Ruffell Brian, Chang-Strachan Debbie, Chan Vivien, Rosenbusch Alexander, Ho Christine M T, Pryer Nancy, Daniel Dylan, Hwang E Shelley, Rugo Hope S, Coussens Lisa M
Department of Cell, Developmental & Cancer Biology and Knight Cancer Institute, Oregon Health & Science University, Portland, OR 97239, USA.
Novartis Institutes for Biomedical Research, Emeryville, CA 94608, USA.
Cancer Cell. 2014 Nov 10;26(5):623-37. doi: 10.1016/j.ccell.2014.09.006. Epub 2014 Oct 16.
Blockade of colony-stimulating factor-1 (CSF-1) limits macrophage infiltration and improves response of mammary carcinomas to chemotherapy. Herein we identify interleukin (IL)-10 expression by macrophages as the critical mediator of this phenotype. Infiltrating macrophages were the primary source of IL-10 within tumors, and therapeutic blockade of IL-10 receptor (IL-10R) was equivalent to CSF-1 neutralization in enhancing primary tumor response to paclitaxel and carboplatin. Improved response to chemotherapy was CD8(+) T cell-dependent, but IL-10 did not directly suppress CD8(+) T cells or alter macrophage polarization. Instead, IL-10R blockade increased intratumoral dendritic cell expression of IL-12, which was necessary for improved outcomes. In human breast cancer, expression of IL12A and cytotoxic effector molecules were predictive of pathological complete response rates to paclitaxel.
阻断集落刺激因子-1(CSF-1)可限制巨噬细胞浸润,并改善乳腺癌对化疗的反应。在此,我们确定巨噬细胞表达的白细胞介素(IL)-10是这种表型的关键介质。浸润性巨噬细胞是肿瘤内IL-10的主要来源,在增强原发性肿瘤对紫杉醇和卡铂的反应方面,对IL-10受体(IL-10R)的治疗性阻断等同于CSF-1中和。化疗反应的改善依赖于CD8(+) T细胞,但IL-10并不直接抑制CD8(+) T细胞或改变巨噬细胞极化。相反,阻断IL-10R可增加肿瘤内树突状细胞IL-12的表达,这是改善预后所必需的。在人类乳腺癌中,IL12A和细胞毒性效应分子的表达可预测对紫杉醇的病理完全缓解率。