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肿瘤微环境可通过上调抑制性受体 BTLA 和 PD-1 使针对肿瘤抗原的 CD8(+) T 细胞功能失调。

CD8(+) T cells specific for tumor antigens can be rendered dysfunctional by the tumor microenvironment through upregulation of the inhibitory receptors BTLA and PD-1.

机构信息

Department of Medicine, Division of Hematology/Oncology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

出版信息

Cancer Res. 2012 Feb 15;72(4):887-96. doi: 10.1158/0008-5472.CAN-11-2637. Epub 2011 Dec 28.

Abstract

Cytotoxic T cells that are present in tumors and capable of recognizing tumor epitopes are nevertheless generally impotent in eliciting tumor rejection. Thus, identifying the immune escape mechanisms responsible for inducing tumor-specific CD8(+) T-cell dysfunction may reveal effective strategies for immune therapy. The inhibitory receptors PD-1 and Tim-3 are known to negatively regulate CD8(+) T-cell responses directed against the well-characterized tumor antigen NY-ESO-1. Here, we report that the upregulation of the inhibitory molecule BTLA also plays a critical role in restricting NY-ESO-1-specific CD8(+) T-cell expansion and function in melanoma. BTLA-expressing PD-1(+)Tim-3(-) CD8(+) T cells represented the largest subset of NY-ESO-1-specific CD8(+) T cells in patients with melanoma. These cells were partially dysfunctional, producing less IFN-γ than BTLA(-) T cells but more IFN-γ, TNF, and interleukin-2 than the highly dysfunctional subset expressing all three receptors. Expression of BTLA did not increase with higher T-cell dysfunction or upon cognate antigen stimulation, as it does with PD-1, suggesting that BTLA upregulation occurs independently of functional exhaustion driven by high antigen load. Added with PD-1 and Tim-3 blockades, BTLA blockade enhanced the expansion, proliferation, and cytokine production of NY-ESO-1-specific CD8(+) T cells. Collectively, our findings indicate that targeting BTLA along with the PD-1 and Tim-3 pathways is critical to reverse an important mechanism of immune escape in patients with advanced melanoma.

摘要

存在于肿瘤中且能够识别肿瘤表位的细胞毒性 T 细胞,尽管通常在引发肿瘤排斥方面无能为力。因此,确定导致诱导肿瘤特异性 CD8(+) T 细胞功能障碍的免疫逃逸机制,可能会揭示免疫治疗的有效策略。抑制性受体 PD-1 和 Tim-3 已知可负向调节针对明确的肿瘤抗原 NY-ESO-1 的 CD8(+) T 细胞反应。在这里,我们报告抑制性分子 BTLA 的上调也在限制黑色素瘤中 NY-ESO-1 特异性 CD8(+) T 细胞扩增和功能方面起着关键作用。表达 BTLA 的 PD-1(+)Tim-3(-) CD8(+) T 细胞代表了黑色素瘤患者中 NY-ESO-1 特异性 CD8(+) T 细胞的最大亚群。这些细胞部分功能失调,产生的 IFN-γ 少于 BTLA(-) T 细胞,但比表达所有三种受体的高度功能失调亚群产生更多的 IFN-γ、TNF 和白细胞介素-2。BTLA 的表达不会随着 T 细胞功能障碍的增加或与同源抗原刺激而增加,如 PD-1 一样,这表明 BTLA 的上调发生在高抗原负荷驱动的功能衰竭之外。与 PD-1 和 Tim-3 阻断一起,BTLA 阻断增强了 NY-ESO-1 特异性 CD8(+) T 细胞的扩增、增殖和细胞因子产生。总的来说,我们的研究结果表明,靶向 BTLA 以及 PD-1 和 Tim-3 途径对于逆转晚期黑色素瘤患者的重要免疫逃逸机制至关重要。

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