Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA 02114, USA; Graduate Program in Immunology, Harvard Medical School, Boston, MA 02115, USA.
Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA 02114, USA; Department of Radiology, Massachusetts General Hospital, 185 Cambridge St, CPZN 5206, Boston, MA 02114, USA.
Immunity. 2018 Dec 18;49(6):1148-1161.e7. doi: 10.1016/j.immuni.2018.09.024. Epub 2018 Dec 11.
Anti-PD-1 immune checkpoint blockers can induce sustained clinical responses in cancer but how they function in vivo remains incompletely understood. Here, we combined intravital real-time imaging with single-cell RNA sequencing analysis and mouse models to uncover anti-PD-1 pharmacodynamics directly within tumors. We showed that effective antitumor responses required a subset of tumor-infiltrating dendritic cells (DCs), which produced interleukin 12 (IL-12). These DCs did not bind anti-PD-1 but produced IL-12 upon sensing interferon γ (IFN-γ) that was released from neighboring T cells. In turn, DC-derived IL-12 stimulated antitumor T cell immunity. These findings suggest that full-fledged activation of antitumor T cells by anti-PD-1 is not direct, but rather involves T cell:DC crosstalk and is licensed by IFN-γ and IL-12. Furthermore, we found that activating the non-canonical NF-κB transcription factor pathway amplified IL-12-producing DCs and sensitized tumors to anti-PD-1 treatment, suggesting a therapeutic strategy to improve responses to checkpoint blockade.
抗 PD-1 免疫检查点抑制剂可在癌症中诱导持续的临床反应,但它们在体内的作用机制仍不完全清楚。在这里,我们结合体内实时成像与单细胞 RNA 测序分析以及小鼠模型,直接在肿瘤内揭示抗 PD-1 的药效动力学。我们表明,有效的抗肿瘤反应需要浸润肿瘤的树突状细胞(DC)亚群,这些细胞产生白细胞介素 12(IL-12)。这些 DC 不与抗 PD-1 结合,但在感应到来自相邻 T 细胞释放的干扰素 γ(IFN-γ)时会产生 IL-12。反过来,DC 衍生的 IL-12 刺激抗肿瘤 T 细胞免疫。这些发现表明,抗 PD-1 对抗肿瘤 T 细胞的完全激活不是直接的,而是涉及 T 细胞:DC 串扰,并由 IFN-γ 和 IL-12 授权。此外,我们发现激活非经典 NF-κB 转录因子途径可放大产生 IL-12 的 DC,并使肿瘤对抗 PD-1 治疗敏感,这提示了一种改善对检查点阻断反应的治疗策略。
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