1. Academic Validation
  2. Diet-derived galactose reprograms hepatocytes to prevent T cell exhaustion and elicit antitumour immunity

Diet-derived galactose reprograms hepatocytes to prevent T cell exhaustion and elicit antitumour immunity

  • Nat Cell Biol. 2025 Aug;27(8):1357-1366. doi: 10.1038/s41556-025-01716-8.
Xian Du # 1 Wenyan Li # 2 Guiying Li # 3 Chenyue Guo # 1 Xuyi Tang 1 Rujuan Bao 1 Runchang Li 4 Haiyan Huang 5 Shuiyu Xu 5 Xiaoyan Yu 1 Qiaoqiao Han 1 Jie Wan 1 Song Li 1 Jiayuan Sun 4 Ren Zhao 5 Youqiong Ye 1 Qiang Gao 6 Zhi-Yu Ni 7 Xingang Cui 8 Qiang Zou 9
Affiliations

Affiliations

  • 1 Hongqiao International Institute of Medicine, Tongren Hospital & Shanghai Institute of Immunology, Department of Immunology and Microbiology, State Key Laboratory of Systems Medicine for Cancer, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 2 Department of Urology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 3 Department of Nephrology, Affiliated Hospital of Hebei Engineering University, Handan, China.
  • 4 Department of Respiratory Endoscopy and Department of Respiratory and Critical Care Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 5 Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • 6 Department of Liver Surgery and Transplantation and Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China. gaoqiang@fudan.edu.cn.
  • 7 Central Laboratory, Hebei Collaborative Innovation Center of Tumor Microecological Metabolism Regulation, Affiliated Hospital of Hebei University, Baoding, China. nizhiyu@hbu.edu.cn.
  • 8 Department of Urology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. cuixingang@xinhuamed.com.cn.
  • 9 Hongqiao International Institute of Medicine, Tongren Hospital & Shanghai Institute of Immunology, Department of Immunology and Microbiology, State Key Laboratory of Systems Medicine for Cancer, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Qzou1984@sjtu.edu.cn.
  • # Contributed equally.
Abstract

Dietary nutrients are inextricably linked to antitumour immune responses. However, the effect of diet-derived galactose on antitumour immunity remains unclear. Here we show that dietary galactose augments CD8+ T cell immunity to suppress tumour progression. High-galactose feeding drives hepatocyte-derived insulin-like growth factor binding protein 1 (IGFBP-1) production, thus restraining IGF-1 signalling-dependent T cell exhaustion. IGF-1 receptor (IGF-1R) deficiency in T cells potentiates antitumour CD8+ T cell responses and phenocopies high-galactose feeding by preventing T cell exhaustion. Circulating galactose reprograms hepatocyte metabolism to inactivate mTORC1, thereby inducing the production of IGFBP-1 to boost CD8+ T cell function. Furthermore, patients with Cancer who have high plasma IGFBP-1 levels exhibit blocked T cell exhaustion and enhanced T cell responses in tumour tissues. These findings reveal that dietary galactose specifically elicits potent antitumour CD8+ T cell responses by facilitating hepatocyte-derived IGFBP-1 production, providing insights into the development of more effective immunotherapies against cancers.

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