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Proteasome-guided haem signalling axis contributes to T cell exhaustion

Correction
  • In the version of this article initially published, there were errors in the first paragraph of the “Haem directs T cell fate through BACH2” section, where citations to Fig. 3b,c, Fig. 3e, Fig. 3f,g, Fig. 3g and Fig. 3h originally cited Fig. 4b,c, Fig. 4e, Fig. 4f,g, Fig. 4g and Fig. 4h, respectively. In Fig. 3d,f–h, the current colour keys (Bach2WT in purple, Bach2MUT in blue) were originally reversed owing to removal of a figure from the last revised version. In addition, the Source Data file associated with Fig. 5j contained a copy-and-paste error. The text, figure and source data are now amended in the HTML and PDF versions of the article.
  • DOI : 10.1038/s41586-026-10608-2
  • PMID : 42098307
Correction
  • In the version of the article initially published, there were several copy–paste errors in the source data for Figs. 1p, 3h and Extended Data Fig. 3c. Figure 1p and Extended Data Fig. 3c have been updated as a result and the original figures are available for comparison as Supplementary information accompanying this amendment. Additionally, since the “FOXO1” results were not included in Extended Data Fig. 3a, the data have been removed from the source data file. These corrections have been made to the HTML and PDF versions of the article.
  • DOI : 10.1038/s41586-026-11083-5
  • PMID : 42811125
Published inNature, vol. 653, no. 8114, p. 548-557
Publication date2026-05
First online date2026-03-18
Abstract

The accumulation of depolarized mitochondria commits T cells to exhaustion1-3 , yet the precise mechanism remains unclear. Here we find that exhausted CD8+ T cells increase proteasome activity owing to the accumulation of depolarized mitochondria, which drives the selective degradation of mitochondrial proteins and the release of regulatory haem through haemoprotein breakdown. In turn, increased regulatory haem disrupts BACH2-mediated transcriptional regulation, thereby exacerbating T cell exhaustion and compromising stemness-like properties. Inhibition of nuclear import of regulatory haem prevents BACH2 degradation and enhances the anti-tumour efficacy of antigen-specific T cells. We find that the therapeutic efficacy of human CD19+ chimeric antigen receptor (CAR)-T cells in patients with B cell acute lymphoblastic leukaemia negatively correlates with the proteasome gene signature in their CAR-T cells. Manufacturing CAR-T cells in the presence of bortezomib, an FDA-approved proteasome inhibitor, prevents T cell exhaustion and improves therapeutic efficacy. Our findings identify a proteasome-guided haem signalling axis, governed by mitochondrial integrity, as a regulator of CD8+ T cell exhaustion and propose innovative therapeutic strategies that exploit this pathway to optimize adoptive cellular immunotherapy.

Keywords
  • Humans
  • Proteasome Endopeptidase Complex / metabolism
  • Proteasome Endopeptidase Complex / genetics
  • Mitochondria / metabolism
  • Mitochondria / drug effects
  • Mitochondria / pathology
  • Signal Transduction / drug effects
  • CD8-Positive T-Lymphocytes / immunology
  • CD8-Positive T-Lymphocytes / cytology
  • CD8-Positive T-Lymphocytes / metabolism
  • CD8-Positive T-Lymphocytes / drug effects
  • Bortezomib / pharmacology
  • Animals
  • Heme / metabolism
  • Mice
  • Immunotherapy, Adoptive
  • Receptors, Chimeric Antigen / immunology
  • Receptors, Chimeric Antigen / metabolism
  • Female
  • Male
  • Proteolysis / drug effects
  • Mitochondrial Proteins / metabolism
  • Proteasome Inhibitors / pharmacology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / immunology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
  • T-Cell Exhaustion
Citation (ISO format)
XU, Yingxi et al. Proteasome-guided haem signalling axis contributes to T cell exhaustion. In: Nature, 2026, vol. 653, n° 8114, p. 548–557. doi: 10.1038/s41586-026-10250-y
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Additional URL for this publicationhttps://www.nature.com/articles/s41586-026-10250-y
Journal ISSN0028-0836
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