Wu Dandan, Wang Guijun, Wen Shuang, Liu Xian, He Qiang
Department of Gastroenterology, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China; Jinzhou Medical University, China.
Department of General Surgery, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China; Jinzhou Medical University, China.
Transl Oncol. 2024 Apr;42:101900. doi: 10.1016/j.tranon.2024.101900. Epub 2024 Feb 4.
Resistance to chimeric antigen receptor (CAR) T-cell therapy remains a significant challenge in the treatment of solid tumors. This resistance is attributed to various factors, including antigen loss, immunosuppressive tumor microenvironment, and upregulated checkpoint molecules. Indoleamine 2,3-dioxygenase 1 (IDO1) is an immunosuppressive enzyme that promotes immune escape in tumors. In this study, we investigated the role of ARID5A (AT-rich interactive domain 5A) in resistance to CAR-T cell therapy. Our findings revealed that ARID5A upregulation in tumor cells induces T cell exhaustion and immune evasion. Mechanistically, ARID5A plays a crucial role in resistance to CAR-T cell therapy by stabilizing IDO1 mRNA, leading to upregulation of IDO1 expression. Elevated IDO1 expression facilitates the conversion of tryptophan to kynurenine, which contributes to CAR-T cell exhaustion. Moreover, kynurenine accumulation within CAR-T cells activates the aryl hydrocarbon receptor (AhR), further exacerbating the exhaustion phenotype. Importantly, we demonstrated that targeting the ARID5A-IDO1-AhR axis using AhR or IDO1 inhibitors effectively alleviated T cell exhaustion induced by ARID5A. These findings suggest that modulating the ARID5A-IDO1-AhR axis may represent a promising therapeutic strategy to overcome CAR T-cell therapy resistance in solid tumors and enhance treatment efficacy.
对嵌合抗原受体(CAR)T细胞疗法的耐药性仍然是实体瘤治疗中的一项重大挑战。这种耐药性归因于多种因素,包括抗原丢失、免疫抑制性肿瘤微环境和上调的检查点分子。吲哚胺2,3-双加氧酶1(IDO1)是一种促进肿瘤免疫逃逸的免疫抑制酶。在本研究中,我们调查了富含AT交互结构域5A(ARID5A)在对CAR-T细胞疗法耐药中的作用。我们的研究结果显示,肿瘤细胞中ARID5A的上调会诱导T细胞耗竭和免疫逃逸。从机制上讲,ARID5A通过稳定IDO1 mRNA在对CAR-T细胞疗法的耐药中起关键作用,导致IDO1表达上调。IDO1表达升高促进色氨酸向犬尿氨酸的转化,这有助于CAR-T细胞耗竭。此外,CAR-T细胞内犬尿氨酸的积累会激活芳烃受体(AhR),进一步加剧耗竭表型。重要的是,我们证明使用AhR或IDO1抑制剂靶向ARID5A-IDO1-AhR轴可有效缓解ARID5A诱导的T细胞耗竭。这些发现表明,调节ARID5A-IDO1-AhR轴可能是克服实体瘤中CAR T细胞疗法耐药性并提高治疗效果的一种有前景的治疗策略。
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