Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, United Kingdom.
Cold Spring Harbor Laboratory, Cold Spring Harbor, New York.
Cancer Res. 2018 Aug 1;78(15):4253-4269. doi: 10.1158/0008-5472.CAN-17-3876. Epub 2018 May 22.
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 .
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。