention in oncology in recent years, and glutathione-peroxidase lipolytic enzyme GPX4 is a key target for inducing iron death
    .

    The paper shows that GPX4 also plays an important role in the anti-tumor activity of CD8 T cells
    .

    At this point, the researchers believe that treatment options based on inhibiting GPX4 to induce tumor iron death need to avoid side effects on CD8 T cells
    .

    In addition to the role of CD36 in CD8 T cells, other studies in recent years have shown that CD36 can regulate the lipid metabolism, survival and function of Treg cells in tumors [5]; it participates in regulating the metabolism and survival of cancer stem cells [6, 7], indicating CD36 can be used as an important multi-directional tumor treatment target
    .

    Original link: https://doi.
    org/10.
    1016/j.
    immuni.
    2021.
    05.
    003 Platemaker: 11 References 1.
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    Cell Metab.
    33, 1001–1012.
    e5.
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    Wang, H.
    , Franco, F.
    , Tsui, YC, Xie, X.
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    , Mohmood, SR, Ferna´ ndez-Garcı´a, J.
    , Tsai, CH, Schulze, I.
    , et al.
    (2020).
    CD36-mediated metabolic adaptation supports regulatory T cell survival and function in tumors.
    Nat.
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    21, 298–308.
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    Ye, H.
    , Adane, B.
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    , Pei , S.
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    , Ashton, JM, et al.
    (2016).
    Leukemic Stem Cells Evade Chemotherapy by Metabolic Adaptation to an Adipose Tissue Niche.
    Cell Stem Cell 19, 23–37.
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    Pascual, G.
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    , Hueto, JA, et al.
    (2017).
    Targeting metastasis-initiating cells through the fatty acid receptor CD36.
    Nature 541, 41–45.
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