Energizing Immune Cells to Fight Cancer
Name: Joanina Gicobi
Hometown: Chuka, Kenya
Graduate track: Immunology
Research mentor: Haidong Dong, M.D., Ph.D., Mayo Clinic in Minnesota
What biomedical issue did you address in your research, and what did your studies find?
The body contains naturally occurring immune cells known as CD8+ T cells that serve as a cancer surveillance system. The cells have the capacity to identify and kill off malignant cells. The problem is that CD8+ T cells become depleted of energy and, in their "tired" state, lose the ability to destroy the cancer. My thesis work asked whether it may be possible to enhance the energy of CD8+ T cells by increasing their internal energy source, known as mitochondrial ATP, while limiting the production of a toxic byproduct of metabolism that can further damage cells.
In my research, I used RNA sequencing and identified a key enzyme that plays a role in CD8+ T-cell metabolism. The enzyme is malic enzyme 1, or ME1. I then used mRNA transfection technology, which inserts protein-producing messenger RNA into cells, aiming to increase the levels of ME1 in human CD8+ T cells. Our team found that we were able to increase the availability of mitochondrial ATP, providing additional energy to CD8+ T cells. We were also able to increase their killing capacity without the accumulation of toxic molecules, known as reactive oxygen species, that induce cellular exhaustion.
Importantly, we showed that ME1 increases the killing capacity of immune cells from patients with advanced cancers who have not responded to standard therapies. For patients with advanced disease and limited treatment options, ME1 may have a therapeutic use on its own or in a combination therapy. Our work has been accepted for publication in the journal Science Advances.
How did you become interested in this area of research, and how did Mayo help you grow as a scientist and thinker?
Before coming to Mayo, I had developed an interest in immunology, working as a technician at Dana-Farber Cancer Institute. When I began the Ph.D. program at Mayo, I realized that I enjoyed problem-solving and was especially motivated by the idea of enhancing the functions of killer cells in the body for tumor clearance. Dr. Dong's lab was already working to address this question. He continues to inspire and amaze me with the questions he asks and the ways he addresses scientific problems. For students considering a doctoral degree in biomedical sciences, I say go for it! You can make discoveries at any stage of your career, including during your Ph.D. training.
What motivates you?
I became a mom while doing my Ph.D., and I do want my daughter's generation to have better options for dealing with cancers. My main motivation comes from Mayo's core value: The needs of the patient come first. When I take a walk through the hallways and see many faces of patients who have come from all over the world to seek medical solutions here, I am reminded of why I chose this path. Wherever I go, I will carry this value and always remember that there's a need for better treatment options and that many lives are counting on my work.