自然杀伤细胞-树突状细胞轴定义了检查点治疗反应性肿瘤微环境。
A natural killer-dendritic cell axis defines checkpoint therapy-responsive tumor microenvironments.
机构信息
Department of Pathology, University of California San Francisco, San Francisco, CA, USA.
UCSF Immunoprofiler Initiative, University of California San Francisco, San Francisco, CA, USA.
出版信息
Nat Med. 2018 Aug;24(8):1178-1191. doi: 10.1038/s41591-018-0085-8. Epub 2018 Jun 25.
Intratumoral stimulatory dendritic cells (SDCs) play an important role in stimulating cytotoxic T cells and driving immune responses against cancer. Understanding the mechanisms that regulate their abundance in the tumor microenvironment (TME) could unveil new therapeutic opportunities. We find that in human melanoma, SDC abundance is associated with intratumoral expression of the gene encoding the cytokine FLT3LG. FLT3LG is predominantly produced by lymphocytes, notably natural killer (NK) cells in mouse and human tumors. NK cells stably form conjugates with SDCs in the mouse TME, and genetic and cellular ablation of NK cells in mice demonstrates their importance in positively regulating SDC abundance in tumor through production of FLT3L. Although anti-PD-1 'checkpoint' immunotherapy for cancer largely targets T cells, we find that NK cell frequency correlates with protective SDCs in human cancers, with patient responsiveness to anti-PD-1 immunotherapy, and with increased overall survival. Our studies reveal that innate immune SDCs and NK cells cluster together as an excellent prognostic tool for T cell-directed immunotherapy and that these innate cells are necessary for enhanced T cell tumor responses, suggesting this axis as a target for new therapies.
肿瘤内刺激树突状细胞 (SDC) 在刺激细胞毒性 T 细胞和驱动针对癌症的免疫反应方面发挥着重要作用。了解调节其在肿瘤微环境 (TME) 中丰度的机制可能揭示新的治疗机会。我们发现,在人类黑色素瘤中,SDC 的丰度与编码细胞因子 FLT3LG 的基因在肿瘤内的表达有关。FLT3LG 主要由淋巴细胞产生,特别是在小鼠和人类肿瘤中的自然杀伤 (NK) 细胞。NK 细胞在小鼠 TME 中与 SDC 稳定形成共轭物,并且在小鼠中对 NK 细胞进行遗传和细胞消融表明它们通过产生 FLT3L 对通过正调节 SDC 丰度在肿瘤中具有重要作用。尽管针对癌症的抗 PD-1“检查点”免疫疗法主要针对 T 细胞,但我们发现 NK 细胞频率与人类癌症中保护性 SDC 相关,与患者对抗 PD-1 免疫疗法的反应性以及总体生存率提高相关。我们的研究表明,先天免疫 SDC 和 NK 细胞聚集在一起,是针对 T 细胞定向免疫疗法的出色预后工具,并且这些先天细胞对于增强 T 细胞肿瘤反应是必需的,这表明该轴作为新疗法的靶标。