Chang Li-Yuan, Lin Yung-Chang, Chiang Jy-Ming, Mahalingam Jayashri, Su Shih-Huan, Huang Ching-Tai, Chen Wei-Ting, Huang Chien-Hao, Jeng Wen-Juei, Chen Yi-Cheng, Lin Shi-Ming, Sheen I-Shyan, Lin Chun-Yen
Division of Hepatology; Department of Gastroenterology and Hepatology; Linkou Medical Center; Chang Gung Memorial Hospital ; Kweishan, Taoyuan, Taiwan.
College of Medicine; Chang Gung University ; Kweishan, Taoyuan, Taiwan ; Department of Hematology/Oncology; Linkou Medical Center; Chang Gung Memorial Hospital ; Kweishan, Taoyuan, Taiwan.
Oncoimmunology. 2015 Apr 16;4(10):e1040215. doi: 10.1080/2162402X.2015.1040215. eCollection 2015 Oct.
Effector but not naive regulatory T cells (Treg cells) can accumulate in the peripheral blood as well as the tumor microenvironment, expand during tumor progression and be one of the main suppressors for antitumor immunity. However, the underlying mechanisms for effector Treg cell expansion in tumor are still unknown. We demonstrate that effector Treg cell-mediated suppression of antitumor CD8 T cells is tumor-nonspecific. Furthermore, TNFR2 expression is increased in these Treg cells by Affymetrix chip analysis which was confirmed by monoclonal antibody staining in both hepatocellular carcinoma (HCC) and colorectal cancer (CRC) patients and murine models. Correspondingly, increased levels of TNF-α in both tissue and serum were also demonstrated. Interestingly, TNF-α could not only expand effector Treg cells through TNFR2 signaling, but also enhanced their suppressive activity against antitumor immunity of CD8 T cells. Furthermore, targeting TNFR2 signaling with a TNF-α inhibitor could selectively reduce rapid resurgence of effector Treg cells after cyclophosphamide-induced lymphodepletion and markedly inhibit the growth of established tumors. Herein, we propose a novel mechanism in which TNF-α could promote tumor-associated effector Treg cell expansion and suggest a new cancer immunotherapy strategy using TNF-α inhibitors to reduce effector Treg cells expansion after cyclophosphamide-induced lymphodepletion.
效应性而非初始调节性T细胞(Treg细胞)可在外周血以及肿瘤微环境中积聚,在肿瘤进展过程中扩增,并成为抗肿瘤免疫的主要抑制因素之一。然而,肿瘤中效应性Treg细胞扩增的潜在机制仍不清楚。我们证明,效应性Treg细胞介导的对抗肿瘤CD8 T细胞的抑制作用是非肿瘤特异性的。此外,通过Affymetrix芯片分析发现这些Treg细胞中TNFR2表达增加,这在肝细胞癌(HCC)和结直肠癌(CRC)患者及小鼠模型中通过单克隆抗体染色得到了证实。相应地,组织和血清中TNF-α水平也升高。有趣的是,TNF-α不仅可通过TNFR2信号传导扩增效应性Treg细胞,还增强了它们对CD8 T细胞抗肿瘤免疫的抑制活性。此外,用TNF-α抑制剂靶向TNFR2信号传导可选择性减少环磷酰胺诱导的淋巴细胞清除后效应性Treg细胞的快速复苏,并显著抑制已形成肿瘤的生长。在此,我们提出一种新机制,即TNF-α可促进肿瘤相关效应性Treg细胞的扩增,并提出一种新的癌症免疫治疗策略,即使用TNF-α抑制剂减少环磷酰胺诱导的淋巴细胞清除后效应性Treg细胞的扩增。
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