Institute of Systems Biomedicine, Department of Immunology, NHC Key Laboratory of Medical Immunology (Peking University), Beijing Key Laboratory of Tumor Systems Biology, Peking University Health Science Center, Beijing, China.
State Key Laboratory of Natural and Biomimetic Drugs, Department of Chemical Biology, School of Pharmaceutical Sciences, Peking University, Beijing, China.
Nat Metab. 2022 Jul;4(7):867-882. doi: 10.1038/s42255-022-00595-9. Epub 2022 Jul 4.
Anti-programmed death-1 (PD-1) immunotherapy that aims to restore T cell activity in cancer patients frequently leads to immune-related adverse events such as colitis. However, the underlying mechanism is still elusive. Here, we find that Pdcd1-deficient mice exhibit disrupted gut microbiota and aggravated dextran sulfate sodium (DSS)-induced colitis. In addition to T cells, PD-1 is also substantially expressed in colonic lymphoid tissue inducer (LTi) cells. During DSS-induced colitis, LTi cell activation is accompanied by increased PD-1 expression, whereas PD-1 deficiency results in reduced interleukin-22 (IL-22) production by LTi cells and exacerbated inflammation. Mechanistically, activated LTi cells reprogram their metabolism toward carbohydrate metabolism and fatty acid synthesis, while fatty acid oxidation (FAO) is unchanged. However, PD-1 deficiency leads to significantly elevated FAO in LTi cells, which in turn attenuates their activation and IL-22 production. Consistently, FAO suppression efficiently restores IL-22 production in Pdcd1 LTi cells. Thus, our study provides unforeseen mechanistic insight into colitis occurrence during anti-PD-1 immunotherapy through LTi cell metabolic reconfiguration.
抗程序性死亡受体 1(PD-1)免疫疗法旨在恢复癌症患者的 T 细胞活性,经常导致免疫相关的不良反应,如结肠炎。然而,其潜在机制仍不清楚。在这里,我们发现 Pdcd1 缺陷型小鼠表现出肠道微生物群紊乱和加重葡聚糖硫酸钠(DSS)诱导的结肠炎。除了 T 细胞,PD-1 也在结肠淋巴组织诱导(LTi)细胞中大量表达。在 DSS 诱导的结肠炎中,LTi 细胞的激活伴随着 PD-1 表达的增加,而 PD-1 缺乏导致 LTi 细胞产生的白细胞介素 22(IL-22)减少和炎症加重。在机制上,激活的 LTi 细胞将其代谢重编程为碳水化合物代谢和脂肪酸合成,而脂肪酸氧化(FAO)不变。然而,PD-1 缺乏导致 LTi 细胞中 FAO 显著升高,从而减弱了它们的激活和 IL-22 的产生。一致地,FAO 抑制有效地恢复了 Pdcd1 LTi 细胞中 IL-22 的产生。因此,我们的研究通过 LTi 细胞代谢重构,为抗 PD-1 免疫疗法期间发生结肠炎提供了意想不到的机制见解。