Magnesium sensing via LFA-1 regulates CD8+ T cell effector function

Jonas Lötscher, Adrià Arnau Martí i Líndez, Nicole Kirchhammer, Elisabetta Cribioli, Greta Maria Paola Giordano Attianese, Marcel P. Trefny, Markus Lenz, Sacha I. Rothschild, Paolo Strati, Marco Künzli, Claudia Lotter, Susanne H. Schenk, Philippe Dehio, Jordan Löliger, Ludivine Litzler, David Schreiner, Victoria Koch, Nicolas Page, Dahye Lee, Jasmin GrählertDmitry Kuzmin, Anne Valérie Burgener, Doron Merkler, Miklos Pless, Maria L. Balmer, Walter Reith, Jörg Huwyler, Melita Irving, Carolyn G. King, Alfred Zippelius, Christoph Hess

Research output: Contribution to journalArticlepeer-review

82 Scopus citations

Abstract

The relevance of extracellular magnesium in cellular immunity remains largely unknown. Here, we show that the co-stimulatory cell-surface molecule LFA-1 requires magnesium to adopt its active conformation on CD8+ T cells, thereby augmenting calcium flux, signal transduction, metabolic reprogramming, immune synapse formation, and, as a consequence, specific cytotoxicity. Accordingly, magnesium-sufficiency sensed via LFA-1 translated to the superior performance of pathogen- and tumor-specific T cells, enhanced effectiveness of bi-specific T cell engaging antibodies, and improved CAR T cell function. Clinically, low serum magnesium levels were associated with more rapid disease progression and shorter overall survival in CAR T cell and immune checkpoint antibody-treated patients. LFA-1 thus directly incorporates information on the composition of the microenvironment as a determinant of outside-in signaling activity. These findings conceptually link co-stimulation and nutrient sensing and point to the magnesium-LFA-1 axis as a therapeutically amenable biologic system.

Original languageEnglish (US)
Pages (from-to)585-602.e29
JournalCell
Volume185
Issue number4
DOIs
StatePublished - Feb 17 2022

Keywords

  • CAR T cells
  • co-stimulation/LFA-1
  • immune control
  • integration of microenvironment and T cell function
  • magnesium
  • memory CD8 T cells
  • Mg2+
  • microenvironment
  • T cell engaging antibodies
  • tumor-specific T cells

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology

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