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The fate and functionality of immune cells are significantly impacted by metabolism, oxidative consumption, and anaerobic respiration1,2,3,4. Recently, there has been growing interest in targeting metabolic modulation as a strategy to re-program or revigorate CD8 T cell fate and effector function and improve viral clearance or enhance endogenous anti-tumor immunity5,6,7,8,9. Notably, antigen receptor signaling through the T cell receptor (TCR) is a key requirement for CD8 T cell differentiation resulting in downstream signaling and activation10,11,12 (Figure 1). Prolonged exposure to immunological insults causes persistent antigen-specific stimulation on the TCR eventually leading to chronically inflamed states, T cell fatigue, a remodeling of the immune microenvironment, and immune escape11,13,14,15,16,17,18,19.
The metabolism of exhausted CD8 T cells is fundamentally distinct from that of functional effector CD8 T cells2,3,14,15,18,20. T cell differentiation, interferon γ (IFNγ) secretion, and recall capacity are, in part, determined by mitochondrial function and β-oxidation break-down products. IFNγ+ CD8 T cells are critical components of both anti-tumor and anti-viral immune responses21,22,23. Specific metabolic flux via glycolysis and the electron transport chain is important for CD8 T cell activation, cytokine secretion, and memory responses4,11,13,15,18,24,25,26,27,28. Optimal responses, including T cell activation and effector differentiation, require a coordinated and specific mitochondrial response, while mitochondrial defects and excessive reactive oxygen species (ROS) characterize exhausted or dysfunctional T cells9,29. Recently, persistent TCR stimulation of CD8 T cells in vitro promotes CD8 T cell exhaustive differentiation in part by inducing oxidative stress and reprogramming oxidative metabolism and metabolic capacities required for T cell proliferation1,2,13,20,24,29. Altogether, metabolic control axes are critical components in directing CD8 T cell differentiation and their progression to effector, memory, or exhausted/dysfunctional phenotypes.
Metabolic compounds also direct immune cell responses by functioning as autocrine or paracrine signaling molecules9,30,31,32,33,34,35. Sphingosine-1-phosphate (S1P) and lysophosphatidic acid (LPA) are bioactive and inflammatory lipids that signal via G-protein coupled receptors (GPCRs) to modulate lymphocyte egress and cytotoxicity by CD8 T cells36. LPA signaling via GPCR LPA receptors on CD8 T cells reprograms metabolism to increase lipolysis, fatty acid oxidation, and proton leak9. Altogether, the bioenergetics and metabolism of CD8 T cells are largely driven by substrate availability, environmental cues, and energetic requirements.
Methodologies to interrogate CD8 T cell metabolism have become ever more important. The Cell Mito Stress Test provides a comprehensive evaluation of bioenergetics and is now recognized as a hallmark technique in the field of immunometabolism and CD8 T cell energetics9,37. Adherent cells were historically used for the Mito Stress Test assay38; however, there is increasing interest in applying this protocol for cells grown in suspension and specifically using immune cells for the Cell Mito Stress Test assay. Here, we present a detailed protocol to measure the metabolic activity of CD8 T cells based on our recent publication9. We provide a detailed explanation of the expansion of CD8 T cells, naïve CD8 T cell isolation, assay preparation, and treatment with protocols for both pretreatments and acute injections in the Cell Mito Stress Test assay. Importantly, we compare and contrast multiple methods for TCR stimulation and CD8 T cell activation, including polyclonal and antigen-specific TCR stimulation.
This protocol details antigen-specific stimulation using OT-I transgenic mice (a classical transgenic mouse model) for which all mouse T cells express the same Vα2 and Vβ5 genes39. The OT-I mouse CD8 T cells all harbor the same TCR that is specific against ovalbumin octapeptide (OVA257-264 also written as the amino acid sequence SIINFEKL or N4 a widely studied epitope that, upon presentation by major histocompatibility complex (MHC) class I, activates cytotoxic CD8 T cells39 (Figure 1A). Overall, the OT-I transgenic mouse model is widely used by immunologists to study TCR signaling and antigen-specific T cell effector function. As opposed to monoclonal activation with the OT-I mouse model, polyclonal CD8 T cells may be generated with anti-CD3/CD28 antibodies against TCR CD3 subunits and CD28 co-stimulatory molecule40 (Figure 1B). Anti-CD3/CD28 antibodies bypass the antigen-specific component of TCR signaling to activate a polyclonal population of T cells40. Ultimately, the results described in this report compare multiple methods for using the Cell Mito Stress Test to quantify dynamic metabolic flux in CD8 T cells.