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Interleukin-17A Promotes Lung Tumor Progression through Neutrophil Attraction to Tumor Sites and Mediating Resistance to PD-1 Blockade.

作者信息

Akbay Esra A, Koyama Shohei, Liu Yan, Dries Ruben, Bufe Lauren E, Silkes Michael, Alam Md Maksudul, Magee Dillon M, Jones Robert, Jinushi Masahisa, Kulkarni Meghana, Carretero Julian, Wang Xiaoen, Warner-Hatten Tiquella, Cavanaugh Jillian D, Osa Akio, Kumanogoh Atsushi, Freeman Gordon J, Awad Mark M, Christiani David C, Bueno Raphael, Hammerman Peter S, Dranoff Glenn, Wong Kwok-Kin

机构信息

Department of Pathology, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas; Simmons Comprehensive Cancer Center, Dallas, Texas.

Department of Respiratory Medicine, Allergy, and Rheumatic Disease, Osaka University Graduate School of Medicine, Osaka, Japan.

出版信息

J Thorac Oncol. 2017 Aug;12(8):1268-1279. doi: 10.1016/j.jtho.2017.04.017. Epub 2017 May 6.


DOI:10.1016/j.jtho.2017.04.017
PMID:28483607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5532066/
Abstract

INTRODUCTION: Proinflammatory cytokine interleukin-17A (IL-17A) is overexpressed in a subset of patients with lung cancer. We hypothesized that IL-17A promotes a protumorigenic inflammatory phenotype and inhibits antitumor immune responses. METHODS: We generated bitransgenic mice expressing a conditional IL-17A allele along with conditional Kras and performed immune phenotyping of mouse lungs, a survival analysis, and treatment studies with antibodies either blocking programmed cell death 1 (PD-1) or IL-6 or depleting neutrophils. To support the preclinical findings, we analyzed human gene expression data sets and immune profiled patient lung tumors. RESULTS: Tumors in IL-17:Kras mice grew more rapidly, resulting in a significantly shorter survival as compared with that of Kras mice. IL-6, granulocyte colony-stimulating factor (G-CSF), milk fat globule-EGF factor 8 protein, and C-X-C motif chemokine ligand 1 were increased in the lungs of IL17:Kras mice. Time course analysis revealed that levels of tumor-associated neutrophils were significantly increased, and lymphocyte recruitment was significantly reduced in IL17:Kras mice as compared with in Kras mice. In therapeutic studies PD-1 blockade was not effective in treating IL-17:Kras tumors. In contrast, blocking IL-6 or depleting neutrophils with an anti-Ly-6G antibody in the IL17:Kras tumors resulted in a clinical response associated with T-cell activation. In tumors from patients with lung cancer with KRAS mutation we found a correlation between higher levels of IL-17A and colony- stimulating factor 3 and a significant correlation among high neutrophil and lower T-cell numbers. CONCLUSIONS: Here we have shown that an increase in a single cytokine, IL-17A, without additional mutations can promote lung cancer growth by promoting inflammation, which contributes to resistance to PD-1 blockade and sensitizes tumors to cytokine and neutrophil depletion.

摘要

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本文引用的文献

[1]
Adaptive resistance to therapeutic PD-1 blockade is associated with upregulation of alternative immune checkpoints.

Nat Commun. 2016-2-17

[2]
Redundant Innate and Adaptive Sources of IL17 Production Drive Colon Tumorigenesis.

Cancer Res. 2016-4-15

[3]
STK11/LKB1 Deficiency Promotes Neutrophil Recruitment and Proinflammatory Cytokine Production to Suppress T-cell Activity in the Lung Tumor Microenvironment.

Cancer Res. 2016-3-1

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Epigenetic silencing of TH1-type chemokines shapes tumour immunity and immunotherapy.

Nature. 2015-11-12

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Neutrophil-Lymphocyte Ratio as a Prognostic Marker for Lung Adenocarcinoma After Complete Resection.

World J Surg. 2016-2

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Pembrolizumab for the treatment of non-small-cell lung cancer.

N Engl J Med. 2015-4-19

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IL-17-producing γδ T cells and neutrophils conspire to promote breast cancer metastasis.

Nature. 2015-6-18

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Ceritinib-a second-generation ALK inhibitor overcoming resistance in ALK-rearranged non-small cell lung cancer.

Transl Lung Cancer Res. 2014-12

[9]
Cancer immunology. Mutational landscape determines sensitivity to PD-1 blockade in non-small cell lung cancer.

Science. 2015-4-3

[10]
PD-L1 Expression as a Predictive Biomarker in Cancer Immunotherapy.

Mol Cancer Ther. 2015-4

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