T-cell metabolism is central to the shaping of a successful immune response. However, there are pathological situations where T cells are rendered dysfunctional and incapable of eliminating infected or transformed cells. Here, we review the current knowledge on T-cell metabolism and how persistent antigenic stimulation, in the form of cancer and chronic viral infection, modifies both metabolic and functional pathways in T cells.
Keywords: Cancer r Chronic infection r Metabolism r Negative regulatory receptors r T cells
IntroductionQuiescent naive or memory T cells need to increase their cellular energy supply substantially in order to satisfy metabolic demands after antigen stimulation. This is usually achieved by enhancing their capacity for oxidative phosphorylation (OXPHOS), as well as by switching glucose metabolism toward aerobic glycolysis, thereby providing increased supplies of energy and metabolic intermediates necessary for cellular function and proliferation [1]. A successful T-cell response is usually sufficient to clear the antigen. However, there are pathological situations, such as viral infection or cancer, which could lead to T-cell dysfunction due to chronic stimulation by virus-or tumor-derived antigens. The recent observation that chronically stimulated T cells are regulated by specific cell surface inhibitory receptors [2][3][4] has fostered the search for therapies aimed at restoring T-cell function. Whether metabolic reprogramming is also required for restoring T-cell function under chronic antigenic exposure is currently unknown. In this review, we present and discuss the current knowledge about the metabolic requirements of chronically stimulated T cells, with a special emphasis on responses restored after the neutralization of programmed death receptor 1 (PD-1)/PD-Ligand interaction.
Metabolism of T cells: At rest and after stimulationWhen resting naive T cells exit the thymus; they have low metabolic requirements that serve to maintain most housekeeping (Fig. 1). To maintain this basal energy-generating metabolism, naive T cells require cell extrinsic signals. The cytokine IL-7, a hematopoietic growth hormone important for T-cell homeostasis, has been shown to promote basal T-cell survival and nutrient uptake [8,9]. IL-7 promotes glucose uptake via a signaling mechanism in which STAT5 transcriptional activity promotes AKT activation to regulate GLUT1 trafficking and glucose uptake that is critical to prevent T-cell death and maintain homeostasis [ 9]. TCR signals are also essential to sustain quiescent naive T cells (Fig. 1). It is generally believed that these cells need to interact with low affinity self MHC/peptide complexes to ensure long-term survival in the periphery [10]. In the absence of TCR ligation, T cells have been shown to rapidly downregulate GLUT1 and limit glucose uptake [11]. This process induces a decrease in mitochondrial potential, cellular ATP production, and glucose-derived metabolic substrates, which leads to apoptosis and progressive contraction of T-cell num...