Cancer suppresses mitochondrial chaperone activity in macrophages to drive immune evasion
- Nat Immunol. 2025 Oct 29. doi: 10.1038/s41590-025-02324-2.
- 1. Department of Microbial Infection and Immunity, The Ohio State University College of Medicine, Columbus, OH, USA.
- 2. Pelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
- 3. Department of Oncology, University of Lausanne, Epalinges, Switzerland.
- 4. Ludwig Institute for Cancer Research, University of Lausanne, Epalinges, Switzerland.
- 5. Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
- 6. Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
- 7. Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
- 8. Center for Pediatric Immunotherapy, Angie Fowler AYA Cancer Institute, UH Rainbow Babies & Children's Hospital, Cleveland, OH, USA.
- 9. Department of Microbial Infection and Immunity, The Ohio State University College of Medicine, Columbus, OH, USA. [email protected].
- 10. Pelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. [email protected].
- 11. Center for Cancer Metabolism, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. [email protected].
Contrary to tumor-infiltrating T cells with dysfunctional mitochondria, tumor-associated macrophages (TAMs) preserve their mitochondrial activity in the nutrient-limited tumor microenvironment (TME) to sustain immunosuppression. Here we identify TNF receptor-associated protein-1 (TRAP1), a mitochondrial HSP90 chaperone, as a metabolic checkpoint that restrains oxidative respiration and limits macrophage suppressive function. In the TME, TRAP1 is downregulated through TIM4-AMPK signaling, and its loss enhances immunoinhibitory activity, limits proinflammatory capacity and promotes tumor immune escape. Mechanistically, TRAP1 suppression augments electron transport chain activity and elevates the α-ketoglutarate/succinate ratio, remodeling mitochondrial homeostasis. The resulting accumulation of α-ketoglutarate further potentiates JMJD3-mediated histone demethylation, establishing transcriptional programs that reinforce an immunosuppressive state. Restoring TRAP1 by targeting TIM4 and JMJD3 reprograms TAMs, disrupts the immune-evasive TME and bolsters antitumor immunity. These findings establish TRAP1 as a critical regulator integrating metabolic and epigenetic control of suppressive TAM function and position the TRAP1 pathway as a promising target for Cancer Immunotherapy.