Department of Medicine, McGill University and the McGill University Health Centre, Montreal, Quebec, Canada.
Department of Surgery, McGill University and the McGill University Health Centre, Montreal, Quebec, Canada.
Cancer Res. 2015 Dec 15;75(24):5235-47. doi: 10.1158/0008-5472.CAN-14-3173. Epub 2015 Oct 19.
Successful colonization by a cancer cell of a distant metastatic site requires immune escape in the new microenvironment. TNF signaling has been implicated broadly in the suppression of immune surveillance that prevents colonization at the metastatic site and therefore must be blocked. In this study, we explored how TNF signaling influences the efficiency of liver metastasis by colon and lung carcinoma in mice that are genetically deficient for the TNF receptor TNFR2. We found a marked reduction in liver metastases that correlated with a greatly reduced accumulation at metastatic sites of CD11b(+)GR-1(+) myeloid cells with enhanced arginase activity, identified as myeloid-derived suppressor cells (MDSC). Reduced infiltration of MDSC coincided with a reduction in the number of CD4(+)FoxP3(+) T regulatory cells in the tumors. Reconstitution of TNFR2-deficient mice with normal bone marrow, or adoptive transfer of TNFR2-expressing MDSC into these mice, was sufficient to restore liver metastasis to levels in wild-type mice. Conversely, treatment with TNFR2 antisense oligodeoxynucleotides reduced liver metastasis in wild-type mice. Clinically, immunohistochemical analysis of liver metastases from chemotherapy-naïve colon cancer patients confirmed the presence of CD33(+)HLA-DR(-)TNFR2(+) myeloid cells in the periphery of hepatic metastases. Overall, our findings implicate TNFR2 in supporting MDSC-mediated immune suppression and metastasis in the liver, suggesting the use of TNFR2 inhibitors as a strategy to prevent metastatic progression to liver in colon, lung, and various other types of cancer.
癌细胞要成功在远处转移部位定植,需要在新的微环境中逃避免疫。TNF 信号已广泛涉及免疫监视的抑制,防止转移部位的定植,因此必须加以阻断。在这项研究中,我们探讨了 TNF 信号如何影响结肠癌和肺癌在缺乏 TNF 受体 TNFR2 的小鼠中向肝脏转移的效率。我们发现肝脏转移明显减少,与在转移部位积累的 CD11b(+)GR-1(+)髓样细胞(具有增强的精氨酸酶活性,被鉴定为髓源性抑制细胞 MDSC)明显减少相关。MDSC 的浸润减少与肿瘤中 CD4(+)FoxP3(+)T 调节细胞数量减少相一致。用正常骨髓重建 TNFR2 缺陷型小鼠,或将表达 TNFR2 的 MDSC 过继转移到这些小鼠中,足以将肝脏转移恢复到野生型小鼠的水平。相反,TNFR2 反义寡脱氧核苷酸的治疗降低了野生型小鼠的肝脏转移。临床分析来自化疗初治结肠癌患者的肝脏转移,证实了在肝转移的外周存在 CD33(+)HLA-DR(-)TNFR2(+)髓样细胞。总的来说,我们的发现表明 TNFR2 支持 MDSC 介导的免疫抑制和肝脏转移,提示使用 TNFR2 抑制剂作为预防结直肠癌、肺癌和各种其他类型癌症向肝脏转移进展的策略。
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