Department of Animal Science, McGill University, Montreal, Quebec, Canada.
Department of Radiation and Cellular Oncology, University of Chicago, Chicago, Illinois, USA.
Gut. 2022 Mar;71(3):521-533. doi: 10.1136/gutjnl-2020-323426. Epub 2021 Mar 8.
OBJECTIVE: Our goals were to evaluate the antitumour efficacy of GG (LGG) in combination with immune checkpoint blockade (ICB) immunotherapies on tumour growth and to investigate the underlying mechanisms. DESIGN: We used murine models of colorectal cancer and melanoma to evaluate whether oral administration of LGG improves the efficacy of ICB therapies. We performed the whole genome shotgun metagenome sequencing of intestinal contents and RNA sequencing of dendritic cells (DCs). In a series of in vitro and in vivo experiments, we further defined the immunological and molecular mechanisms of LGG-mediated antitumour immunity. RESULTS: We demonstrate that oral administration of live LGG augmented the antitumour activity of anti-programmed cell death 1 (PD-1) immunotherapy by increasing tumour-infiltrating DCs and T cells. Moreover, the combination treatment shifted the gut microbial community towards enrichment in and , that are known to increase DC activation and CD8tumour recruitment. Mechanistically, treatment with live LGG alone or in combination with anti-PD-1 antibody triggered type I interferon (IFN) production in DCs, enhancing the cross-priming of antitumour CD8 T cells. In DCs, cyclic GMP-AMP synthase (cGAS)/stimulator of IFN genes (STING) was required for IFN-β induction in response to LGG, as evidenced by the significant decrease in IFN-β levels in cGAS or STING-deficient DCs. LGG induces IFN-β production via the cGAS/STING/TANK binding kinase 1/interferon regulatory factor 7 axis in DCs. CONCLUSION: Our findings have offered valuable insight into the molecular mechanisms of live LGG-mediated antitumour immunity and establish an empirical basis for developing oral administration of live LGG as a combination agent with ICB for cancer therapies.
目的:评估 GG(LGG)联合免疫检查点阻断(ICB)免疫疗法对肿瘤生长的抗肿瘤疗效,并探讨其潜在机制。
设计:我们使用结直肠癌和黑色素瘤的小鼠模型来评估口服 LGG 是否能提高 ICB 治疗的疗效。我们对肠道内容物进行了全基因组鸟枪法宏基因组测序和树突状细胞(DC)的 RNA 测序。在一系列体外和体内实验中,我们进一步确定了 LGG 介导的抗肿瘤免疫的免疫学和分子机制。
结果:我们证明,口服活 LGG 通过增加肿瘤浸润性 DC 和 T 细胞,增强了抗程序性细胞死亡蛋白 1(PD-1)免疫疗法的抗肿瘤活性。此外,联合治疗使肠道微生物群落向 和 富集,这两种微生物已知能增加 DC 的激活和 CD8 肿瘤的募集。从机制上讲,单独使用活 LGG 或与抗 PD-1 抗体联合治疗可在 DC 中触发 I 型干扰素(IFN)的产生,增强抗肿瘤 CD8 T 细胞的交叉呈递。在 DC 中,环鸟苷酸-腺苷酸合酶(cGAS)/干扰素基因刺激因子(STING)对于 LGG 诱导 IFN-β是必需的,这从 cGAS 或 STING 缺陷型 DC 中 IFN-β 水平的显著下降中得到了证明。LGG 通过 cGAS/STING/TANK 结合激酶 1/干扰素调节因子 7 轴在 DC 中诱导 IFN-β 的产生。
结论:我们的研究结果为活 LGG 介导的抗肿瘤免疫的分子机制提供了有价值的见解,并为开发口服活 LGG 作为与 ICB 联合用于癌症治疗的组合剂提供了经验基础。
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