1. mTOR regulates T cell exhaustion and PD-1-targeted immunotherapy response during chronic viral infection
- Author
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Ando, Satomi, Perkins, Charles M., Sajiki, Yamato, Chastain, Chase, Valanparambil, Rajesh M., Wieland, Andreas, Hudson, William H., Hashimoto, Masao, Ramalingam, Suresh S., Freeman, Gordon J., Ahmed, Rafi, and Araki, Koichi
- Subjects
Immunological research ,T cells -- Health aspects -- Physiological aspects ,Cell cycle -- Research ,Immunotherapy -- Physiological aspects ,Protein kinases -- Health aspects -- Physiological aspects ,Membrane proteins -- Health aspects -- Physiological aspects ,Cell differentiation -- Research ,Virus diseases -- Development and progression -- Care and treatment ,Health care industry - Abstract
T cell exhaustion is a state of T cell dysfunction associated with expression of programmed death 1 (PD-1). Exhausted [CD8.sup.+] T cells are maintained by self-renewing stem-like T cells that provide differentiated [TIM3.sup.+] cells, a part of which possesses effector-like properties. PD-1-targeted therapies enhance T cell response by promoting differentiation of stem- like T cells toward [TIM3.sup.+] cells, but the role of mTOR during T cell exhaustion remains elusive. Here, we showed that mTOR inhibition has distinct outcomes during the beginning of and after the establishment of chronic viral infection. Blocking mTOR during the T cell expansion phase enhanced the T cell response by causing accumulation of stem-like T cells, leading to improved efficacy of PD-1 immunotherapy; whereas, after exhaustion progressed, mTOR inhibition caused immunosuppression, characterized by decreased [TIM3.sup.+] cells and increased viral load with minimal changes in stem-like T cells. Mechanistically, a cell- intrinsic mTOR signal was vital for differentiation of stem-like T cells into the [TIM3.sup.+] state in the early and late phases of chronic infection as well as during PD-1 immunotherapy. Thus, PD-1 blockade worked after cessation of mTOR inhibition, but simultaneous treatment failed to induce functional [TIM3.sup.+] cells, reducing efficacy of PD-1 immunotherapy. Our data demonstrate that mTOR regulates T cell exhaustion and have important implications for combination cancer therapies with PD-1 blockade., Introduction T cell exhaustion is a state of T cell dysfunction; it is characterized by poor effector function, impaired proliferative capacity, and expression of multiple inhibitory receptors, most notably programmed [...]
- Published
- 2023
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