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化疗通过核因子-κB 诱导程序性细胞死亡配体 1 过表达,促进卵巢癌中免疫抑制性肿瘤微环境。

Chemotherapy Induces Programmed Cell Death-Ligand 1 Overexpression via the Nuclear Factor-κB to Foster an Immunosuppressive Tumor Microenvironment in Ovarian Cancer.

机构信息

Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.

出版信息

Cancer Res. 2015 Dec 1;75(23):5034-45. doi: 10.1158/0008-5472.CAN-14-3098. Epub 2015 Nov 16.

Abstract

Emerging evidence has highlighted the host immune system in modulating the patient response to chemotherapy, but the mechanism of this modulation remains unclear. The aim of this study was to analyze the effect of chemotherapy on antitumor immunity in the tumor microenvironment of ovarian cancer. Treatment of ovarian cancer cell lines with various chemotherapeutic agents resulted in upregulated expression of MHC class I and programmed cell death 1 ligand 1 (PD-L1) in a NF-κB-dependent manner and suppression of antigen-specific T-cell function in vitro. In a mouse model of ovarian cancer, treatment with paclitaxel increased CD8(+) T-cell infiltration into the tumor site, upregulated PD-L1 expression, and activated NF-κB signaling. In particular, tumor-bearing mice treated with a combination of paclitaxel and a PD-L1/PD-1 signal blockade survived longer than mice treated with paclitaxel alone. In summary, we found that chemotherapy induces local immune suppression in ovarian cancer through NF-κB-mediated PD-L1 upregulation. Thus, a combination of chemotherapy and immunotherapy targeting the PD-L1/PD-1 signaling axis may improve the antitumor response and offers a promising new treatment modality against ovarian cancer.

摘要

新出现的证据强调了宿主免疫系统在调节患者对化疗的反应中的作用,但这种调节的机制仍不清楚。本研究旨在分析化疗对卵巢癌肿瘤微环境中抗肿瘤免疫的影响。用各种化疗药物处理卵巢癌细胞系会导致 MHC Ⅰ类和程序性细胞死亡 1 配体 1(PD-L1)的表达上调,这是一种 NF-κB 依赖性的方式,并抑制体外抗原特异性 T 细胞的功能。在卵巢癌的小鼠模型中,紫杉醇治疗会增加 CD8+T 细胞浸润到肿瘤部位,上调 PD-L1 的表达,并激活 NF-κB 信号。特别是,与单独用紫杉醇治疗的小鼠相比,用紫杉醇和 PD-L1/PD-1 信号阻断联合治疗的荷瘤小鼠存活时间更长。总之,我们发现化疗通过 NF-κB 介导的 PD-L1 上调诱导卵巢癌局部免疫抑制。因此,化疗联合针对 PD-L1/PD-1 信号通路的免疫疗法可能会改善抗肿瘤反应,并为卵巢癌提供一种有前途的新治疗方式。

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