RT Journal Article SR Electronic T1 Inosine is an alternative carbon supply that supports effector T cell proliferation and antitumor function under glucose restriction JF bioRxiv FD Cold Spring Harbor Laboratory SP 766642 DO 10.1101/766642 A1 Tingting Wang A1 JN Rashida Gnanaprakasam A1 Xuyong Chen A1 Siwen Kang A1 Xuequn Xu A1 Hua Sun A1 Lingling Liu A1 Ethan Miller A1 Teresa A. Cassel A1 Qiushi Sun A1 Sara Vicente-Muñoz A1 Marc O. Warmoes A1 Andrew N. Lane A1 Xiaotong Song A1 Teresa W.-M. Fan A1 Ruoning Wang YR 2019 UL http://biorxiv.org/content/early/2019/09/14/766642.abstract AB T cells undergo a characteristic metabolic rewiring that fulfills the dramatically increased bioenergetic, biosynthetic, and redox demands following antigen stimulation. A robust adaptive immune system requires effector T cells to respond and adapt to fluctuations in environmental nutrient levels imposed by infectious and inflammatory sites in different tissues. Inevitably, such responsiveness and adaptation reflect metabolic plasticity, allowing T cells to elicit immune functions by using a wide range of nutrient substrates. Here, we show that effector T cells utilize inosine, as an alternative substrate, to support cell growth and function in the absence of glucose. T cells metabolize inosine into hypoxanthine and phosphorylated ribose by purine nucleoside phosphorylase (PNP). Using Stable Isotope-Resolved Metabolomics (SIRM), we demonstrated that ribose moiety of inosine can enter into central metabolic pathways to provide ATP and biosynthetic precursors. Accordingly, the dependence of T cells on extracellular glucose for growth and effector functions can be relieved by inosine. On the other hand, cancer cells display diverse capacity to utilize inosine as a carbon resource. Moreover, the supplement of inosine enhances the anti-tumor efficacy of immune-checkpoint blockade or adoptive T cell transfer, reflecting the capability of inosine in relieving tumor-imposed metabolic restrictions on T cells in vivo.