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黑色素瘤内在的β-连环蛋白信号抑制抗肿瘤免疫。

Melanoma-intrinsic β-catenin signalling prevents anti-tumour immunity.

机构信息

Department of Pathology, The University of Chicago, Chicago, Illinois 60637, USA.

Center for Research Informatics, The University of Chicago, Chicago, Illinois 60637, USA.

出版信息

Nature. 2015 Jul 9;523(7559):231-5. doi: 10.1038/nature14404. Epub 2015 May 11.

Abstract

Melanoma treatment is being revolutionized by the development of effective immunotherapeutic approaches. These strategies include blockade of immune-inhibitory receptors on activated T cells; for example, using monoclonal antibodies against CTLA-4, PD-1, and PD-L1 (refs 3-5). However, only a subset of patients responds to these treatments, and data suggest that therapeutic benefit is preferentially achieved in patients with a pre-existing T-cell response against their tumour, as evidenced by a baseline CD8(+) T-cell infiltration within the tumour microenvironment. Understanding the molecular mechanisms that underlie the presence or absence of a spontaneous anti-tumour T-cell response in subsets of cases, therefore, should enable the development of therapeutic solutions for patients lacking a T-cell infiltrate. Here we identify a melanoma-cell-intrinsic oncogenic pathway that contributes to a lack of T-cell infiltration in melanoma. Molecular analysis of human metastatic melanoma samples revealed a correlation between activation of the WNT/β-catenin signalling pathway and absence of a T-cell gene expression signature. Using autochthonous mouse melanoma models we identified the mechanism by which tumour-intrinsic active β-catenin signalling results in T-cell exclusion and resistance to anti-PD-L1/anti-CTLA-4 monoclonal antibody therapy. Specific oncogenic signals, therefore, can mediate cancer immune evasion and resistance to immunotherapies, pointing to new candidate targets for immune potentiation.

摘要

黑色素瘤的治疗正随着有效免疫治疗方法的发展而发生变革。这些策略包括阻断激活 T 细胞上的免疫抑制受体;例如,使用针对 CTLA-4、PD-1 和 PD-L1 的单克隆抗体(参考文献 3-5)。然而,只有一部分患者对这些治疗有反应,并且数据表明,治疗益处优先发生在对肿瘤存在预先存在的 T 细胞反应的患者中,这可通过肿瘤微环境中基线 CD8(+)T 细胞浸润来证明。因此,了解在亚组病例中导致自发抗肿瘤 T 细胞反应存在或缺失的分子机制,应该能够为缺乏 T 细胞浸润的患者开发治疗解决方案。在这里,我们确定了黑色素瘤细胞内在的致癌途径,该途径导致黑色素瘤中 T 细胞浸润的缺乏。对人类转移性黑色素瘤样本的分子分析显示,WNT/β-catenin 信号通路的激活与 T 细胞基因表达特征的缺失之间存在相关性。我们使用自发的小鼠黑色素瘤模型确定了肿瘤内在的活性 β-catenin 信号导致 T 细胞排斥和对抗 PD-L1/抗 CTLA-4 单克隆抗体治疗产生耐药性的机制。因此,特定的致癌信号可以介导癌症免疫逃逸和对免疫疗法的耐药性,为免疫增强指明了新的候选靶点。

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