Department of Biochemistry and Molecular Biology, and.
Georgia Cancer Center, Medical College of Georgia, Augusta, Georgia, USA.
J Clin Invest. 2018 Dec 3;128(12):5549-5560. doi: 10.1172/JCI123360. Epub 2018 Nov 5.
Despite breakthroughs in immune checkpoint inhibitor (ICI) immunotherapy, not all human cancers respond to ICI immunotherapy and a large fraction of patients with the responsive types of cancers do not respond to current ICI immunotherapy. This clinical conundrum suggests that additional immune checkpoints exist. We report here that interferon regulatory factor 8 (IRF8) deficiency led to impairment of cytotoxic T lymphocyte (CTL) activation and allograft tumor tolerance. However, analysis of chimera mice with competitive reconstitution of WT and IRF8-KO bone marrow cells as well as mice with IRF8 deficiency only in T cells indicated that IRF8 plays no intrinsic role in CTL activation. Instead, IRF8 functioned as a repressor of osteopontin (OPN), the physiological ligand for CD44 on T cells, in CD11b+Ly6CloLy6G+ myeloid cells and OPN acted as a potent T cell suppressor. IRF8 bound to the Spp1 promoter to repress OPN expression in colon epithelial cells, and colon carcinoma exhibited decreased IRF8 and increased OPN expression. The elevated expression of OPN in human colon carcinoma was correlated with decreased patient survival. Our data indicate that myeloid and tumor cell-expressed OPN acts as an immune checkpoint to suppress T cell activation and confer host tumor immune tolerance.
尽管免疫检查点抑制剂(ICI)免疫疗法取得了突破,但并非所有人类癌症都对 ICI 免疫疗法有反应,而且相当一部分对有反应性癌症类型的患者对当前的 ICI 免疫疗法没有反应。这一临床难题表明还存在其他免疫检查点。我们在这里报告,干扰素调节因子 8(IRF8)缺陷导致细胞毒性 T 淋巴细胞(CTL)激活和同种异体肿瘤耐受受损。然而,对具有 WT 和 IRF8-KO 骨髓细胞竞争重建的嵌合小鼠以及仅在 T 细胞中缺乏 IRF8 的小鼠进行分析表明,IRF8 在 CTL 激活中没有内在作用。相反,IRF8 作为 T 细胞上 CD44 的生理配体骨桥蛋白(OPN)的抑制剂在 CD11b+Ly6CloLy6G+髓样细胞中发挥作用,而 OPN 作为一种有效的 T 细胞抑制剂。IRF8 与 Spp1 启动子结合,抑制结肠上皮细胞中 OPN 的表达,而结肠癌表现出 IRF8 减少和 OPN 表达增加。人结肠癌中 OPN 的高表达与患者生存时间缩短相关。我们的数据表明,髓样细胞和肿瘤细胞表达的 OPN 作为一种免疫检查点,抑制 T 细胞激活并赋予宿主肿瘤免疫耐受。
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