University of Chicago, 929 E 57th Street, GCIS, Chicago, IL 60637 USA.
University of Chicago, 5841 S. Maryland Ave., MC2115, Chicago, IL 60637 USA.
J Immunother Cancer. 2015 Sep 15;3:43. doi: 10.1186/s40425-015-0089-6. eCollection 2015.
Increasing evidence is emerging that immunotherapeutic interventions, including checkpoint blockade, are predominantly effective in patients with a pre-existing T cell-inflamed tumor microenvironment. Understanding the mechanisms leading to a non-T cell-inflamed microenvironment are crucial for the development of novel treatment modalities to expand the fraction of patients benefiting from immunotherapy. Based on the hypothesis that one source of inter-patient heterogeneity would lie at differential activation of specific oncogene pathways within the tumor cells themselves, our group recently observed that tumor-cell intrinsic activation of the WNT/β-catenin pathway correlates with absence of T cells from the microenvironment in metastatic melanoma. Genetically-engineered mouse models confirmed a causal relationship, via a mechanism of failed Batf3-lineage dendritic cell recruitment. Hence, tumor cell-intrinsic activation of β-catenin is the first oncogenic pathway demonstrated to exclude the anti-tumor immune response, revealing a potential therapeutic target for improving immunotherapy responsiveness.
越来越多的证据表明,免疫治疗干预措施,包括检查点阻断,主要对预先存在 T 细胞炎症肿瘤微环境的患者有效。了解导致非 T 细胞炎症微环境的机制对于开发新的治疗方法以扩大受益于免疫治疗的患者比例至关重要。基于这样的假设,即患者间异质性的一个来源将在于肿瘤细胞本身中特定致癌基因途径的差异激活,我们的研究小组最近观察到,肿瘤细胞内在的 WNT/β-catenin 途径的激活与转移性黑色素瘤中微环境中缺乏 T 细胞有关。通过 Batf3 谱系树突状细胞募集失败的机制,基因工程小鼠模型证实了这是一种因果关系。因此,β-catenin 的肿瘤细胞内在激活被证明是排除抗肿瘤免疫反应的第一个致癌途径,这为改善免疫治疗反应提供了一个潜在的治疗靶点。