Altitude training for cancer-fighting cells

Altitude training for cancer-fighting cells
Cancerous tumor tissue under a microscope: T cells grown under low oxygen conditions (green) and regular T cells (purple) show similar distribution patterns vis-à-vis blood vessels (red). Right: The content of granzyme B, a cell-killing enzyme (red), is much higher in T cells grown under low oxygen conditions (top) than in regular T cells (bottom). Credit: Weizmann Institute of Science

Mountain climbers and endurance athletes are not the only ones to benefit from altitude training - that is, learning to perform well under low-oxygen conditions. It turns out that cancer-fighting cells of the immune system can also improve their performance through a cellular version of such a regimen. In a study published in Cell Reports, Weizmann Institute of Science researchers have shown that immune system's killer T cells destroy cancerous tumors much more effectively after being starved for oxygen.

Harnessing the immune system to battle malignancy - an approach known as cancer immunotherapy - has already started saving the lives of cancer patients in the past few years. In one major version of this approach, killer T are removed from the patient's blood, grown in a laboratory dish and adapted to identifying and destroying cancerous cells; they are then returned to the patient's bloodstream. This method has so far worked best against certain leukemias and lymphomas, but not against solid tumors, possibly because within such tumors, concentration is extremely low: 0.5% to 5% of the gas dissolved in the extracellular fluid - lower than in most healthy organs, and certainly much lower compared with a regular lab incubator, in which oxygen accounts for 20% of the gas dissolved in the culture fluid used for growing the cells.

Tumor cells don't seem to mind the shortage; they manage to make effective use of glucose, the major cellular fuel, even when oxygen concentration is low. But the same is not true for T cells, which have a hard time penetrating tumors and performing their killing function. Previous studies had shown that growing T cells under low-oxygen conditions helps them kill other cells in a laboratory dish, but their actual cancer-fighting ability has never been tested.

"Killer T cells are the foot soldiers of , they are the ones to target and destroy cancerous cells, but they don't always manage to eliminate the malignancy," says team leader Prof. Guy Shakhar of Weizmann's Immunology Department. "We've shown that by growing these T cells in an oxygen-poor environment, we can turn them into more effective killers."

In the new study, research student Yael Gropper and staff scientist Revital Zehavi-Feferman from Shakhar's team, together with Drs. Tomer Meir Salame and Ziv Porat of Weizmann's Life Sciences Core Facilities Department, and Dr. Tali Shalit from the Grand Israel National Center for Personalized Medicine, put T cells through an of sorts - by growing them in an incubator with an as low as 1%. They then divided mice affected by melanoma tumors into two groups; one group was injected with the oxygen-starved T cells, the other with T cells grown under regular oxygen conditions.

Oxygen-starved T cells proved much more effective at fighting the cancer. Mice treated with these cells lived longer and their tumors shrank much more dramatically compared with the mice treated with regular T cells. Surprisingly, the oxygen-starved T cells did not penetrate the tumors better than did the regular cells. Apparently, they countered the cancer more successfully because they had a higher content of the destructive enzyme, known as granzyme B, that penetrates and kills .

"Just as altitude training increases endurance in humans, so putting killer T cells through a 'fitness regimen' apparently toughens them up," Shakhar says.

If these findings are confirmed with human T cells, they may provide an immediate means of improving immunotherapy against . Explains Shakhar: "In cellular immunotherapy, T cells need to be removed and grown outside the body in any event. Growing them under low oxygen pressure is relatively simple, but this small adjustment to existing clinical protocols may significantly improve the therapy's effectiveness."


Explore further

Modulating T-cell metabolism uncovers new technology for enhancing immunotherapy

More information: Yael Gropper et al. Culturing CTLs under Hypoxic Conditions Enhances Their Cytolysis and Improves Their Anti-tumor Function, Cell Reports (2017). DOI: 10.1016/j.celrep.2017.08.071
Journal information: Cell Reports

Citation: Altitude training for cancer-fighting cells (2017, September 18) retrieved 2 April 2020 from https://medicalxpress.com/news/2017-09-altitude-cancer-fighting-cells.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
5 shares

Feedback to editors

User comments