Cold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Department of Molecular and Cellular Biology, Stony Brook University, Stony Brook, NY 11794, USA.
Science. 2018 Jun 15;360(6394). doi: 10.1126/science.aao4908. Epub 2018 May 17.
The majority of patients with pancreatic ductal adenocarcinoma (PDA) develop metastatic disease after resection of their primary tumor. We found that livers from patients and mice with PDA harbor single disseminated cancer cells (DCCs) lacking expression of cytokeratin 19 (CK19) and major histocompatibility complex class I (MHCI). We created a mouse model to determine how these DCCs develop. Intraportal injection of immunogenic PDA cells into preimmunized mice seeded livers only with single, nonreplicating DCCs that were CK19 and MHCI The DCCs exhibited an endoplasmic reticulum (ER) stress response but paradoxically lacked both inositol-requiring enzyme 1α activation and expression of the spliced form of transcription factor XBP1 (XBP1s). Inducible expression of XBP1s in DCCs, in combination with T cell depletion, stimulated the outgrowth of macrometastatic lesions that expressed CK19 and MHCI. Thus, unresolved ER stress enables DCCs to escape immunity and establish latent metastases.
大多数胰腺导管腺癌 (PDA) 患者在切除原发肿瘤后会发展为转移性疾病。我们发现 PDA 患者和小鼠的肝脏中存在缺乏细胞角蛋白 19 (CK19) 和主要组织相容性复合体 I (MHCI) 表达的单个播散性癌细胞 (DCC)。我们创建了一个小鼠模型来确定这些 DCC 是如何发展的。将免疫原性 PDA 细胞门静脉内注射到预先免疫的小鼠中,仅在肝脏中播种单个非复制的 DCC,这些 DCC 为 CK19 和 MHCI。DCC 表现出内质网 (ER) 应激反应,但矛盾的是,既没有肌醇需求酶 1α 激活,也没有转录因子 XBP1 的剪接形式 (XBP1s) 的表达。DCC 中 XBP1s 的诱导表达,结合 T 细胞耗竭,刺激了表达 CK19 和 MHCI 的大转移灶的生长。因此,未解决的 ER 应激使 DCC 能够逃避免疫并建立潜伏转移。
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