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靶向 PSMD14-BCKDK 通路克服免疫抑制并增强 CAR-NK 在胶质母细胞瘤中的浸润

英文原题:Targeting the PSMD14-BCKDK pathway overcomes immune suppression and enhances CAR-NK infiltration in glioblastoma.

PubMed 2026/03/25(内容时间) Cell Death Differ Q1 · IF 13.6(JCR 2025)

研究概要

肿瘤细胞与免疫细胞之间的营养竞争是胶质母细胞瘤(GBM)微环境的标志性特征,但氨基酸代谢重编程与免疫逃逸的机制仍未完全阐明。

中文摘要

肿瘤细胞与免疫细胞之间的营养竞争是胶质母细胞瘤(GBM)微环境的典型特征,但氨基酸代谢重编程和免疫逃逸的机制尚未完全明确。本研究显示,GBM 细胞会与 NK 细胞竞争支链氨基酸(BCAA),导致 BCAA 耗竭、NK 细胞及 CD8⁺ T 细胞细胞毒性受抑,并促成免疫逃逸。从机制上看,我们发现 PSMD14、BCKDK 和 IGF2BP3 构成正反馈回路,可在翻译后稳定 BCKDK,并促进 GBM 细胞通过 SLC7A5/SLC7A8 摄取 BCAA。PSMD14 直接与 BCKDK 相互作用并使其去泛素化,从而拮抗 TRIM21 介导的蛋白酶体降解。这种代谢重塑会扰乱 NK 细胞信号和功能,因为 BCAA 缺乏可损害 PI3K/Akt 和 cGAS-STING 通路并破坏线粒体完整性。临床前模型显示,药理学抑制 PSMD14(使用 O-phenanthroline,OPA)或敲低 PSMD14 均可恢复免疫细胞浸润、增强 CAR-NK 细胞毒性,并与免疫治疗协同抑制 GBM 生长。临床分析进一步表明,GBM 中 PSMD14 和 BCKDK 高表达与 CD8⁺ T 细胞及 NK 细胞浸润减少、患者生存较差相关。这些发现提示 PSMD14-BCKDK 轴是调控肿瘤代谢适应和免疫抑制的核心因素,并支持单独抑制 PSMD14 或联合 CAR-NK 治疗,作为 GBM 精准免疫代谢干预的有前景策略。

展开英文摘要原文

Nutrient competition between tumor and immune cells is a hallmark of the glioblastoma (GBM) microenvironment, yet the mechanisms underlying amino acid metabolic reprogramming and immune evasion remain incompletely understood. Here, we demonstrate that GBM cells outcompete NK cells for branched-chain amino acid (BCAA), leading to BCAA depletion, suppression of NK and CD8 + T cell cytotoxicity, and immune escape. Mechanistically, we identify a positive feedback circuit involving PSMD14, BCKDK, and IGF2BP3 that stabilizes BCKDK post-translationally and promotes SLC7A5/SLC7A8-mediated BCAA uptake by GBM cells. PSMD14 directly interacts with and deubiquitinates BCKDK, antagonizing TRIM21-mediated proteasomal degradation. This metabolic remodeling disrupts NK cell signaling and function, as BCAA deprivation impairs PI3K/Akt and cGAS-STING pathways and disrupts mitochondrial integrity. Preclinical models reveal that pharmacologic inhibition of PSMD14 by O-phenanthroline (OPA) or PSMD14 knockdown restores immune cell infiltration, enhances CAR-NK cytotoxicity, and synergizes with immunotherapy to suppress GBM growth. Clinical analysis further establishes that elevated PSMD14 and BCKDK expression in GBM correlates with decreased CD8 + T and NK cell infiltration and poorer patient survival. These findings highlight the PSMD14-BCKDK axis as a central regulator of tumor metabolic adaptation and immune suppression, and support PSMD14 inhibition-alone or in combination with CAR-NK therapy-as a promising strategy for precision immunometabolic intervention in GBM.

论文信息

作者
Yu S、Wang M、Jiang C、Li X、Wang X、Cheng Q、Gong Z、Zhao Z
第一作者单位
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China.China
通讯作者单位
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, PR China. 2004xh0835@hust.edu.cn.China
期刊
Cell death and differentiation2026 Mar 25
原文标识
PubMed 41876842 · DOI 10.1038/s41418-026-01725-6