癌相关成纤维细胞样成纤维细胞在声带白斑中通过诱导 IL-6 自分泌环并与 Th17 细胞相互作用来抑制 CD8T 细胞功能。
Cancer-associated fibroblast-like fibroblasts in vocal fold leukoplakia suppress CD8T cell functions by inducing IL-6 autocrine loop and interacting with Th17 cells.
机构信息
ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, 200031, China; Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, 200031, China.
ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, 200031, China; Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, 200031, China.
出版信息
Cancer Lett. 2022 Oct 10;546:215839. doi: 10.1016/j.canlet.2022.215839. Epub 2022 Aug 10.
The characteristics of fibroblast cells in head and neck precancerous lesion and its ability to secrete inflammatory cytokines and affect CD8T cell functions remain unclear. Herein, we reported the existence of fibroblasts in human-derived vocal fold leukoplakia (VFL) with positive staining of fibroblast activation protein (FAP) and α-smooth muscle actin (α-SMA). The fibroblasts from VFL and cancer-associated fibroblasts (CAFs) from head and neck squamous cell carcinoma (HNSCC) displayed similar cellular functions and robust inflammatory cytokine secretions. The effects of fibroblasts from VFL in inducing the apoptosis, depletion of CD8 T cells and recruitment of regulatory T cells (Treg cells) were observed. We further assessed the autocrine loop within VFL fibroblasts to self-stimulate by secreting IL-6, TGF-β through the IL-6/JAK2/STAT3 pathway. The synergistic stimulation of IL-6 and TGF-β promoted Th17 cell differentiation and IL-17A secretion, which could result in fibroblast activation in another positive loop. Tocilizumab (TOC), a monoclonal antibody targeting IL-6R, managed to suppress the overexpression of both IL-6 and TGF-β in VFL fibroblasts, and thus blocking IL-6 autocrine loop and CAF-Th17 loop in vitro. In a murine model of oral leukoplakia (OL), local injection of TOC inhibited the outgrowth of lesions and showed notable effect in control of OL progression in vivo. Our findings establish a novel rationale for blocking the IL-6/JAK2/STAT3 pathway to inhibit vocal fold (oral) leukoplakia progression and postpone HNSCC tumorigenesis.
头颈部癌前病变成纤维细胞的特征及其分泌炎症细胞因子和影响 CD8+T 细胞功能的能力尚不清楚。在此,我们报道了人源性声带白斑(VFL)中存在成纤维细胞,其成纤维细胞激活蛋白(FAP)和α-平滑肌肌动蛋白(α-SMA)呈阳性染色。VFL 中的成纤维细胞和头颈部鳞状细胞癌(HNSCC)中的癌相关成纤维细胞(CAFs)显示出相似的细胞功能和强大的炎症细胞因子分泌。观察到 VFL 成纤维细胞诱导细胞凋亡、耗尽 CD8+T 细胞和招募调节性 T 细胞(Treg 细胞)的作用。我们进一步评估了 VFL 成纤维细胞内的自分泌环,通过分泌白细胞介素 6(IL-6)、转化生长因子-β(TGF-β)通过 IL-6/JAK2/STAT3 途径自我刺激。IL-6 和 TGF-β 的协同刺激促进了 Th17 细胞的分化和 IL-17A 的分泌,这可能导致另一个正反馈环中成纤维细胞的激活。托珠单抗(TOC)是一种针对 IL-6R 的单克隆抗体,能够抑制 VFL 成纤维细胞中 IL-6 和 TGF-β 的过度表达,从而阻断 IL-6 自分泌环和 CAF-Th17 环。在口腔白斑(OL)的小鼠模型中,局部注射 TOC 抑制了病变的生长,并在体内显著控制了 OL 的进展。我们的研究结果为阻断 IL-6/JAK2/STAT3 通路以抑制声带(口腔)白斑的进展和延缓 HNSCC 肿瘤发生提供了新的依据。