Department of Liver Surgery, Center of Hepato-Pancreato-Biliary Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Oncology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Cancer Res. 2023 Nov 1;83(21):3544-3561. doi: 10.1158/0008-5472.CAN-23-0193.
The tumor microenvironment is distinctive in primary and secondary liver cancer. B cells represent an important component of immune infiltrates. Here, we demonstrated that B cells are an important regulator in hepatocellular carcinoma (HCC) and colorectal cancer liver metastasis (CRLM) microenvironments. B cells displayed distinct developmental trajectories in HCC and CRLM. Single-cell analysis revealed that IgG+ plasma cells preferentially accumulated in HCC, whereas IgA+ plasma cells were preferentially enriched in CRLM. Mechanistically, IgG+ plasma cells in HCC were recruited by tumor-associated macrophages via the CXCR3-CXCL10 axis, whereas IgA+ plasma cells in CRLM were recruited by metastatic tumor cells via CCR10-CCL28 signaling. Functionally, IgG+ plasma cells preferentially promoted protumorigenic macrophages formation in HCC, and IgA+ plasma cells preferentially induced granulocytic myeloid-derived suppressor cells activation in CRLM. Clinically, increased infiltration of IgG+ plasma cells and macrophages in HCC was correlated to worse survival, whereas increased intratumoral IgA+ plasma cells and neutrophils in CRLM indicated poor prognosis. Taken together, this study demonstrated plasma and myeloid cell-mediated immunosuppression in HCC and CRLM, suggesting that selectively modulating primary or secondary tumor-related immunosuppressive regulatory networks might reprogram the microenvironment and provide an immunotherapeutic strategy for treating liver cancer.
The immunomodulatory patterns of tumor-infiltrating B cells are distinct in primary and secondary liver cancer, with plasma cells mediating important physiologic processes that drive cancer progression.
原发性和继发性肝癌的肿瘤微环境具有独特性。B 细胞是免疫浸润的重要组成部分。在这里,我们证明了 B 细胞是肝细胞癌(HCC)和结直肠癌肝转移(CRLM)微环境中的重要调节因子。B 细胞在 HCC 和 CRLM 中表现出不同的发育轨迹。单细胞分析显示,IgG+浆细胞优先聚集在 HCC 中,而 IgA+浆细胞在 CRLM 中优先富集。从机制上讲,HCC 中的 IgG+浆细胞通过肿瘤相关巨噬细胞上的 CXCR3-CXCL10 轴被招募,而 CRLM 中的 IgA+浆细胞通过转移瘤细胞上的 CCR10-CCL28 信号被招募。从功能上讲,IgG+浆细胞优先促进 HCC 中促肿瘤生成的巨噬细胞形成,而 IgA+浆细胞优先诱导 CRLM 中粒细胞髓源性抑制细胞的激活。临床上,HCC 中 IgG+浆细胞和巨噬细胞的浸润增加与生存率降低相关,而 CRLM 中肿瘤内 IgA+浆细胞和中性粒细胞的增加则预示着预后不良。综上所述,这项研究表明 HCC 和 CRLM 中存在浆细胞和髓系细胞介导的免疫抑制,表明选择性调节原发性或继发性肿瘤相关免疫抑制调节网络可能重塑微环境并为治疗肝癌提供免疫治疗策略。
原发性和继发性肝癌中肿瘤浸润 B 细胞的免疫调节模式不同,浆细胞介导的重要生理过程驱动癌症进展。