Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS, Centre Léon Bérard, Cancer Research Center of Lyon, Lyon, France.
Team 11, Immunology Virology Inflammation (IVI) Department, INSERM U-1052, Cancer Research Center of Lyon, Lyon, France.
Cancer Res. 2018 Jul 1;78(13):3604-3618. doi: 10.1158/0008-5472.CAN-17-2405. Epub 2018 Mar 20.
The production of CD73-derived adenosine (Ado) by Tregs has been proposed as a resistance mechanism to anti-PD-1 therapy in murine tumor models. We reported that human Tregs express the ectonucleotidase CD39, which generates AMP from ATP, but do not express the AMPase CD73. In contrast, CD73 defined a subset of effector CD4 T cells (Teffs) enriched in polyfunctional Th1.17 cells characterized by expression of CXCR3, CCR6, and MDR1, and production of IL17A/IFNγ/IL22/GM-CSF. CD39 Tregs selectively targeted CD73 Teffs through cooperative degradation of ATP into Ado inhibiting and restricting the ability of CD73 Teffs to secrete IL17A. CD73 Teffs infiltrating breast and ovarian tumors were functionally blunted by Tregs expressing upregulated levels of CD39 and ATPase activity. Moreover, tumor-infiltrating CD73 Teffs failed to express inhibitory immune checkpoints, suggesting that CD73 might be selected under pressure from immune checkpoint blockade therapy and thus may represent a nonredundant target for restoring antitumor immunity. Polyfunctional CD73 T-cell effectors lacking other immune checkpoints are selectively targeted by CD39 overexpressing Tregs that dominate the breast tumor environment. .
Tregs 产生的 CD73 衍生的腺苷(Ado)被认为是小鼠肿瘤模型中抗 PD-1 治疗产生耐药的机制。我们报道人类 Tregs 表达外核苷酸酶 CD39,可将 ATP 转化为 AMP,但不表达 AMP 酶 CD73。相比之下,CD73 定义了效应 CD4 T 细胞(Teffs)的一个亚群,这些细胞富含多功能 Th1.17 细胞,其特征是表达 CXCR3、CCR6 和 MDR1,并产生 IL17A/IFNγ/IL22/GM-CSF。CD39 Tregs 通过协同降解 ATP 生成 Ado 来选择性地靶向 CD73 Teffs,从而抑制和限制 CD73 Teffs 分泌 IL17A 的能力。表达上调的 CD39 和 ATP 酶活性的 Tregs 可使浸润乳腺和卵巢肿瘤的 CD73 Teffs 功能受损。此外,浸润肿瘤的 CD73 Teffs 未能表达抑制性免疫检查点,这表明 CD73 可能在免疫检查点阻断治疗的压力下被选择,因此可能是恢复抗肿瘤免疫的非冗余靶点。缺乏其他免疫检查点的多功能 CD73 T 细胞效应器被过度表达 CD39 的 Tregs 选择性靶向,后者主导着乳腺肿瘤环境。
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