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CAR T-Cells Depend on the Coupling of NADH Oxidation with ATP Production
Journal article   Open access   Peer reviewed

CAR T-Cells Depend on the Coupling of NADH Oxidation with ATP Production

Juan C. Garcia-Canaveras, David Heo, Sophie Trefely, John Leferovich, Chong Xu, Benjamin Philipson, Saba Ghassemi, Michael C. Milone, Edmund K. Moon, Nathaniel W. Snyder, …
Cells (Basel, Switzerland), v 10(9), p2334
01 Sep 2021
PMID: 34571983
url
https://doi.org/10.3390/cells10092334View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Cell Biology Life Sciences & Biomedicine Science & Technology
The metabolic milieu of solid tumors provides a barrier to chimeric antigen receptor (CAR) T-cell therapies. Excessive lactate or hypoxia suppresses T-cell growth, through mechanisms including NADH buildup and the depletion of oxidized metabolites. NADH is converted into NAD(+) by the enzyme Lactobacillus brevis NADH Oxidase (LbNOX), which mimics the oxidative function of the electron transport chain without generating ATP. Here we determine if LbNOX promotes human CAR T-cell metabolic activity and antitumor efficacy. CAR T-cells expressing LbNOX have enhanced oxygen as well as lactate consumption and increased pyruvate production. LbNOX renders CAR T-cells resilient to lactate dehydrogenase inhibition. But in vivo in a model of mesothelioma, CAR T-cell's expressing LbNOX showed no increased antitumor efficacy over control CAR T-cells. We hypothesize that T cells in hostile environments face dual metabolic stressors of excessive NADH and insufficient ATP production. Accordingly, futile T-cell NADH oxidation by LbNOX is insufficient to promote tumor clearance.

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Collaboration types
Domestic collaboration
Web of Science research areas
Cell Biology
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