WNT/β-catenin 调控 PD-(L)1 及其免疫治疗反应的作用。
WNT/β-catenin regulatory roles on PD-(L)1 and immunotherapy responses.
机构信息
Department of Anatomy, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
出版信息
Clin Exp Med. 2024 Jan 27;24(1):15. doi: 10.1007/s10238-023-01274-z.
Dysregulation of WNT/β-catenin is a hallmark of many cancer types and a key mediator of metastasis in solid tumors. Overactive β-catenin signaling hampers dendritic cell (DC) recruitment, promotes CD8 T cell exclusion and increases the population of regulatory T cells (Tregs). The activity of WNT/β-catenin also induces the expression of programmed death-ligand 1 (PD-L1) on tumor cells and promotes programmed death-1 (PD-1) upregulation. Increased activity of WNT/β-catenin signaling after anti-PD-1 therapy is indicative of a possible implication of this signaling in bypassing immune checkpoint inhibitor (ICI) therapy. This review is aimed at giving a comprehensive overview of the WNT/β-catenin regulatory roles on PD-1/PD-L1 axis in tumor immune ecosystem, discussing about key mechanistic events contributed to the WNT/β-catenin-mediated bypass of ICI therapy, and representing inhibitors of this signaling as promising combinatory regimen to go with anti-PD-(L)1 in cancer immunotherapy. Ideas presented in this review imply the synergistic efficacy of such combination therapy in rendering durable anti-tumor immunity.
WNT/β-catenin 失调是许多癌症类型的标志,也是实体瘤转移的关键介质。过度活跃的β-catenin 信号会阻碍树突状细胞 (DC) 的募集,促进 CD8 T 细胞的排斥,并增加调节性 T 细胞 (Treg) 的数量。WNT/β-catenin 的活性还会诱导肿瘤细胞表达程序性死亡配体 1 (PD-L1),并促进程序性死亡受体 1 (PD-1) 的上调。抗 PD-1 治疗后 WNT/β-catenin 信号的活性增加表明该信号可能参与绕过免疫检查点抑制剂 (ICI) 治疗。本综述旨在全面概述 WNT/β-catenin 在肿瘤免疫生态系统中对 PD-1/PD-L1 轴的调节作用,讨论导致 WNT/β-catenin 介导的 ICI 治疗旁路的关键机制事件,并将该信号的抑制剂作为有前途的联合方案与抗 PD-(L)1 一起用于癌症免疫治疗。本综述中提出的观点表明,这种联合治疗在产生持久的抗肿瘤免疫方面具有协同作用。