한빛사논문
Yuna Jo 1,2, Ju A Shim 1,2, Jin Woo Jeong 1,2,3, Hyori Kim 1,2,3, So Min Lee 1,2,3, Juhee Jeong 4, Segi Kim 5, Sun-Kyoung Im 6, Donghoon Choi 6, Byung Ha Lee 7, Yun Hak Kim 1,2, Chi Dae Kim 8, Chan Hyuk Kim 5, Changwan Hong 1,2,3*
1Department of Anatomy, Pusan National University School of Medicine, Yangsan 50612, Republic of Korea
2Department of Convergence Medical Science, Pusan National University School of Medicine, Yangsan 50612, Republic of Korea
3PNU GRAND Convergence Medical Science Education Research Center, Pusan National University School of Medicine, Yangsan 50612, Republic of Korea
4Department of Anatomy and Cell Biology, Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea.
5Department of Biological Sciences, Korea Advanced Institute of Science and Technology,Daejeon,34141, Republic of Korea
6NeoImmunetech, Co., Ltd., Pohang,37666, Republic of Korea
7NeoImmunetech, Inc., Rockville,20850, MD, USA
8Department of Pharmacology, Pusan National University School of Medicine, Yangsan 50612, Republic of Korea
*Corresponding author: correspondence to Changwan Hong
Abstract
Cytotoxic T lymphocytes (CTLs) play a crucial role in cancer rejection. However, CTLs encounter dysfunction and exhaustion in the immunosuppressive tumor microenvironment (TME). Although the reactive oxygen species (ROS)-rich TME attenuates the CTL function, the underlying molecular mechanism remains poorly understood. The nuclear factor-erythroid 2-related-2 (Nrf2) is ROS-responsible factor implicated in increasing susceptibility to cancer progression. Therefore, we examined how Nrf2 is involved in anti-tumor responses of CD8+ T and chimeric antigen receptor (CAR)-T cells under ROS-rich TME. Here, we demonstrated that tumor growth in Nrf2-/- mice was significantly controlled and was reversed by T cell depletion and further confirmed that Nrf2 deficiency in T cells promotes anti-tumor responses using adoptive transfer model of antigen-specific CD8+ T cells. Nrf2-deficient CTLs are resistant to ROS, and their effector functions are sustained in TME. Furthermore, Nrf2 knockdown in human CAR-T cells enhanced the survival and function of intratumoral CAR-T cells in solid tumor xenograft model and effectively controlled tumor growth. ROS-sensing Nrf2 inhibits the anti-tumor T cell responses, indicating that Nrf2 may be a potential target for T cell immunotherapy strategies against solid tumors.
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