Exercise-induced microbiota metabolite enhances CD8 T cell antitumor immunity promoting immunotherapy efficacy.

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作者:Phelps Catherine M, Willis Nathaniel B, Duan Tingting, Lee Amanda H, Zhang Yue, Rodriguez J Daphne M, Pandey Surya P, Laughlin Colin R, Rosen Aaron B I, McPherson Alex C, Shapira Jake H, Randhawa Simran K, Hedden Lee, Richie Tanner G, Wiechman Hallie M, Bender Mackenzie J, Nemet Ina, Zöhrer Patrick A, Gottschalk Rachel A, Schmitz Kathryn H, Mullett Steven J, Gelhaus Stacy L, Davar Diwakar, Zarour Hassane M, Hinterleitner Reinhard, Mossington Thomas, Badger Jonathan H, Rodrigues Richard R, McCulloch John A, Lee Sonny T M, Wagner Karl-Heinz, Winter Maria G, Winter Sebastian E, Das Jishnu, Pierre Joseph F, Trinchieri Giorgio, Meisel Marlies
Exercise improves immune checkpoint inhibitor (ICI) efficacy in cancers such as melanoma; however, the mechanisms through which exercise mediates this antitumor effect remain obscure. Here, we identify that the gut microbiota plays a critical role in how exercise improves ICI efficacy in preclinical melanoma. Our study demonstrates that exercise stimulates microbial one-carbon metabolism, increasing levels of the metabolite formate, which subsequently enhances cytotoxic CD8 T cell (Tc1)-mediated ICI efficacy. We further establish that microbiota-derived formate is both sufficient and required to enhance Tc1 cell fate in vitro and promote tumor antigen-specific Tc1 immunity in vivo. Mechanistically, we identify the transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2) as a crucial mediator of formate-driven Tc1 function enhancement in vitro and a key player in the exercise-mediated antitumor effect in vivo. Finally, we uncover human microbiota-derived formate as a potential biomarker of enhanced Tc1-mediated antitumor immunity, supporting its functional role in melanoma suppression.

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