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Targeting the PSMD14-BCKDK pathway overcomes immune suppression and enhances CAR-NK infiltration in glioblastoma - PubMed

4 hours ago
  • #immune suppression
  • #glioblastoma
  • #CAR-NK therapy
  • Nutrient competition between tumor and immune cells is a key feature of the glioblastoma (GBM) microenvironment.
  • GBM cells outcompete NK cells for branched-chain amino acids (BCAAs), leading to immune suppression and escape.
  • A feedback circuit involving PSMD14, BCKDK, and IGF2BP3 stabilizes BCKDK and promotes BCAA uptake by GBM cells.
  • PSMD14 deubiquitinates BCKDK, preventing its degradation and disrupting NK cell signaling and function.
  • BCAA deprivation impairs PI3K/Akt and cGAS-STING pathways and mitochondrial integrity in NK cells.
  • Pharmacologic inhibition of PSMD14 or its knockdown restores immune cell infiltration and enhances CAR-NK cytotoxicity.
  • Elevated PSMD14 and BCKDK in GBM correlate with reduced immune cell infiltration and poorer patient survival.
  • Targeting the PSMD14-BCKDK axis presents a promising strategy for GBM treatment, especially in combination with CAR-NK therapy.