Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Cancer Immunol Res. 2023 Aug 3;11(8):1055-1067. doi: 10.1158/2326-6066.CIR-21-0946.
Intratumoral T-cell dysfunction is a hallmark of pancreatic tumors, and efforts to improve dendritic cell (DC)-mediated T-cell activation may be critical in treating these immune therapy unresponsive tumors. Recent evidence indicates that mechanisms that induce dysfunction of type 1 conventional DCs (cDC1) in pancreatic adenocarcinomas (PDAC) are drivers of the lack of responsiveness to checkpoint immunotherapy. However, the impact of PDAC on systemic type 2 cDC2 development and function has not been well studied. Herein, we report the analysis of 3 cohorts, totaling 106 samples, of human blood and bone marrow (BM) from patients with PDAC for changes in cDCs. We found that circulating cDC2s and their progenitors were significantly decreased in the blood of patients with PDAC, and repressed numbers of cDC2s were associated with poor prognosis. Serum cytokine analyses identified IL6 as significantly elevated in patients with PDAC and negatively correlated with cDC numbers. In vitro, IL6 impaired the differentiation of cDC1s and cDC2s from BM progenitors. Single-cell RNA sequencing analysis of human cDC progenitors in the BM and blood of patients with PDAC showed an upregulation of the IL6/STAT3 pathway and a corresponding impairment of antigen processing and presentation. These results suggested that cDC2s were systemically suppressed by inflammatory cytokines, which was linked to impaired antitumor immunity.
肿瘤内 T 细胞功能障碍是胰腺肿瘤的标志,努力改善树突状细胞 (DC) 介导的 T 细胞激活可能对治疗这些免疫治疗无反应的肿瘤至关重要。最近的证据表明,诱导胰腺腺癌 (PDAC) 中 1 型传统 DC (cDC1) 功能障碍的机制是缺乏对检查点免疫治疗反应的驱动因素。然而,PDAC 对系统性 2 型 cDC2 发育和功能的影响尚未得到很好的研究。在此,我们报告了对 3 个队列(共 106 个样本)的分析,这些队列来自 PDAC 患者的血液和骨髓 (BM),以研究 cDC 的变化。我们发现,PDAC 患者血液中的循环 cDC2 及其前体细胞显著减少,而抑制数量的 cDC2 与预后不良相关。血清细胞因子分析确定 PDAC 患者的 IL6 显著升高,并与 cDC 数量呈负相关。体外,IL6 损害了 BM 前体细胞中 cDC1 和 cDC2 的分化。对 PDAC 患者 BM 和血液中人类 cDC 前体细胞的单细胞 RNA 测序分析显示,IL6/STAT3 通路上调,抗原加工和呈递相应受损。这些结果表明,cDC2 被炎症细胞因子系统性抑制,这与抗肿瘤免疫受损有关。
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