抑制 PCSK9 可通过促进 CD8 T 细胞浸润和排除 Treg 细胞来增强 PD-1 抑制剂在结直肠癌中的抗肿瘤作用。

Inhibition of PCSK9 enhances the antitumor effect of PD-1 inhibitor in colorectal cancer by promoting the infiltration of CD8 T cells and the exclusion of Treg cells.

机构信息

Department of Biological Medicines & Shanghai Engineering Research Center of Immunotherapeutics, Fudan University School of Pharmacy, Shanghai, China.

出版信息

Front Immunol. 2022 Aug 8;13:947756. doi: 10.3389/fimmu.2022.947756. eCollection 2022.

Abstract

Immunotherapy especially immune checkpoint inhibitors (ICIs) has brought favorable clinical results for numerous cancer patients. However, the efficacy of ICIs in colorectal cancer (CRC) is still unsatisfactory due to the poor median progression-free survival and overall survival. Here, based on the CRC models, we tried to elucidate novel relapse mechanisms during anti-PD-1 therapy. We found that PD-1 blockade elicited a mild antitumor effect in these tumor models with both increased CD8 T cells and Treg cells. Gene mapping analysis indicated that proprotein convertase subtilisin/kexin type 9 (PCSK9), low-density lipoprotein receptor, transforming growth factor-β (TGF-β), and CD36 were unexpectedly upregulated during PD-1 blockade. To investigate the critical role of these proteins especially PCSK9 in tumor growth, anti-PCSK9 antibody in combination with anti-PD-1 antibody was employed to block PCSK9 and PD-1 simultaneously in CRC. Data showed that neutralizing PCSK9 during anti-PD-1 therapy elicited a synergetic antitumor effect with increased CD8 T-cell infiltration and inflammatory cytokine releases. Moreover, the proportion of Treg cells was significantly reduced by co-inhibiting PCSK9 and PD-1. Overall, inhibiting PCSK9 can further enhance the antitumor effect of anti-PD-1 therapy in CRC, indicating that targeting PCSK9 could be a promising approach to potentiate ICI efficacy.

摘要

免疫疗法,特别是免疫检查点抑制剂(ICIs),为众多癌症患者带来了良好的临床效果。然而,由于结直肠癌(CRC)的中位无进展生存期和总生存期仍不理想,ICI 的疗效仍不尽人意。在这里,我们基于 CRC 模型,试图阐明抗 PD-1 治疗期间的新复发机制。我们发现,PD-1 阻断在这些肿瘤模型中引起了轻微的抗肿瘤作用,同时增加了 CD8 T 细胞和 Treg 细胞。基因图谱分析表明,在 PD-1 阻断期间,脯氨酰肽链内切酶/subtilisin/kexin 类型 9(PCSK9)、低密度脂蛋白受体、转化生长因子-β(TGF-β)和 CD36 出乎意料地上调。为了研究这些蛋白特别是 PCSK9 在肿瘤生长中的关键作用,我们使用抗 PCSK9 抗体与抗 PD-1 抗体联合,同时阻断 CRC 中的 PCSK9 和 PD-1。数据表明,在抗 PD-1 治疗中中和 PCSK9 可与增加的 CD8 T 细胞浸润和炎症细胞因子释放协同发挥抗肿瘤作用。此外,通过同时抑制 PCSK9 和 PD-1,Treg 细胞的比例显著降低。总的来说,抑制 PCSK9 可以进一步增强抗 PD-1 疗法在 CRC 中的抗肿瘤作用,表明靶向 PCSK9 可能是增强 ICI 疗效的一种有前途的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c62/9393481/17152418f9d6/fimmu-13-947756-g001.jpg

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