Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Centre for Cell Signalling and Inflammation, Department of Medicine, Imperial College London, London, United Kingdom.
Cancer Res. 2018 Mar 1;78(5):1275-1292. doi: 10.1158/0008-5472.CAN-17-1833. Epub 2017 Dec 26.
T-cell exclusion from the tumor microenvironment (TME) is a major barrier to overcoming immune escape. Here, we identify a myeloid-intrinsic mechanism governed by the NF-κB effector molecule GADD45β that restricts tumor-associated inflammation and T-cell trafficking into tumors. In various models of solid cancers refractory to immunotherapies, including hepatocellular carcinoma and ovarian adenocarcinoma, inhibition in myeloid cells restored activation of proinflammatory tumor-associated macrophages (TAM) and intratumoral immune infiltration, thereby diminishing oncogenesis. Our results provide a basis to interpret clinical evidence that elevated expression of confers poor clinical outcomes in most human cancers. Furthermore, they suggest a therapeutic target in GADD45β for reprogramming TAM to overcome immunosuppression and T-cell exclusion from the TME. These findings define a myeloid-based immune checkpoint that restricts T-cell trafficking into tumors, with potentially important therapeutic implications to generally improve the efficacy of cancer immunotherapy. .
T 细胞从肿瘤微环境 (TME) 中被排除是克服免疫逃逸的主要障碍。在这里,我们确定了一种由 NF-κB 效应分子 GADD45β 控制的髓系内在机制,该机制限制了肿瘤相关炎症和 T 细胞向肿瘤内的迁移。在各种对免疫疗法有抗性的实体癌模型中,包括肝癌和卵巢腺癌,髓系细胞的抑制恢复了促炎肿瘤相关巨噬细胞 (TAM) 的激活和肿瘤内免疫浸润,从而减少了肿瘤发生。我们的结果为解释临床证据提供了依据,即大多数人类癌症中表达水平升高与不良的临床结果相关。此外,它们表明 GADD45β 是一个治疗靶点,用于重编程 TAM 以克服免疫抑制和 T 细胞从 TME 中的排除。这些发现定义了一种基于髓系的免疫检查点,限制了 T 细胞向肿瘤的迁移,这可能对普遍提高癌症免疫疗法的疗效具有重要的治疗意义。