转移性神经母细胞瘤中程序性死亡受体配体1(PD-L1)的表达作为限制免疫监视的另一种机制。

PD-L1 expression in metastatic neuroblastoma as an additional mechanism for limiting immune surveillance.

作者信息

Dondero Alessandra, Pastorino Fabio, Della Chiesa Mariella, Corrias Maria Valeria, Morandi Fabio, Pistoia Vito, Olive Daniel, Bellora Francesca, Locatelli Franco, Castellano Aurora, Moretta Lorenzo, Moretta Alessandro, Bottino Cristina, Castriconi Roberta

机构信息

Dipartimento di Medicina Sperimentale, Università degli Studi di Genova , Italy.

Istituto Giannina Gaslini, Laboratorio di Oncologia , Genova, Italy.

出版信息

Oncoimmunology. 2015 Jul 15;5(1):e1064578. doi: 10.1080/2162402X.2015.1064578. eCollection 2016.

Abstract

The prognosis of high-risk neuroblastoma (NB) remains poor, although immunotherapies with anti-GD2 antibodies have been reported to provide some benefit. Immunotherapies can be associated with an IFNγ storm that induces in tumor cells the "adaptive immune resistance" characterized by the expression of Programmed Death Ligands (PD-Ls). Tumor cells can also constitutively express PD-Ls in response to oncogenic signaling. Here, we analyze the constitutive and the inducible surface expression of PD-Ls in NB cells. We show that virtually all HLA class I NB cell lines constitutively express PD-L1, whereas PD-L2 is rarely detected. IFNγ upregulates or induces PD-L1 both in NB cell lines and in NB engrafted nude/nude mice. Importantly, after IFNγ stimulation PD-L1 can be acquired by NB cell lines, as well as by metastatic neuroblasts isolated from bone marrow aspirates of high-risk NB patients, characterized by different amplification status. Interestingly, in one patient NB cells were poorly responsive to IFNγ stimulation, pointing out that responsiveness to IFNγ might represent a further element of heterogeneity in metastatic neuroblasts. Finally, we document the presence of lymphocytes expressing the PD-1 receptor in NB-infiltrated bone marrow of patients. PD-1 cells are mainly represented by αβ T cells, but also include small populations of γδ T cells and NK cells. Moreover, PD-1 T cells have a higher expression of activation markers. Overall, our data show that a PD-L1-mediated immune resistance mechanism occurs in metastatic neuroblasts and provide a biological rationale for blocking the PD-1/PD-Ls axis in future combined immunotherapeutic approaches.

摘要

尽管据报道使用抗GD2抗体的免疫疗法能带来一些益处,但高危神经母细胞瘤(NB)的预后仍然很差。免疫疗法可能与一种IFNγ风暴相关,这种风暴会在肿瘤细胞中诱导出以程序性死亡配体(PD-Ls)表达为特征的“适应性免疫抵抗”。肿瘤细胞也可因致癌信号而组成性表达PD-Ls。在此,我们分析了NB细胞中PD-Ls的组成性和诱导性表面表达情况。我们发现,几乎所有I类人白细胞抗原(HLA)的NB细胞系都组成性表达PD-L1,而PD-L2则很少被检测到。IFNγ在NB细胞系以及移植了NB的裸鼠中上调或诱导PD-L1表达。重要的是,IFNγ刺激后,NB细胞系以及从高危NB患者骨髓穿刺物中分离出的转移性成神经细胞(其具有不同的扩增状态)都可获得PD-L1。有趣的是,在一名患者中,NB细胞对IFNγ刺激反应较差,这表明对IFNγ的反应性可能是转移性成神经细胞异质性的另一个因素。最后,我们证明了在患者NB浸润的骨髓中存在表达PD-1受体的淋巴细胞。PD-1细胞主要由αβ T细胞组成,但也包括少量的γδ T细胞和自然杀伤(NK)细胞。此外,PD-1 T细胞具有更高的活化标志物表达。总体而言,我们的数据表明转移性成神经细胞中存在一种由PD-L1介导的免疫抵抗机制,并为未来联合免疫治疗方法中阻断PD-1/PD-Ls轴提供了生物学依据。

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