1. Academic Validation
  2. Lactate dehydrogenase B facilitates disulfidptosis and exhaustion of tumour-infiltrating CD8+ T cells

Lactate dehydrogenase B facilitates disulfidptosis and exhaustion of tumour-infiltrating CD8+ T cells

  • Nat Cell Biol. 2025 Jun;27(6):972-982. doi: 10.1038/s41556-025-01673-2.
Jie Wan # 1 Jian-Hong Shi # 2 Min Shi # 3 Haiyan Huang # 4 Zhen Zhang 5 Wenyan Li 6 Chenyue Guo 1 Rujuan Bao 1 Xiaoyan Yu 1 Qiaoqiao Han 1 Xian Du 1 Song Li 1 Youqiong Ye 1 Xingang Cui 7 Xia Li 8 Jing-Hua Li 9 Qiang Zou 10
Affiliations

Affiliations

  • 1 Hongqiao International Institute of Medicine, Tongren Hospital & Shanghai Institute of Immunology, Department of Immunology and Microbiology, State Key Laboratory of Systems Medicine for Cancer, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 2 Central Laboratory, Hebei International Joint Research Center for Digital Twin Diagnosis and Treatment of Digestive Tract Tumors, Affiliated Hospital of Hebei University, Baoding, China.
  • 3 Department of Gastroenterology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 4 Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 5 Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, China.
  • 6 Department of Urology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 7 Department of Urology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. cuixingang@xinhuamed.com.cn.
  • 8 Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, China. 60230033@sdutcm.edu.cn.
  • 9 Department of Hepatobiliary Surgery, Baoding Key Laboratory of Precision Diagnosis and Treatment of Digestive Tract Tumors, Affiliated Hospital of Hebei University, Baoding, China. lijinghua@hbu.edu.cn.
  • 10 Hongqiao International Institute of Medicine, Tongren Hospital & Shanghai Institute of Immunology, Department of Immunology and Microbiology, State Key Laboratory of Systems Medicine for Cancer, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Qzou1984@sjtu.edu.cn.
  • # Contributed equally.
Abstract

The aberrant accumulation of intracellular disulfides promotes Cancer cell disulfidptosis; however, how disulfide stress influences tumour-infiltrating CD8+ T cell function remains unknown. Here we demonstrate that Lactate Dehydrogenase B (LDHB) facilitates intratumoural CD8+ T cell Disulfidptosis and exhaustion, leading to impaired antitumour immunity. SLC7A11-mediated cystine uptake by CD8+ T cells induces Disulfidptosis, which plays critical roles in the development of exhausted CD8+ T cells. LDHB restricts glucose-6-phosphate dehydrogenase (G6PD) activity in exhausted CD8+ T cells by interacting with G6PD, causing NADPH depletion and consequently triggering Disulfidptosis. Accordingly, the loss of LDHB in T cells prevents disulfidptosis-dependent CD8+ T cell exhaustion and improves antitumour immunity. Mechanistically, STAT3 directs LDHB expression to limit G6PD activity and mediate Disulfidptosis in exhausted CD8+ T cells. Our results highlight the distinct roles of Disulfidptosis and Ferroptosis in driving CD8+ T cell exhaustion and suggest a potential therapeutic strategy to target LDHB in Cancer Immunotherapy.

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