Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors

Background Glucose deprivation inhibits T-cell metabolism and function. Glucose levels are low in the tumor microenvironment of solid tumors and insufficient glucose uptake limits the antitumor response of T cells. Furthermore, glucose restriction can contribute to the failure of chimeric antigen re...

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Main Authors: Hui Wang, Yi Zhang, Feng Li, Shasha Liu, Shumin Wang, Wenhao Hu, Yue Liang, Chunyi Shen, Yuyu Zhao
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/13/1/e010540.full
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author Hui Wang
Yi Zhang
Feng Li
Shasha Liu
Shumin Wang
Wenhao Hu
Yue Liang
Chunyi Shen
Yuyu Zhao
author_facet Hui Wang
Yi Zhang
Feng Li
Shasha Liu
Shumin Wang
Wenhao Hu
Yue Liang
Chunyi Shen
Yuyu Zhao
author_sort Hui Wang
collection DOAJ
description Background Glucose deprivation inhibits T-cell metabolism and function. Glucose levels are low in the tumor microenvironment of solid tumors and insufficient glucose uptake limits the antitumor response of T cells. Furthermore, glucose restriction can contribute to the failure of chimeric antigen receptor T (CAR-T) cell therapy for solid tumors. However, the impact of glucose restriction remains unknown in CAR-T cell therapy.Methods Glucose transporters were detected and overexpressed in CAR-T cells. The impacts of glucose restriction on CAR-T cells were checked in vitro and in vivo.Results Glucose restriction significantly decreased CAR-T cell activation, effector function, and expansion. CAR-T cells expressed high levels of the glucose transporter Glut1, which has a low affinity for glucose. Overexpression of Glut1 failed to improve CAR-T cell function under glucose-restricted conditions. In contrast, the function and antitumor potential of CAR-T cells was enhanced by the overexpression of Glut3, which has the highest affinity for glucose among the Glut transporter family and is expressed in minor parts of CAR-T cells. Glut3-overexpressing CAR-T cells demonstrated increased tumoricidal efficacy in multiple xenografts and syngenetic mouse models. Furthermore, Glut3 overexpression activated the PI3K/Akt pathway and increased OXPHOS and mitochondrial fitness.Conclusions We provide a direct and effective approach to enhance low glucose uptake levels by CAR-T cells and improve their antitumor efficacy against solid tumors.
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spelling doaj-art-9a54571a03c7451fbc02271c652516b42025-01-20T00:55:12ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262025-01-0113110.1136/jitc-2024-010540Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumorsHui Wang0Yi Zhang1Feng Li2Shasha Liu3Shumin Wang4Wenhao Hu5Yue Liang6Chunyi Shen7Yuyu Zhao8Biotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBiotherapy Center & Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People`s Republic of ChinaBackground Glucose deprivation inhibits T-cell metabolism and function. Glucose levels are low in the tumor microenvironment of solid tumors and insufficient glucose uptake limits the antitumor response of T cells. Furthermore, glucose restriction can contribute to the failure of chimeric antigen receptor T (CAR-T) cell therapy for solid tumors. However, the impact of glucose restriction remains unknown in CAR-T cell therapy.Methods Glucose transporters were detected and overexpressed in CAR-T cells. The impacts of glucose restriction on CAR-T cells were checked in vitro and in vivo.Results Glucose restriction significantly decreased CAR-T cell activation, effector function, and expansion. CAR-T cells expressed high levels of the glucose transporter Glut1, which has a low affinity for glucose. Overexpression of Glut1 failed to improve CAR-T cell function under glucose-restricted conditions. In contrast, the function and antitumor potential of CAR-T cells was enhanced by the overexpression of Glut3, which has the highest affinity for glucose among the Glut transporter family and is expressed in minor parts of CAR-T cells. Glut3-overexpressing CAR-T cells demonstrated increased tumoricidal efficacy in multiple xenografts and syngenetic mouse models. Furthermore, Glut3 overexpression activated the PI3K/Akt pathway and increased OXPHOS and mitochondrial fitness.Conclusions We provide a direct and effective approach to enhance low glucose uptake levels by CAR-T cells and improve their antitumor efficacy against solid tumors.https://jitc.bmj.com/content/13/1/e010540.full
spellingShingle Hui Wang
Yi Zhang
Feng Li
Shasha Liu
Shumin Wang
Wenhao Hu
Yue Liang
Chunyi Shen
Yuyu Zhao
Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
Journal for ImmunoTherapy of Cancer
title Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
title_full Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
title_fullStr Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
title_full_unstemmed Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
title_short Glut3 overexpression improves environmental glucose uptake and antitumor efficacy of CAR-T cells in solid tumors
title_sort glut3 overexpression improves environmental glucose uptake and antitumor efficacy of car t cells in solid tumors
url https://jitc.bmj.com/content/13/1/e010540.full
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