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Record W4414708617 · doi:10.1016/j.omtm.2025.101600

Lactic acid improves Treg manufacturing and in vivo function

2025· article· en· W4414708617 on OpenAlex
Karoliina Tuomela, Manjurul Haque, Sonya Mangat, Vivian Fung, Rosa V. Garcia, Anne‐Sophie Archambault, Dominic A. Boardman, Ramon I. Klein Geltink, Majid Mojibian, Megan K. Levings

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueMolecular Therapy — Methods & Clinical Development · 2025
Typearticle
Languageen
FieldMedicine
TopicGastrointestinal motility and disorders
Canadian institutionsBritish Columbia Centre of Excellence for Women's HealthBC Cancer AgencyBC Children's HospitalUniversity of British Columbia
FundersBreakthrough T1D CanadaInstitute of Nutrition, Metabolism and DiabetesCanadian Institutes of Health ResearchUniversity of British ColumbiaMichael Smith Health Research BCBC Children's HospitalJuvenile Diabetes Research Foundation Canada
KeywordsAutoimmunityImmune systemLactic acidCell therapyChimeric antigen receptorIn vivoRegulatory T cellStimulationCellT cell

Abstract

fetched live from OpenAlex

Adoptive cell therapy using regulatory T cells (Tregs) is a promising approach to suppress immune responses in autoimmunity and transplantation, but it is challenging to expand pure and optimally suppressive cells. Lactic acid (LA) is associated with enhanced Treg function in tumors so we hypothesized that it may be beneficial during Treg expansion. We found that addition of LA at day 3 post-stimulation onwards improved viability and purity, increased glycolysis upon re-stimulation, and led to superior suppressive function. In Tregs expressing chimeric antigen receptors (CARs) specific for HLA-A2, LA not only enhanced viability and purity but also significantly reduced tonic signaling-associated expression of exhaustion-associated markers (PD-1, TIM-3, LAG-3, TOX, and BLIMP-1). The effects of LA were not fully recapitulated by either pH-neutral lactate or low pH. In immunodeficient mouse models of chronic stimulation and xenogeneic graft-versus-host disease, LA-conditioned human Tregs demonstrated enhanced stability, reduced exhaustion marker expression, and improved efficacy. Thus, LA has a multimodal effect on human polyclonal and CAR Treg purity, viability, and function, representing a method to generate an optimal Treg product for cell therapy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.925
Threshold uncertainty score0.699

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.046
GPT teacher head0.414
Teacher spread0.369 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it