Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, MA, USA.
Department of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA, USA.
Nature. 2023 May;617(7959):139-146. doi: 10.1038/s41586-023-05940-w. Epub 2023 Apr 19.
Loss of the PTEN tumour suppressor is one of the most common oncogenic drivers across all cancer types. PTEN is the major negative regulator of PI3K signalling. The PI3Kβ isoform has been shown to play an important role in PTEN-deficient tumours, but the mechanisms underlying the importance of PI3Kβ activity remain elusive. Here, using a syngeneic genetically engineered mouse model of invasive breast cancer driven by ablation of both Pten and Trp53 (which encodes p53), we show that genetic inactivation of PI3Kβ led to a robust anti-tumour immune response that abrogated tumour growth in syngeneic immunocompetent mice, but not in immunodeficient mice. Mechanistically, PI3Kβ inactivation in the PTEN-null setting led to reduced STAT3 signalling and increased the expression of immune stimulatory molecules, thereby promoting anti-tumour immune responses. Pharmacological PI3Kβ inhibition also elicited anti-tumour immunity and synergized with immunotherapy to inhibit tumour growth. Mice with complete responses to the combined treatment displayed immune memory and rejected tumours upon re-challenge. Our findings demonstrate a molecular mechanism linking PTEN loss and STAT3 activation in cancer and suggest that PI3Kβ controls immune escape in PTEN-null tumours, providing a rationale for combining PI3Kβ inhibitors with immunotherapy for the treatment of PTEN-deficient breast cancer.
抑癌基因 PTEN 的缺失是所有癌症类型中最常见的致癌驱动因素之一。PTEN 是 PI3K 信号的主要负调控因子。已有研究表明,PI3Kβ 同工型在 PTEN 缺失的肿瘤中发挥着重要作用,但 PI3Kβ 活性的重要性背后的机制仍不清楚。在这里,我们使用由 Pten 和 Trp53(编码 p53)缺失驱动的侵袭性乳腺癌的同源基因工程小鼠模型,表明 PI3Kβ 的遗传失活导致了强大的抗肿瘤免疫反应,从而阻止了同源免疫活性小鼠中的肿瘤生长,但不能阻止免疫缺陷小鼠中的肿瘤生长。从机制上讲,在 PTEN 缺失的情况下,PI3Kβ 的失活导致 STAT3 信号的减少和免疫刺激分子的表达增加,从而促进抗肿瘤免疫反应。PI3Kβ 的药理学抑制也引发了抗肿瘤免疫反应,并与免疫疗法协同抑制肿瘤生长。对联合治疗完全有反应的小鼠表现出免疫记忆,并在重新挑战时排斥肿瘤。我们的研究结果表明,PTEN 缺失和癌症中 STAT3 激活之间存在一种分子机制,并表明 PI3Kβ 控制着 PTEN 缺失肿瘤中的免疫逃逸,为 PI3Kβ 抑制剂与免疫疗法联合治疗 PTEN 缺失型乳腺癌提供了依据。