PMID- 28096382 OWN - NLM STAT- MEDLINE DCOM- 20180412 LR - 20211204 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 114 IP - 5 DP - 2017 Jan 31 TI - Mitochondrial activation chemicals synergize with surface receptor PD-1 blockade for T cell-dependent antitumor activity. PG - E761-E770 LID - 10.1073/pnas.1620433114 [doi] AB - Although immunotherapy by PD-1 blockade has dramatically improved the survival rate of cancer patients, further improvement in efficacy is required to reduce the fraction of less sensitive patients. In mouse models of PD-1 blockade therapy, we found that tumor-reactive cytotoxic T lymphocytes (CTLs) in draining lymph nodes (DLNs) carry increased mitochondrial mass and more reactive oxygen species (ROS). We show that ROS generation by ROS precursors or indirectly by mitochondrial uncouplers synergized the tumoricidal activity of PD-1 blockade by expansion of effector/memory CTLs in DLNs and within the tumor. These CTLs carry not only the activation of mechanistic target of rapamycin (mTOR) and AMP-activated protein kinase (AMPK) but also an increment of their downstream transcription factors such as PPAR-gamma coactivator 1alpha (PGC-1alpha) and T-bet. Furthermore, direct activators of mTOR, AMPK, or PGC-1alpha also synergized the PD-1 blockade therapy whereas none of above-mentioned chemicals alone had any effects on tumor growth. These findings will pave a way to developing novel combinatorial therapies with PD-1 blockade. FAU - Chamoto, Kenji AU - Chamoto K AD - Department of Immunology and Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. FAU - Chowdhury, Partha S AU - Chowdhury PS AD - Department of Immunology and Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. FAU - Kumar, Alok AU - Kumar A AD - Department of Immunology and Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. FAU - Sonomura, Kazuhiro AU - Sonomura K AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. AD - Life Science Research Center, Technology Research Laboratory, Shimadzu Corporation, Kyoto 604-8445, Japan. FAU - Matsuda, Fumihiko AU - Matsuda F AD - Center for Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. FAU - Fagarasan, Sidonia AU - Fagarasan S AD - Laboratory for Mucosal Immunity, Center for Integrative Medical Sciences, RIKEN Yokohama Institute, Yokohama 230-0045, Japan. FAU - Honjo, Tasuku AU - Honjo T AD - Department of Immunology and Genomic Medicine, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan; honjo@mfour.med.kyoto-u.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170117 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - 0 (4,6-dimorpholino-N-(4-nitrophenyl)-1,3,5-triazin-2-amine) RN - 0 (Antibodies, Monoclonal) RN - 0 (Biphenyl Compounds) RN - 0 (Cytokines) RN - 0 (Morpholines) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) RN - 0 (Ppargc1a protein, mouse) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Pyrones) RN - 0 (Reactive Oxygen Species) RN - 0 (Thiophenes) RN - 0 (Triazines) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - P68477CD2C (4-hydroxy-3-(4-(2-hydroxyphenyl)phenyl)-6-oxo-7H-thieno(2,3-b)pyridine-5-carbonitrile) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Antibodies, Monoclonal/pharmacology/*therapeutic use MH - Biphenyl Compounds MH - Cell Line, Tumor MH - Cytokines/immunology MH - Lymph Nodes/immunology MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Mitochondria/drug effects/*metabolism MH - Morpholines/pharmacology/therapeutic use MH - Neoplasms/*drug therapy/immunology/metabolism MH - Oxygen Consumption MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/metabolism MH - Programmed Cell Death 1 Receptor/*antagonists & inhibitors/genetics/immunology/metabolism MH - Pyrones/pharmacology/therapeutic use MH - Reactive Oxygen Species/metabolism MH - T-Lymphocytes, Cytotoxic/*immunology/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - Thiophenes/pharmacology/therapeutic use MH - Triazines/pharmacology/therapeutic use PMC - PMC5293087 OTO - NOTNLM OT - PD-1 OT - PGC-1alpha OT - cancer immunotherapy OT - immune metabolism OT - mitochondria COIS- The authors declare no conflict of interest. EDAT- 2017/01/18 06:00 MHDA- 2018/04/13 06:00 PMCR- 2017/01/17 CRDT- 2017/01/19 06:00 PHST- 2017/01/18 06:00 [pubmed] PHST- 2018/04/13 06:00 [medline] PHST- 2017/01/19 06:00 [entrez] PHST- 2017/01/17 00:00 [pmc-release] AID - 1620433114 [pii] AID - 201620433 [pii] AID - 10.1073/pnas.1620433114 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2017 Jan 31;114(5):E761-E770. doi: 10.1073/pnas.1620433114. Epub 2017 Jan 17.