CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma

Background/Aims The identification of factors that lead to CD8+ T cell dysfunction within the tumor microenvironment (TME) holds great promise for the development of innovative immunotherapies. However, the mechanisms underlying the exhausted phenotype of CD8+ T cells infiltrating early-stage hepato...

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Main Authors: Yifei Qin, Fei Huo, Zhuan Feng, Jialu Hou, Yaxin Ding, Quancheng Wang, Yu Gui, Ziwei Yang, Jiali Yang, Gang Zhou, Ling Li, Jianli Jiang, Lingmin Kong, Shijie Wang, Gang Nan, Dingqiao Xu, Xiaohang Xie, Lijuan Wang, Qian He, Ruibin Yang, Peng Lin, Huijie Bian, Zhi-Nan Chen, Jiao Wu
Format: Article
Language:English
Published: Korean Association for the Study of the Liver 2025-07-01
Series:Clinical and Molecular Hepatology
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Online Access:http://e-cmh.org/upload/pdf/cmh-2024-0948.pdf
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author Yifei Qin
Fei Huo
Zhuan Feng
Jialu Hou
Yaxin Ding
Quancheng Wang
Yu Gui
Ziwei Yang
Jiali Yang
Gang Zhou
Ling Li
Jianli Jiang
Lingmin Kong
Shijie Wang
Gang Nan
Dingqiao Xu
Xiaohang Xie
Lijuan Wang
Qian He
Ruibin Yang
Peng Lin
Huijie Bian
Zhi-Nan Chen
Jiao Wu
author_facet Yifei Qin
Fei Huo
Zhuan Feng
Jialu Hou
Yaxin Ding
Quancheng Wang
Yu Gui
Ziwei Yang
Jiali Yang
Gang Zhou
Ling Li
Jianli Jiang
Lingmin Kong
Shijie Wang
Gang Nan
Dingqiao Xu
Xiaohang Xie
Lijuan Wang
Qian He
Ruibin Yang
Peng Lin
Huijie Bian
Zhi-Nan Chen
Jiao Wu
author_sort Yifei Qin
collection DOAJ
description Background/Aims The identification of factors that lead to CD8+ T cell dysfunction within the tumor microenvironment (TME) holds great promise for the development of innovative immunotherapies. However, the mechanisms underlying the exhausted phenotype of CD8+ T cells infiltrating early-stage hepatocellular carcinoma (HCC) tumors remain unclear. Methods Single-cell RNA sequencing was performed using a murine HCC model. Flow cytometry and additional experimental approaches were employed to investigate the mechanisms of CD8+ T cell exhaustion. Results CD8+ T cells infiltrating early-stage HCC exhibited a functionally exhausted phenotype, which escalated with HCC progression. At early stages of HCC, the TME was characterized by significant iron accumulation. Moreover, tumor-infiltrating CD8+ T cells in murine HCC exhibited higher levels of intracellular ferrous iron compared to splenic CD8+ T. This excessive iron led to increased lipid peroxide levels and impaired the effector function of CD8+ T cells. Mechanistically, CD36 upregulated the iron uptake protein transferrin receptor 1 (TfR1) by mediating the activation of oxidized low-density lipoprotein (oxLDL)-p38-CEBPB axis. Depletion of CD36 in CD8+ T cells inhibited the upregulation of TfR1 and the increase of iron levels. Furthermore, constitutively activated nuclear factor erythroid 2-related factor 2 (NRF2) effectively suppressed lipid peroxidation, thereby preserving the effector functions of intratumoral CD8+ T cells and ultimately inhibiting tumor growth. Conclusions Our findings reveal a previously unidentified mechanism mediated by CD36 that regulates the progressive dysfunction of CD8+ T cells in early HCC TME and provide a potential novel therapeutic approach to restore T cell function.
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publisher Korean Association for the Study of the Liver
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series Clinical and Molecular Hepatology
spelling doaj-art-30bd5a3d7e44496182dfa87b39592abb2025-08-20T03:17:26ZengKorean Association for the Study of the LiverClinical and Molecular Hepatology2287-27282287-285X2025-07-0131396098010.3350/cmh.2024.09482202CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinomaYifei Qin0Fei Huo1Zhuan Feng2Jialu Hou3Yaxin Ding4Quancheng Wang5Yu Gui6Ziwei Yang7Jiali Yang8Gang Zhou9Ling Li10Jianli Jiang11Lingmin Kong12Shijie Wang13Gang Nan14Dingqiao Xu15Xiaohang Xie16Lijuan Wang17Qian He18Ruibin Yang19Peng Lin20Huijie Bian21Zhi-Nan Chen22Jiao Wu23 Institutes of Biomedicine and Department of Cell Biology, Jinan University, Guangzhou, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, China Department of Cell Biology, National Translational Science Center for Molecular Medicine, Fourth Military Medical University, 169 Changle West Road, 710032, ChinaBackground/Aims The identification of factors that lead to CD8+ T cell dysfunction within the tumor microenvironment (TME) holds great promise for the development of innovative immunotherapies. However, the mechanisms underlying the exhausted phenotype of CD8+ T cells infiltrating early-stage hepatocellular carcinoma (HCC) tumors remain unclear. Methods Single-cell RNA sequencing was performed using a murine HCC model. Flow cytometry and additional experimental approaches were employed to investigate the mechanisms of CD8+ T cell exhaustion. Results CD8+ T cells infiltrating early-stage HCC exhibited a functionally exhausted phenotype, which escalated with HCC progression. At early stages of HCC, the TME was characterized by significant iron accumulation. Moreover, tumor-infiltrating CD8+ T cells in murine HCC exhibited higher levels of intracellular ferrous iron compared to splenic CD8+ T. This excessive iron led to increased lipid peroxide levels and impaired the effector function of CD8+ T cells. Mechanistically, CD36 upregulated the iron uptake protein transferrin receptor 1 (TfR1) by mediating the activation of oxidized low-density lipoprotein (oxLDL)-p38-CEBPB axis. Depletion of CD36 in CD8+ T cells inhibited the upregulation of TfR1 and the increase of iron levels. Furthermore, constitutively activated nuclear factor erythroid 2-related factor 2 (NRF2) effectively suppressed lipid peroxidation, thereby preserving the effector functions of intratumoral CD8+ T cells and ultimately inhibiting tumor growth. Conclusions Our findings reveal a previously unidentified mechanism mediated by CD36 that regulates the progressive dysfunction of CD8+ T cells in early HCC TME and provide a potential novel therapeutic approach to restore T cell function.http://e-cmh.org/upload/pdf/cmh-2024-0948.pdfcd8 t cell dysfunctionlipid peroxidationiron accumulationhepatocellular carcinomacd36
spellingShingle Yifei Qin
Fei Huo
Zhuan Feng
Jialu Hou
Yaxin Ding
Quancheng Wang
Yu Gui
Ziwei Yang
Jiali Yang
Gang Zhou
Ling Li
Jianli Jiang
Lingmin Kong
Shijie Wang
Gang Nan
Dingqiao Xu
Xiaohang Xie
Lijuan Wang
Qian He
Ruibin Yang
Peng Lin
Huijie Bian
Zhi-Nan Chen
Jiao Wu
CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
Clinical and Molecular Hepatology
cd8 t cell dysfunction
lipid peroxidation
iron accumulation
hepatocellular carcinoma
cd36
title CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
title_full CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
title_fullStr CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
title_full_unstemmed CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
title_short CD36 promotes iron accumulation and dysfunction in CD8 T cells via the p38-CEBPB-TfR1 axis in earlystage hepatocellular carcinoma
title_sort cd36 promotes iron accumulation and dysfunction in cd8 t cells via the p38 cebpb tfr1 axis in earlystage hepatocellular carcinoma
topic cd8 t cell dysfunction
lipid peroxidation
iron accumulation
hepatocellular carcinoma
cd36
url http://e-cmh.org/upload/pdf/cmh-2024-0948.pdf
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