High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets

Potassium ions (K+) released from dying necrotic tumour cells accumulate in the tumour microenvironment (TME) and increase the local K+ concentration to 50 mM (high-[K+]e). Here, we demonstrate that high-[K+]e decreases expression of the T-cell receptor subunits CD3ε and CD3ζ and co-stimulatory rece...

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Main Authors: Wong, Brandon Han Siang, Poh, Zhi Sheng, Tan, James Chia Wei, Amuthavalli, Kottaiswamy, Ho, Ying Swan, Chen, Shuwen, Mak, Shi Ya, Bi, Xuezhi, Webster, Richard David, Shelat, Vishalkumar G., Chandy, Kanianthara George, Verma, Navin Kumar
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Journal Article
Language:English
Published: 2025
Subjects:
Online Access:https://hdl.handle.net/10356/182492
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author Wong, Brandon Han Siang
Poh, Zhi Sheng
Tan, James Chia Wei
Amuthavalli, Kottaiswamy
Ho, Ying Swan
Chen, Shuwen
Mak, Shi Ya
Bi, Xuezhi
Webster, Richard David
Shelat, Vishalkumar G.
Chandy, Kanianthara George
Verma, Navin Kumar
author2 Lee Kong Chian School of Medicine (LKCMedicine)
author_facet Lee Kong Chian School of Medicine (LKCMedicine)
Wong, Brandon Han Siang
Poh, Zhi Sheng
Tan, James Chia Wei
Amuthavalli, Kottaiswamy
Ho, Ying Swan
Chen, Shuwen
Mak, Shi Ya
Bi, Xuezhi
Webster, Richard David
Shelat, Vishalkumar G.
Chandy, Kanianthara George
Verma, Navin Kumar
author_sort Wong, Brandon Han Siang
collection NTU
description Potassium ions (K+) released from dying necrotic tumour cells accumulate in the tumour microenvironment (TME) and increase the local K+ concentration to 50 mM (high-[K+]e). Here, we demonstrate that high-[K+]e decreases expression of the T-cell receptor subunits CD3ε and CD3ζ and co-stimulatory receptor CD28 and thereby dysregulates intracellular signal transduction cascades. High-[K+]e also alters the metabolic profiles of T-cells, limiting the metabolism of glucose and glutamine, consistent with functional exhaustion. These changes skew T-cell differentiation, favouring Th2 and iTreg subsets that promote tumour growth while restricting antitumour Th1 and Th17 subsets. Similar phenotypes were noted in T-cells present within the necrosis-prone core versus the outer zones of hepatocellular carcinoma (HCC)/colorectal carcinoma (CRC) tumours as analysed by GeoMx digital spatial profiling and flow-cytometry. Our results thus expand the understanding of the contribution of high-[K+]e to the immunosuppressive milieu in the TME.
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spelling ntu-10356/1824922025-02-09T15:40:27Z High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets Wong, Brandon Han Siang Poh, Zhi Sheng Tan, James Chia Wei Amuthavalli, Kottaiswamy Ho, Ying Swan Chen, Shuwen Mak, Shi Ya Bi, Xuezhi Webster, Richard David Shelat, Vishalkumar G. Chandy, Kanianthara George Verma, Navin Kumar Lee Kong Chian School of Medicine (LKCMedicine) School of Chemistry, Chemical Engineering and Biotechnology Tan Tock Seng Hospital National Skin Centre, Singapore Skin Research Institute of Singapore NTU Institute for Health Technologies Medicine, Health and Life Sciences Immune suppression Metabolomics Potassium ions (K+) released from dying necrotic tumour cells accumulate in the tumour microenvironment (TME) and increase the local K+ concentration to 50 mM (high-[K+]e). Here, we demonstrate that high-[K+]e decreases expression of the T-cell receptor subunits CD3ε and CD3ζ and co-stimulatory receptor CD28 and thereby dysregulates intracellular signal transduction cascades. High-[K+]e also alters the metabolic profiles of T-cells, limiting the metabolism of glucose and glutamine, consistent with functional exhaustion. These changes skew T-cell differentiation, favouring Th2 and iTreg subsets that promote tumour growth while restricting antitumour Th1 and Th17 subsets. Similar phenotypes were noted in T-cells present within the necrosis-prone core versus the outer zones of hepatocellular carcinoma (HCC)/colorectal carcinoma (CRC) tumours as analysed by GeoMx digital spatial profiling and flow-cytometry. Our results thus expand the understanding of the contribution of high-[K+]e to the immunosuppressive milieu in the TME. Ministry of Education (MOE) Ministry of Health (MOH) Nanyang Technological University National Medical Research Council (NMRC) National Research Foundation (NRF) Published version This research was supported, in part, by the Singapore Ministry of Education (MOE) under its MOE Academic Research Fund (AcRF) Tier 2 Grant (MOE2017-T2-2-004), AcRF Tier 1 Grant (2020-T1-001-062) and the National Research Foundation Singapore under its Open Fund Large Collaborative Grant (OFLCG18May-0028) and administered by the Singapore Ministry of Health’s National Medical Research Council (NMRC). Navin Kumar Verma was a recipient of these grants. Brandon Han Siang Wong and Zhi Sheng Poh are recipients of PhD fellowships from HealthTech NTU and Lee Kong Chian School of Medicine, Nanyang Technological University Singapore. 2025-02-04T08:22:05Z 2025-02-04T08:22:05Z 2024 Journal Article Wong, B. H. S., Poh, Z. S., Tan, J. C. W., Amuthavalli, K., Ho, Y. S., Chen, S., Mak, S. Y., Bi, X., Webster, R. D., Shelat, V. G., Chandy, K. G. & Verma, N. K. (2024). High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets. European Journal of Immunology, e202451440-. https://dx.doi.org/10.1002/eji.202451440 0014-2980 https://hdl.handle.net/10356/182492 10.1002/eji.202451440 39651799 2-s2.0-85211249674 e202451440 en MOE2017-T2-2-004 2020-T1-001-062 OFLCG18May-0028 European Journal of Immunology © 2024 The Author(s). European Journal of Immunology published by Wiley-VCH GmbH. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the originalwork is properly cited and is not used for commercial purposes. application/pdf
spellingShingle Medicine, Health and Life Sciences
Immune suppression
Metabolomics
Wong, Brandon Han Siang
Poh, Zhi Sheng
Tan, James Chia Wei
Amuthavalli, Kottaiswamy
Ho, Ying Swan
Chen, Shuwen
Mak, Shi Ya
Bi, Xuezhi
Webster, Richard David
Shelat, Vishalkumar G.
Chandy, Kanianthara George
Verma, Navin Kumar
High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title_full High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title_fullStr High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title_full_unstemmed High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title_short High extracellular K+ skews T-cell differentiation towards tumour promoting Th2 and Treg subsets
title_sort high extracellular k skews t cell differentiation towards tumour promoting th2 and treg subsets
topic Medicine, Health and Life Sciences
Immune suppression
Metabolomics
url https://hdl.handle.net/10356/182492
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