1. Academic Validation
  2. Purine salvage pathway protects CD8+ T cells from metabolic stress

Purine salvage pathway protects CD8+ T cells from metabolic stress

  • Nat Immunol. 2026 May;27(5):1026-1038. doi: 10.1038/s41590-026-02491-w.
Masaki Tajima 1 He Hao # 2 3 4 Baihao Zhang # 5 Yuta Matsuoka # 6 Kazuhiro Sonomura 7 Koshi Imami 8 Yosuke Isobe 9 Rae Maeda 6 Yu-Hsien Lin 2 Akihiro Shimba 2 Ryoma Kato 2 Pedro Henrique Costa Cruz 2 Sayaka Washizu 2 Yosuke Ikejiri 2 Akiyo Morinibu 2 Clive Steven Barker 10 Jun Seita 10 Yibo Wu 11 12 Satomi Ito 5 Seiko Narushima 5 Rei Nakano 5 Mikako Maruya 5 Wakana Kobayashi 5 Sai Shanmukha Priya Narayanan 2 Jumana Shaheen 2 Hiroyuki Neyama 6 Ken-Ichi Yamada 13 Makoto Arita 9 14 Yuki Sugiura 6 15 Sidonia Fagarasan 16 17
Affiliations

Affiliations

  • 1 Division of Integrated High-Order Regulatory Systems, Center for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. [email protected].
  • 2 Division of Integrated High-Order Regulatory Systems, Center for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • 3 Department of Internal Medicine, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, China.
  • 4 Cancer Center, Shanxi Bethune Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China.
  • 5 Laboratory for Mucosal Immunity, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan.
  • 6 Multi Omics Platform, Center for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • 7 Center for Genomic Medicine, Kyoto University Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • 8 Proteome Homeostasis Research Unit, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan.
  • 9 Laboratory for Metabolomics, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan.
  • 10 Laboratory for Integrative Genomics, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan.
  • 11 YCI Laboratory for Next-Generation Proteomics, Center for Integrative Medical Sciences, RIKEN Yokohama Institute, Yokohama, Japan.
  • 12 Department of Biomedical Sciences, University of Lausanne, Lausanne, Switzerland.
  • 13 Department of Molecular Pathobiology, Faculty of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.
  • 14 Division of Physiological Chemistry and Metabolism, Graduate School of Pharmaceutical Sciences, Keio University, Tokyo, Japan.
  • 15 Human Biology-Microbiome-Quantum Research Center (WPI-Bio2Q), Keio University, Tokyo, Japan.
  • 16 Division of Integrated High-Order Regulatory Systems, Center for Cancer Immunotherapy and Immunobiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan. [email protected].
  • 17 Laboratory for Mucosal Immunity, Center for Integrative Medical Sciences, RIKEN, Yokohama, Japan. [email protected].
  • # Contributed equally.
Abstract

Metabolic stress from a high-fat diet (HFD) impairs antitumor immunity through persistent metabolic rewiring, but its effects and long-term impact on CD8+ T cell metabolism remain unknown. Here, we found that even temporary exposure to a HFD impaired antitumor immunity 10 weeks after reversion to a normal diet. This was due to lasting metabolome changes that included enrichment in Phospholipids sensitive to peroxidation and depletion of Antioxidants, affecting the survival and function of CD8+ T cells. Under oxidative stress, CD8+ T cells utilized the xanthine salvage pathway to produce guanosine triphosphate, enhancing the amount of tetrahydrobiopterin. Xanthine supplementation reduced lipid peroxidation in tumor-draining lymph nodes and improved antitumor immunity in mice previously on a HFD. Our data indicate that metabolic stress in CD8+ T cells persists long after restoration of a balanced diet, and manifests as vulnerability to Ferroptosis, which could be mitigated by replenishing biopterins through the xanthine salvage pathway.

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