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Ketolysis is a metabolic driver of CD8+ T cell effector function through histone acetylation

Luda, K. M.; Kitchen-Goosen, S. M.; Ma, E. H.; Watson, M. J.; Duimstra, L. R.; Oswald, B. M.; Longo, J.; Fu, Z.; Madaj, Z.; Kupai, A.; Dickson, B. M.; Kaymak, I.; Lau, K.; Compton, S.; DeCamp, L. M.; Kelly, D. P.; Puchalska, P.; Williams, K. S.; Krawczyk, C. M.; Levesque, D.; Boisvert, F.-M.; Sheldon, R.; Rothbart, S. B.; Crawford, P. A.; Jones, R. G.

2022-08-26 immunology
10.1101/2022.08.26.505402 bioRxiv
Show abstract

Environmental nutrient availability influences T cell metabolism, impacting T cell function and shaping immune outcomes. However, the metabolic pathways critical for optimal T cell responses remain poorly understood. Here, we identify ketone bodies (KBs) - including {beta}-hydroxybutyrate ({beta}OHB) and acetoacetate (AcAc) - as essential fuels supporting CD8+ T cell metabolism and effector function. Ketolysis is an intrinsic feature of highly functional CD8+ T effector (Teff) cells and {beta}OHB directly increases CD8+ Teff cell IFN-{gamma} production and cytolytic activity. Using metabolic tracers, we establish that CD8+ Teff cells preferentially use KBs over glucose to fuel the tricarboxylic acid (TCA) cycle in vitro and in vivo. KBs directly boost the respiratory capacity of CD8+ T cells and TCA cycle-dependent metabolic pathways that fuel T cell growth. Mechanistically, we find that {beta}OHB is a major substrate for acetyl-CoA production in CD8+ T cells and regulates effector responses through effects on histone acetylation. Together, our results identify cell-intrinsic ketolysis as a metabolic and epigenetic driver of optimal CD8+ T cell effector responses. One Sentence summaryKetone bodies promote CD8+ T cell metabolism and effector function through regulation of epigenetic programming

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