Department of Medicine, Section of Immunology, University of Verona, Verona 37129, Italy.
Ospedale Policlinico San Martino, IRCCS, Genova16132, Italy.
Sci Transl Med. 2023 Mar 15;15(687):eabq6221. doi: 10.1126/scitranslmed.abq6221.
Myeloid cells can restrain antitumor immunity by metabolic pathways, such as the degradation of l-arginine, whose concentrations are regulated by the arginase 1 (ARG1) enzyme. Results from preclinical studies indicate the important role of arginine metabolism in pancreatic ductal adenocarcinoma (PDAC) progression, suggesting a potential for clinical application; however, divergent evolution in ARG1 expression and function in rodents and humans has restricted clinical translation. To overcome this dichotomy, here, we show that neutrophil extracellular traps (NETs), released by spontaneously activated neutrophils isolated from patients with PDAC, create a microdomain where cathepsin S (CTSS) cleaves human (h)ARG1 into different molecular forms endowed with enhanced enzymatic activity at physiological pH. NET-associated hARG1 suppresses T lymphocytes whose proliferation is restored by either adding a hARG1-specific monoclonal antibody (mAb) or preventing CTSS-mediated cleavage, whereas small-molecule inhibitors are not effective. We show that ARG1 blockade, combined with immune checkpoint inhibitors, can restore CD8 T cell function in ex vivo PDAC tumors. Furthermore, anti-hARG1 mAbs increase the frequency of adoptively transferred tumor-specific CD8 T cells in tumor and enhance the effectiveness of immune checkpoint therapy in humanized mice. Thus, this study shows that extracellular ARG1, released by activated myeloid cells, localizes in NETs, where it interacts with CTSS that in turn cleaves ARG1, producing major molecular forms endowed with different enzymatic activity at physiological pH. Once exocytosed, ARG1 activity can be targeted by mAbs, which bear potential for clinical application for the treatment of PDAC and require further exploration.
髓系细胞可以通过代谢途径抑制抗肿瘤免疫,例如 l-精氨酸的降解,其浓度受精氨酸酶 1 (ARG1) 酶的调节。临床前研究结果表明,精氨酸代谢在胰腺导管腺癌 (PDAC) 进展中的重要作用,这表明其具有潜在的临床应用价值;然而,在啮齿动物和人类中,ARG1 表达和功能的分歧进化限制了临床转化。为了克服这种二分法,在这里,我们表明,源自 PDAC 患者自发激活的中性粒细胞释放的中性粒细胞胞外诱捕网 (NET) ,形成一个微域,其中组织蛋白酶 S (CTSS) 将人 (h)ARG1 切割成不同的分子形式,在生理 pH 下具有增强的酶活性。NET 相关的 hARG1 抑制 T 淋巴细胞,其增殖可通过添加 hARG1 特异性单克隆抗体 (mAb) 或阻止 CTSS 介导的切割来恢复,而小分子抑制剂则无效。我们表明,ARG1 阻断联合免疫检查点抑制剂可以恢复体外 PDAC 肿瘤中 CD8 T 细胞的功能。此外,抗 hARG1 mAb 增加了在肿瘤中过继转移的肿瘤特异性 CD8 T 细胞的频率,并增强了人源化小鼠中免疫检查点治疗的有效性。因此,这项研究表明,激活的髓系细胞释放的细胞外 ARG1 定位于 NET 中,在那里它与 CTSS 相互作用,CTSS 反过来又切割 ARG1,产生在生理 pH 下具有不同酶活性的主要分子形式。一旦外泌体,ARG1 活性可以通过 mAb 靶向,这为治疗 PDAC 的临床应用提供了潜力,需要进一步探索。
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