Munoz, T. | Search bioRxiv

bioRxiv2025

Immunometabolic determinants of long-term response in leukemia patients receiving CD19 CAR T cell therapy

Although most patients with relapsed/refractory B-cell acute lymphoblastic leukemia (B-ALL) receiving CD19-targeted chimeric antigen receptor (CAR) T cell therapy achieve remission, loss of CAR T cell functionality and subsequent relapse remains an unmet therapeutic need. We applied an integrative approach to study the immunometabolism of pre- and post-infusion CD19-CAR T cells of patients with relapsed/refractory B-ALL. Pre-infusion CAR T cells of long-term responders (LTR) had increased oxidative phosphorylation, fatty acid oxidation, and pentose phosphate pathway activities, higher mitochondrial mass, tighter cristae, and lower mTOR expression compared to products of short-term responders. Post-infusion CAR T cells in bone marrow (BM) of LTR had high immunometabolic plasticity and mTOR-pS6 expression supported by the BM microenvironment. Transient inhibition of mTOR during manufacture induced metabolic reprogramming and enhanced anti-tumor activity of CAR T cells. Our findings provide insight into immunometabolic determinants of long-term response and suggest a therapeutic strategy to improve long-term remission.

immunology↗

bioRxiv2025

Environmental predictability favours adaptive behavioural plasticity and relaxes selection against deleterious alleles

Behavioural plasticity can play a key role in evolution by either facilitating or impeding genetic adaptation. The latter occurs when behaviours mitigate selection pressures that otherwise would target associated traits. Therefore, environments that facilitate adaptive behavioural plasticity could relax the strength of natural selection, but experimental evidence for this prediction remains scarce. Here, we first demonstrate that maternal care in the beetle Callosobruchus maculatus is dependent on environmental cues that allow females to reduce larval competition via learning and informed oviposition choices. We show that this facilitation of maternal care relaxes selection against deleterious alleles in offspring. We further find that mothers of low genetic quality generally provide poorer care. However, when receiving environmental cues providing accurate information about future host-quality, the increased opportunity for adaptive behavioural plasticity reduced genetic differences in maternal care, further relaxing selection against deleterious alleles. We use our data to illustrate how the identified link between adaptive behavioural plasticity in maternal care and the strength of natural selection can impact indirect genetic effects between mothers and offspring and the accumulation of cryptic genetic loads in populations inhabiting environments that differ in their predictability.

animal behavior and cognition↗