Axl 和 Mertk 受体通过联合致癌信号和逃避宿主抗肿瘤免疫来共同促进乳腺癌的进展。

Axl and Mertk Receptors Cooperate to Promote Breast Cancer Progression by Combined Oncogenic Signaling and Evasion of Host Antitumor Immunity.

机构信息

Department of Microbiology, Biochemistry and Molecular Genetics, Cancer Center, Rutgers- New Jersey Medical School, Newark, New Jersey.

Office of Advanced Research Computing, Rutgers- New Jersey Medical School, Newark, New Jersey.

出版信息

Cancer Res. 2021 Feb 1;81(3):698-712. doi: 10.1158/0008-5472.CAN-20-2066. Epub 2020 Nov 25.

Abstract

Despite the promising clinical benefit of targeted and immune checkpoint blocking therapeutics, current strategies have limited success in breast cancer, indicating that additional inhibitory pathways are required to complement existing therapeutics. TAM receptors (Tyro-3, Axl, and Mertk) are often correlated with poor prognosis because of their capacities to sustain an immunosuppressive environment. Here, we ablate Axl on tumor cells using CRISPR/Cas9 gene editing, and by targeting Mertk in the tumor microenvironment (TME), we observed distinct functions of TAM as oncogenic kinases, as well as inhibitory immune receptors. Depletion of Axl suppressed cell intrinsic oncogenic properties, decreased tumor growth, reduced the incidence of lung metastasis and increased overall survival of mice when injected into mammary fat pad of syngeneic mice, and demonstrated synergy when combined with anti-PD-1 therapy. Blockade of Mertk function on macrophages decreased efferocytosis, altered the cytokine milieu, and resulted in suppressed macrophage gene expression patterns. Mertk-knockout mice or treatment with anti-Mertk-neutralizing mAb also altered the cellular immune profile, resulting in a more inflamed tumor environment with enhanced T-cell infiltration into tumors and T-cell-mediated cytotoxicity. The antitumor activity from Mertk inhibition was abrogated by depletion of cytotoxic CD8α T cells by using anti-CD8α mAb or by transplantation of tumor cells into B6.CB17-Prkdc SCID mice. Our data indicate that targeting Axl expressed on tumor cells and Mertk in the TME is predicted to have a combinatorial benefit to enhance current immunotherapies and that Axl and Mertk have distinct functional activities that impair host antitumor response. SIGNIFICANCE: This study demonstrates how TAM receptors act both as oncogenic tyrosine kinases and as receptors that mediate immune evasion in cancer progression.

摘要

尽管针对和免疫检查点阻断治疗的有希望的临床益处,当前的策略在乳腺癌中取得的成功有限,表明需要额外的抑制途径来补充现有治疗方法。TAM 受体(Tyro-3、Axl 和 Mertk)由于其维持免疫抑制环境的能力,通常与预后不良相关。在这里,我们使用 CRISPR/Cas9 基因编辑在肿瘤细胞上消融 Axl,并且通过靶向肿瘤微环境 (TME) 中的 Mertk,我们观察到 TAM 作为致癌激酶以及抑制性免疫受体的不同功能。Axl 的耗竭抑制了细胞内在的致癌特性,降低了肿瘤生长,减少了肺转移的发生率,并增加了注射到同源小鼠乳腺脂肪垫中的小鼠的总生存率,并且当与抗 PD-1 治疗联合使用时显示出协同作用。巨噬细胞上 Mertk 功能的阻断减少了胞噬作用,改变了细胞因子环境,并导致巨噬细胞基因表达模式受到抑制。Mertk 敲除小鼠或用抗 Mertk 中和 mAb 治疗也改变了细胞免疫谱,导致肿瘤环境更具炎症性,T 细胞浸润到肿瘤中并增强 T 细胞介导的细胞毒性。通过使用抗 CD8α mAb 耗竭细胞毒性 CD8α T 细胞或通过将肿瘤细胞移植到 B6.CB17-Prkdc SCID 小鼠中来抑制 Mertk 抑制的抗肿瘤活性。我们的数据表明,靶向肿瘤细胞上表达的 Axl 和 TME 中的 Mertk 有望与当前免疫疗法联合使用,具有协同作用,并且 Axl 和 Mertk 具有不同的功能活性,可损害宿主抗肿瘤反应。意义:这项研究表明 TAM 受体如何既作为致癌酪氨酸激酶,又作为癌症进展中介导免疫逃逸的受体发挥作用。

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