Division of Immunology and Pathogenesis, Department of Molecular and Cell Biology, University of California, Berkeley, Berkeley, CA 94720, USA.
Aduro Biotech Inc., Berkeley, CA 94710, USA.
Sci Immunol. 2020 Mar 20;5(45). doi: 10.1126/sciimmunol.aaz2738.
Several immunotherapy approaches that mobilize CD8 T cell responses stimulate tumor rejection, and some, such as checkpoint blockade, have been approved for several cancer indications and show impressive increases in patient survival. However, tumors may evade CD8 T cell recognition via loss of MHC molecules or because they contain few or no neoantigens. Therefore, approaches are needed to combat CD8 T cell-resistant cancers. STING-activating cyclic dinucleotides (CDNs) are a new class of immune-stimulating agents that elicit impressive CD8 T cell-mediated tumor rejection in preclinical tumor models and are now being tested in clinical trials. Here, we demonstrate powerful CDN-induced, natural killer (NK) cell-mediated tumor rejection in numerous tumor models, independent of CD8 T cells. CDNs enhanced NK cell activation, cytotoxicity, and antitumor effects in part by inducing type I interferon (IFN). IFN acted in part directly on NK cells in vivo and in part indirectly via the induction of IL-15 and IL-15 receptors, which were important for CDN-induced NK activation and tumor control. After in vivo administration of CDNs, dendritic cells (DCs) up-regulated IL-15Rα in an IFN-dependent manner. Mice lacking the type I IFN receptor specifically on DCs had reduced NK cell activation and tumor control. Therapeutics that activate NK cells, such as CDNs, checkpoint inhibitors, NK cell engagers, and cytokines, may represent next-generation approaches to cancer immunotherapy.
几种动员 CD8 T 细胞反应的免疫疗法方法刺激肿瘤排斥,其中一些方法,如检查点阻断,已被批准用于几种癌症适应症,并显示出患者生存的显著提高。然而,肿瘤可能通过 MHC 分子的丢失或由于它们含有很少或没有新抗原而逃避 CD8 T 细胞的识别。因此,需要采取方法来对抗 CD8 T 细胞耐药的癌症。STING 激活的环二核苷酸(CDN)是一类新的免疫刺激剂,在临床前肿瘤模型中引起令人印象深刻的 CD8 T 细胞介导的肿瘤排斥反应,目前正在临床试验中进行测试。在这里,我们证明了在许多肿瘤模型中,CDN 诱导的自然杀伤(NK)细胞介导的肿瘤排斥作用强大,与 CD8 T 细胞无关。CDN 通过诱导 I 型干扰素(IFN)在一定程度上增强 NK 细胞的激活、细胞毒性和抗肿瘤作用。IFN 在体内直接作用于 NK 细胞,部分通过诱导 IL-15 和 IL-15 受体间接作用,这对于 CDN 诱导的 NK 激活和肿瘤控制非常重要。在体内给予 CDN 后,树突状细胞(DC)以 IFN 依赖的方式上调 IL-15Rα。在 DC 上特异性缺乏 I 型 IFN 受体的小鼠的 NK 细胞激活和肿瘤控制减少。激活 NK 细胞的疗法,如 CDN、检查点抑制剂、NK 细胞衔接器和细胞因子,可能代表癌症免疫治疗的下一代方法。
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