State Key Laboratory of Oncogenes and Related Genes, Renji-Med-X Stem Cell Research Center, Renji Hospital, School of Biomedical Engineering, Shanghai Jiao Tong University, 200030, Shanghai, China.
Med-X Research Institute & School of Biomedical Engineering, Shanghai Jiao Tong University, 200030, Shanghai, China.
Cell Death Dis. 2018 Jul 10;9(7):766. doi: 10.1038/s41419-018-0796-2.
Colorectal cancer (CRC) is the third most common solid tumor in the world and shows resistance to several immunotherapies, particularly immune checkpoint blockade which has therapeutic effects on many other types of cancer. Cytotoxic CD8 T cell has been considered as one of the main populations of effector immune cells in antitumor immunity; however, the absence of CD8 T cells in the central tumor area has become a major obstacle for solid tumor immunotherapy, particularly for CRC. Thus, novel therapeutic strategies that could promote CD8 T cells to accumulate in the central tumor area are urgently needed. Here, we demonstrated that CCL5-deficiency delayed tumor growth and metastasis via facilitating CD8 T cells to accumulate into tumor site in CRC mouse models. Furthermore, CCL5-deficiency could upregulate PD-1 and PD-L1 expression and reduce the resistance to anti-PD-1 antibody therapy in CRC mouse model. Mechanically, the results of RNA-sequencing, in vitro coculture system and hypoxia measurements demonstrated that knockdown of CCL5 could result in the metabolic disorders in CD11bF4/80 TAMs and suppress the expression of S100a9 to promote the migration of CD8 T cells in the tumor microenvironment. These findings were verified by the data of clinical samples from CRC patients, suggesting that CCL5 may provide a potential therapeutic target for the combined PD-1-immunotherapy of CRC.
结直肠癌(CRC)是世界上第三常见的实体瘤,对几种免疫疗法具有耐药性,特别是免疫检查点阻断,其对许多其他类型的癌症具有治疗作用。细胞毒性 CD8 T 细胞被认为是抗肿瘤免疫中效应免疫细胞的主要群体之一;然而,中央肿瘤区域缺乏 CD8 T 细胞已成为实体瘤免疫治疗的主要障碍,特别是对于 CRC。因此,迫切需要新的治疗策略来促进 CD8 T 细胞在中央肿瘤区域聚集。在这里,我们证明 CCL5 缺陷通过促进 CD8 T 细胞在 CRC 小鼠模型中积聚到肿瘤部位来延迟肿瘤生长和转移。此外,CCL5 缺陷可上调 PD-1 和 PD-L1 的表达,并降低 CRC 小鼠模型中对抗 PD-1 抗体治疗的耐药性。在机制上,RNA 测序、体外共培养系统和缺氧测量的结果表明,CCL5 的敲低会导致 CD11bF4/80 TAMs 的代谢紊乱,并抑制 S100a9 的表达,从而促进 CD8 T 细胞在肿瘤微环境中的迁移。来自 CRC 患者的临床样本数据验证了这些发现,表明 CCL5 可能为 CRC 的 PD-1 免疫联合治疗提供一个潜在的治疗靶点。