一个保守的肿瘤内调节性 T 细胞特征将 4-1BB 鉴定为一种泛癌靶点。

A conserved intratumoral regulatory T cell signature identifies 4-1BB as a pan-cancer target.

机构信息

Department of Oncology and.

Sidney Kimmel Comprehensive Cancer Center, School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.

出版信息

J Clin Invest. 2020 Mar 2;130(3):1405-1416. doi: 10.1172/JCI128672.

Abstract

Despite advancements in targeting the immune checkpoints program cell death protein 1 (PD-1), programmed death ligand 1 (PD-L1), and cytotoxic T lymphocyte-associated protein 4 (CTLA-4) for cancer immunotherapy, a large number of patients and cancer types remain unresponsive. Current immunotherapies focus on modulating an antitumor immune response by directly or indirectly expanding antitumor CD8 T cells. A complementary strategy might involve inhibition of Tregs that otherwise suppress antitumor immune responses. Here, we sought to identify functional immune molecules preferentially expressed on tumor-infiltrating Tregs. Using genome-wide RNA-Seq analysis of purified Tregs sorted from multiple human cancer types, we identified a conserved Treg immune checkpoint signature. Using immunocompetent murine tumor models, we found that antibody-mediated depletion of 4-1BB-expressing cells (4-1BB is also known as TNFRSF9 or CD137) decreased tumor growth without negatively affecting CD8 T cell function. Furthermore, we found that the immune checkpoint 4-1BB had a high selectivity for human tumor Tregs and was associated with worse survival outcomes in patients with multiple tumor types. Thus, antibody-mediated depletion of 4-1BB-expressing Tregs represents a strategy with potential activity across cancer types.

摘要

尽管在癌症免疫治疗中针对免疫检查点程序细胞死亡蛋白 1(PD-1)、程序性死亡配体 1(PD-L1)和细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4)的靶向治疗取得了进展,但仍有大量患者和癌症类型对其没有反应。目前的免疫疗法侧重于通过直接或间接扩增抗肿瘤 CD8 T 细胞来调节抗肿瘤免疫反应。一种互补策略可能涉及抑制调节性 T 细胞(Tregs),否则这些细胞会抑制抗肿瘤免疫反应。在这里,我们试图确定优先在肿瘤浸润性 Tregs 上表达的功能免疫分子。使用来自多种人类癌症类型的纯化 Tregs 进行的全基因组 RNA-Seq 分析,我们鉴定了一个保守的 Treg 免疫检查点特征。使用免疫活性的鼠肿瘤模型,我们发现抗体介导的 4-1BB 表达细胞(4-1BB 也称为 TNFRSF9 或 CD137)耗竭减少了肿瘤生长,而不会对 CD8 T 细胞功能产生负面影响。此外,我们发现免疫检查点 4-1BB 对人类肿瘤 Tregs 具有高选择性,并与多种肿瘤类型患者的更差生存结局相关。因此,抗体介导的 4-1BB 表达 Tregs 的耗竭代表了一种在癌症类型中具有潜在活性的策略。

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