Abstract

<div>Abstract<p>Metabolic constraints in the tumor microenvironment constitute a barrier to effective antitumor immunity and similarities in the metabolic properties of T cells and cancer cells impede the specific therapeutic targeting of metabolism in either population. To identify distinct metabolic vulnerabilities of CD8<sup>+</sup> T cells and cancer cells, we developed a high-throughput <i>in vitro</i> pharmacologic screening platform and used it to measure the cell type–specific sensitivities of activated CD8<sup>+</sup> T cells and B16 melanoma cells to a wide array of metabolic perturbations during antigen-specific killing of cancer cells by CD8<sup>+</sup> T cells. We illustrated the applicability of this screening platform by showing that CD8<sup>+</sup> T cells were more sensitive to ferroptosis induction by inhibitors of glutathione peroxidase 4 (GPX4) than B16 and MC38 cancer cells. Overexpression of ferroptosis suppressor protein 1 (FSP1) or cytosolic GPX4 yielded ferroptosis-resistant CD8<sup>+</sup> T cells without compromising their function, while genetic deletion of the ferroptosis sensitivity–promoting enzyme acyl-CoA synthetase long-chain family member 4 (ACSL4) protected CD8<sup>+</sup> T cells from ferroptosis but impaired antitumor CD8<sup>+</sup> T-cell responses. Our screen also revealed high T cell–specific vulnerabilities for compounds targeting NAD<sup>+</sup> metabolism or autophagy and endoplasmic reticulum (ER) stress pathways. We focused the current screening effort on metabolic agents. However, this <i>in vitro</i> screening platform may also be valuable for rapid testing of other types of compounds to identify regulators of antitumor CD8<sup>+</sup> T-cell function and potential therapeutic targets.</p></div>

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