OREGA Biotech, Ecully, France.
IRCM, Institut de Recherche en Cancérologie de Montpellier; INSERM, U896; Université Montpellier 1; CRLC Val d'Aurelle Paul Lamarque, Montpellier, France.
Cancer Immunol Res. 2015 Mar;3(3):254-65. doi: 10.1158/2326-6066.CIR-14-0018. Epub 2014 Nov 17.
The ectonucleotidases CD39 and CD73 hydrolyze extracellular adenosine triphosphate (ATP) and adenosine diphosphate (ADP) to generate adenosine, which binds to adenosine receptors and inhibits T-cell and natural killer (NK)-cell responses, thereby suppressing the immune system. The generation of adenosine via the CD39/CD73 pathway is recognized as a major mechanism of regulatory T cell (Treg) immunosuppressive function. The number of CD39⁺ Tregs is increased in some human cancers, and the importance of CD39⁺ Tregs in promoting tumor growth and metastasis has been demonstrated using several in vivo models. Here, we addressed whether CD39 is expressed by tumor cells and whether CD39⁺ tumor cells mediate immunosuppression via the adenosine pathway. Immunohistochemical staining of normal and tumor tissues revealed that CD39 expression is significantly higher in several types of human cancer than in normal tissues. In cancer specimens, CD39 is expressed by infiltrating lymphocytes, the tumor stroma, and tumor cells. Furthermore, the expression of CD39 at the cell surface of tumor cells was directly demonstrated via flow cytometry of human cancer cell lines. CD39 in cancer cells displays ATPase activity and, together with CD73, generates adenosine. CD39⁺CD73⁺ cancer cells inhibited the proliferation of CD4 and CD8 T cells and the generation of cytotoxic effector CD8 T cells (CTL) in a CD39- and adenosine-dependent manner. Treatment with a CD39 inhibitor or blocking antibody alleviated the tumor-induced inhibition of CD4 and CD8 T-cell proliferation and increased CTL- and NK cell-mediated cytotoxicity. In conclusion, interfering with the CD39-adenosine pathway may represent a novel immunotherapeutic strategy for inhibiting tumor cell-mediated immunosuppression.
细胞外核苷酸酶 CD39 和 CD73 将细胞外三磷酸腺苷 (ATP) 和二磷酸腺苷 (ADP) 水解为腺苷,后者与腺苷受体结合,抑制 T 细胞和自然杀伤 (NK) 细胞的反应,从而抑制免疫系统。CD39/CD73 途径生成的腺苷被认为是调节性 T 细胞 (Treg) 免疫抑制功能的主要机制。在一些人类癌症中,CD39+Treg 的数量增加,并且已经通过几种体内模型证明了 CD39+Treg 在促进肿瘤生长和转移中的重要性。在这里,我们研究了肿瘤细胞是否表达 CD39,以及 CD39+肿瘤细胞是否通过腺苷途径介导免疫抑制。正常组织和肿瘤组织的免疫组织化学染色显示,几种类型的人类癌症中 CD39 的表达明显高于正常组织。在癌症标本中,CD39 由浸润淋巴细胞、肿瘤基质和肿瘤细胞表达。此外,通过对人癌细胞系的流式细胞术直接证明了肿瘤细胞表面 CD39 的表达。肿瘤细胞中的 CD39 具有 ATP 酶活性,并与 CD73 一起生成腺苷。CD39+CD73+癌症细胞以 CD39 和腺苷依赖性方式抑制 CD4 和 CD8 T 细胞的增殖和细胞毒性效应 CD8 T 细胞 (CTL) 的产生。用 CD39 抑制剂或阻断抗体治疗可减轻肿瘤诱导的 CD4 和 CD8 T 细胞增殖抑制,并增加 CTL 和 NK 细胞介导的细胞毒性。总之,干扰 CD39-腺苷途径可能代表一种抑制肿瘤细胞介导免疫抑制的新型免疫治疗策略。
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