组织驻留记忆 T 细胞引发的早期免疫压力塑造了非小细胞肺癌的肿瘤进化。
Early immune pressure initiated by tissue-resident memory T cells sculpts tumor evolution in non-small cell lung cancer.
机构信息
Personalised Oncology Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia; Department of Medical Biology, the University of Melbourne, Parkville, VIC, Australia.
Personalised Oncology Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.
出版信息
Cancer Cell. 2023 May 8;41(5):837-852.e6. doi: 10.1016/j.ccell.2023.03.019. Epub 2023 Apr 21.
Tissue-resident memory T (T) cells provide immune defense against local infection and can inhibit cancer progression. However, it is unclear to what extent chronic inflammation impacts T activation and whether T cells existing in tissues before tumor onset influence cancer evolution in humans. We performed deep profiling of healthy lungs and lung cancers in never-smokers (NSs) and ever-smokers (ESs), finding evidence of enhanced immunosurveillance by cells with a T-like phenotype in ES lungs. In preclinical models, tumor-specific or bystander T-like cells present prior to tumor onset boosted immune cell recruitment, causing tumor immune evasion through loss of MHC class I protein expression and resistance to immune checkpoint inhibitors. In humans, only tumors arising in ES patients underwent clonal immune evasion, unrelated to tobacco-associated mutagenic signatures or oncogenic drivers. These data demonstrate that enhanced T-like activity prior to tumor development shapes the evolution of tumor immunogenicity and can impact immunotherapy outcomes.
组织驻留记忆 T(T)细胞提供针对局部感染的免疫防御,并能抑制癌症进展。然而,目前尚不清楚慢性炎症在何种程度上影响 T 细胞的激活,以及在肿瘤发生之前存在于组织中的 T 细胞是否会影响人类的癌症演变。我们对从不吸烟者(NS)和曾吸烟者(ES)的健康肺组织和肺癌进行了深度分析,发现 ES 肺中的 T 样表型细胞增强了免疫监视的证据。在临床前模型中,在肿瘤发生之前存在的肿瘤特异性或旁观者 T 样细胞促进了免疫细胞的募集,导致肿瘤通过 MHC I 类蛋白表达的丢失和对免疫检查点抑制剂的耐药性而发生免疫逃逸。在人类中,只有在 ES 患者中发生的肿瘤经历了克隆性免疫逃逸,这与烟草相关的致突变特征或致癌驱动因素无关。这些数据表明,在肿瘤发生之前增强的 T 样活性塑造了肿瘤免疫原性的演变,并可能影响免疫治疗的结果。