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1 型传统树突状细胞在胰腺癌发生的早期就出现系统性失调。

Type 1 conventional dendritic cells are systemically dysregulated early in pancreatic carcinogenesis.

机构信息

Immunology Graduate Group, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

出版信息

J Exp Med. 2020 Aug 3;217(8). doi: 10.1084/jem.20190673.

Abstract

Type 1 conventional dendritic cells (cDC1s) are typically thought to be dysregulated secondarily to invasive cancer. Here, we report that cDC1 dysfunction instead develops in the earliest stages of preinvasive pancreatic intraepithelial neoplasia (PanIN) in the KrasLSL-G12D/+ Trp53LSL-R172H/+ Pdx1-Cre-driven (KPC) mouse model of pancreatic cancer. cDC1 dysfunction is systemic and progressive, driven by increased apoptosis, and results in suboptimal up-regulation of T cell-polarizing cytokines during cDC1 maturation. The underlying mechanism is linked to elevated IL-6 concomitant with neoplasia. Neutralization of IL-6 in vivo ameliorates cDC1 apoptosis, rescuing cDC1 abundance in tumor-bearing mice. CD8+ T cell response to vaccination is impaired as a result of cDC1 dysregulation. Yet, combination therapy with CD40 agonist and Flt3 ligand restores cDC1 abundance to normal levels, decreases cDC1 apoptosis, and repairs cDC1 maturation to drive superior control of tumor outgrowth. Our study therefore reveals the unexpectedly early and systemic onset of cDC1 dysregulation during pancreatic carcinogenesis and suggests therapeutically tractable strategies toward cDC1 repair.

摘要

1 型传统树突状细胞(cDC1)通常被认为是在侵袭性癌症继发失调的。在这里,我们报告说,在胰腺癌 KrasLSL-G12D/+Trp53LSL-R172H/+Pdx1-Cre 驱动的(KPC)小鼠模型中,cDC1 功能障碍反而在侵袭前胰腺上皮内瘤变(PanIN)的最早阶段发展。cDC1 功能障碍是全身性和进行性的,由凋亡增加驱动,并导致 cDC1 成熟过程中 T 细胞极化细胞因子的上调不足。潜在的机制与肿瘤发生时升高的 IL-6 有关。体内中和 IL-6 可减轻 cDC1 凋亡,挽救荷瘤小鼠中 cDC1 的丰度。由于 cDC1 失调,CD8+T 细胞对疫苗的反应受损。然而,CD40 激动剂和 Flt3 配体的联合治疗可将 cDC1 的丰度恢复正常水平,减少 cDC1 凋亡,并修复 cDC1 成熟,从而更好地控制肿瘤生长。因此,我们的研究揭示了在胰腺癌发生过程中 cDC1 失调的出乎意料的早期和系统性发生,并提出了针对 cDC1 修复的治疗上可行的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f528/7398166/c3119f65c10c/JEM_20190673_GA.jpg

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