BCAT1 regulates glioblastoma cell plasticity and contributes to immunosuppression

Abstract Glioblastoma is the most common malignant brain tumor in adults. Cellular plasticity and the poorly differentiated features result in a fast relapse of the tumors following treatment. Moreover, the immunosuppressive microenvironment proved to be a major obstacle to immunotherapeutic approaches. Branched-chain amino acid transaminase 1 (BCAT1) is a metabolic enzyme that converts branched-chain amino acids into branched-chain keto acids, depleting cellular α-ketoglutarate and producing glutamate. BCAT1 is expressed in and drives the growth of glioblastoma and other cancers. Here we show that low-BCAT1 expression correlates with differentiated glioblastoma subtypes and its knockout (KO) results in a differentiated phenotype in human and mouse glioblastoma cells. Consistent with these observations, Bcat1-KO mouse glioblastoma cells were highly susceptible to serum-induced differentiation in vitro . The transition to a differentiated cell state was linked to the increased activity of TET demethylases and the hypomethylation and activation of neuronal differentiation genes. Orthotopic tumor injection into immunocompetent mice demonstrated that the brain microenvironment is sufficient to induce differentiation of Bcat1-KO tumors in vivo . In addition, the knockout of Bcat1 attenuated immunosuppression, allowing for an extensive infiltration of CD8 + cytotoxic T-cells and complete abrogation of tumor growth. Additional analysis in immunodeficient hosts revealed that both Bcat1-KO-induced differentiation and immunomodulation contribute to the long-term suppression of tumor growth. In summary, our study demonstrates that BCAT1 promotes glioblastoma growth by blocking tumor cell differentiation and sustaining an immunosuppressive microenvironment. These findings suggest novel modes limiting glioblastoma phenotypic plasticity and therapeutic failure through targeting BCAT1. Importance of the study High expression of BCAT1 occurs in many tumor entities and is related to aggressiveness, proliferation and invasion of tumor cells. In this study, we show that its expression is crucial for the continuous growth of glioblastoma cells by preventing their differentiation. Furthermore, we show that the expression of BCAT1 modulates the tumor immune microenvironment, suppressing the CD8 T-cell response. BCAT1 knockout causes glioblastoma cell differentiation and a persistent CD8 T-cell response, which is sufficient to abrogate tumor growth and prolong survival in in vivo immunocompetent and immunodeficient models, respectively. Our findings consolidate BCAT1 as a major player in glioblastoma and highlight its importance as a potential future target of research in this and other tumor entities. Key Points BCAT1 expression maintains poorly differentiated features of glioblastoma cells and provides resistance to differentiation. Expression of BCAT1 in glioblastoma cells contributes to the immunosuppressive features of the tumor.