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巨噬细胞衍生的颗粒蛋白 D 驱动转移性胰腺癌对免疫检查点抑制的耐药性。

Macrophage-Derived Granulin Drives Resistance to Immune Checkpoint Inhibition in Metastatic Pancreatic Cancer.

机构信息

Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, United Kingdom.

Cold Spring Harbor Laboratory, Cold Spring Harbor, New York.

出版信息

Cancer Res. 2018 Aug 1;78(15):4253-4269. doi: 10.1158/0008-5472.CAN-17-3876. Epub 2018 May 22.

Abstract

The ability of disseminated cancer cells to evade the immune response is a critical step for efficient metastatic progression. Protection against an immune attack is often provided by the tumor microenvironment that suppresses and excludes cytotoxic CD8 T cells. Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive metastatic disease with unmet needs, yet the immunoprotective role of the metastatic tumor microenvironment in pancreatic cancer is not completely understood. In this study, we find that macrophage-derived granulin contributes to cytotoxic CD8 T-cell exclusion in metastatic livers. Granulin expression by macrophages was induced in response to colony-stimulating factor 1. Genetic depletion of granulin reduced the formation of a fibrotic stroma, thereby allowing T-cell entry at the metastatic site. Although metastatic PDAC tumors are largely resistant to anti-PD-1 therapy, blockade of PD-1 in granulin-depleted tumors restored the antitumor immune defense and dramatically decreased metastatic tumor burden. These findings suggest that targeting granulin may serve as a potential therapeutic strategy to restore CD8 T-cell infiltration in metastatic PDAC, thereby converting PDAC metastatic tumors, which are refractory to immune checkpoint inhibitors, into tumors that respond to immune checkpoint inhibition therapies. These findings uncover a mechanism by which metastatic PDAC tumors evade the immune response and provide the rationale for targeting granulin in combination with immune checkpoint inhibitors for the treatment of metastatic PDAC. http://cancerres.aacrjournals.org/content/canres/78/15/4253/F1.large.jpg .

摘要

癌细胞逃避免疫反应的能力是其有效转移进展的关键步骤。肿瘤微环境通过抑制和排除细胞毒性 CD8 T 细胞来提供对免疫攻击的保护。胰腺导管腺癌 (PDAC) 是一种高度侵袭性的转移性疾病,目前尚无有效治疗方法,但转移性肿瘤微环境在胰腺癌中的免疫保护作用尚未完全被理解。在这项研究中,我们发现巨噬细胞衍生的颗粒蛋白有助于细胞毒性 CD8 T 细胞在转移性肝脏中的排斥。巨噬细胞中颗粒蛋白的表达是对集落刺激因子 1 的反应诱导的。颗粒蛋白的基因缺失减少了纤维基质的形成,从而允许 T 细胞进入转移部位。尽管转移性 PDAC 肿瘤对抗 PD-1 治疗有很大的抵抗力,但在颗粒蛋白缺失的肿瘤中阻断 PD-1 恢复了抗肿瘤免疫防御,并显著降低了转移性肿瘤负担。这些发现表明,靶向颗粒蛋白可能是一种潜在的治疗策略,可恢复 CD8 T 细胞在转移性 PDAC 中的浸润,从而将对免疫检查点抑制剂耐药的 PDAC 转移性肿瘤转化为对免疫检查点抑制治疗有反应的肿瘤。这些发现揭示了转移性 PDAC 肿瘤逃避免疫反应的机制,并为靶向颗粒蛋白与免疫检查点抑制剂联合治疗转移性 PDAC 提供了依据。

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