To search for mechanisms and markers underlying context-dependent  Treg adaptation in tumors, Lim and Wei et al. analyzed the transcriptomic data from Tregs isolated from tumors and peripheral tissue and found intratumoral Treg upregulation of sterol regulatory element-binding proteins (SREBPs), transcription factors involved in de novo fatty acid synthesis. Treg-specific deletion of SREBP cleavage-activating protein (SCAP) inhibited tumor growth alone and with anti-PD-1 in MC38 and B16 tumor models. Deletion of downstream fatty acid synthase (FASN) affected functional Treg maturation, and mevalonate metabolism-driven protein geranylgeranylation upregulated PD-1.

Contributed by Shishir Pant

ABSTRACT: Regulatory T cells (Treg cells) are essential for immune tolerance1, but also drive immunosuppression in the tumour microenvironment2. Therapeutic targeting of Treg cells in cancer will therefore require the identification of context-specific mechanisms that affect their function. Here we show that inhibiting lipid synthesis and metabolic signalling that are dependent on sterol-regulatory-element-binding proteins (SREBPs) in Treg cells unleashes effective antitumour immune responses without autoimmune toxicity. We find that the activity of SREBPs is upregulated in intratumoral Treg cells. Moreover, deletion of SREBP-cleavage-activating protein (SCAP)-a factor required for SREBP activity-in these cells inhibits tumour growth and boosts immunotherapy that is triggered by targeting the immune-checkpoint protein PD-1. These effects of SCAP deletion are associated with uncontrolled production of interferon-γ and impaired function of intratumoral Treg cells. Mechanistically, signalling through SCAP and SREBPs coordinates cellular programs for lipid synthesis and inhibitory receptor signalling in these cells. First, de novo fatty-acid synthesis mediated by fatty-acid synthase (FASN) contributes to functional maturation of Treg cells, and loss of FASN from Treg cells inhibits tumour growth. Second, Treg cells in tumours show enhanced expression of the PD-1 gene, through a process that depends on SREBP activity and signals via mevalonate metabolism to protein geranylgeranylation. Blocking PD-1 or SREBP signalling results in dysregulated activation of phosphatidylinositol-3-kinase in intratumoral Treg cells. Our findings show that metabolic reprogramming enforces the functional specialization of Treg cells in tumours, pointing to new ways of targeting these cells for cancer therapy.

Author Info: (1) Department of Immunology, St Jude Children's Research Hospital, Memphis, TN, USA. (2) Department of Pathology, St Jude Children's Research Hospital, Memphis, TN, USA. (3) Depar

Author Info: (1) Department of Immunology, St Jude Children's Research Hospital, Memphis, TN, USA. (2) Department of Pathology, St Jude Children's Research Hospital, Memphis, TN, USA. (3) Department of Immunology, St Jude Children's Research Hospital, Memphis, TN, USA. hongbo.chi@stjude.org. #Contributed equally.