Asparagine deprivation enhances T cell antitumour response in patients via ROS-mediated metabolic and signal adaptations

Preclinical studies have shown that asparagine deprivation enhances T cell antitumour responses. Here we apply compassionate use of L-asparaginase, usually employed to treat blood malignancies, on patients with recurrent metastatic nasopharyngeal carcinoma. The use of L-asparaginase notably enhances immune-checkpoint blockade therapy in patients by strengthening CD8<sup>+</sup>T cell fitness. Our study shows that this combination is a promising avenue for clinical application and provides further mechanistic insight into how asparagine restriction rewires T cell metabolism.

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Publication Details

Journal
Nature Metabolism
Published
2025-03-05
DOI
https://doi.org/10.1038/s42255-025-01245-6
Citations
28
Primary Topic
Cancer, Hypoxia, and Metabolism
Type
article
Field-Weighted Citation Impact
26.21

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article

Asparagine deprivation enhances T cell antitumour response in patients via ROS-mediated metabolic and signal adaptations

Sanders Chang, Yi-Ching Ko, Kun-Ju Lin, Ping‐Chih Ho et al.
28 citations
Nature Metabolism
Cancer, Hypoxia, and Metabolism
26.21
article

Asparagine deprivation enhances T cell antitumour response in patients via ROS-mediated metabolic and signal adaptations

Sanders Chang, Yi-Ching Ko, Kun-Ju Lin, Ping‐Chih Ho, Hsuan Liu, Hsiang-Yu Tang, Tzong-Shyuan Tai, Yu-Wen Chi, Huang‐Yu Yang, Bertrand Chin‐Ming Tan, Chia‐Rui Shen, Chung‐Ying Tsai, Chih‐Wei Yang, Jia-Jin Chen, Cheng-Lung Hsu, Hsuan-Chia Chang, Yu‐Ming Chuang, Mei‐Ling Cheng
article en
28 citations

Abstract

Preclinical studies have shown that asparagine deprivation enhances T cell antitumour responses. Here we apply compassionate use of L-asparaginase, usually employed to treat blood malignancies, on patients with recurrent metastatic nasopharyngeal carcinoma. The use of L-asparaginase notably enhances immune-checkpoint blockade therapy in patients by strengthening CD8<sup>+</sup>T cell fitness. Our study shows that this combination is a promising avenue for clinical application and provides further mechanistic insight into how asparagine restriction rewires T cell metabolism.

Nature MetabolismVol. 7(5)
Johns Hopkins University (US), Chang Gung University (TW), Chang Gung Memorial Hospital (TW), Linkou Chang Gung Memorial Hospital (TW), Ludwig Cancer Research (CH), University of Lausanne (CH)
National Science Foundation, Cancer Research Institute, Ludwig Institute for Cancer Research, Chang Gung Memorial Hospital, Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung, Chang Gung University, Shanghai Educational Development Foundation, Chang Gung Medical Foundation, Université de Lausanne, Helmut Horten Stiftung
Openalex Percentile: Top 0%
Cancer, Hypoxia, and Metabolism
26.21
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