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Proteasome-guided haem signalling axis contributes to T cell exhaustion - PubMed

5 hours ago
  • #CAR-T therapy
  • #Proteasome activity
  • #T cell exhaustion
  • Exhausted CD8+ T cells show increased proteasome activity due to depolarized mitochondria accumulation.
  • Mitochondrial protein degradation releases regulatory haem, disrupting BACH2-mediated transcription and worsening T cell exhaustion.
  • Inhibiting nuclear import of regulatory haem prevents BACH2 degradation, enhancing anti-tumour efficacy of T cells.
  • Human CD19+ CAR-T cell efficacy in B cell acute lymphoblastic leukaemia negatively correlates with proteasome gene signature.
  • Manufacturing CAR-T cells with proteasome inhibitor bortezomib prevents exhaustion and improves therapeutic outcomes.
  • The study identifies a proteasome-guided haem signalling axis as a key regulator of T cell exhaustion.