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致病 Th17 细胞介导的肝纤维化导致肝癌对 PD-L1 抗体免疫治疗产生抵抗。

Pathogenic Th17 cell-mediated liver fibrosis contributes to resistance to PD-L1 antibody immunotherapy in hepatocellular carcinoma.

机构信息

Department of Immunology, Medical College of Qingdao University, Qingdao, Shandong 266071, PR China.

Division of Hepatology, Liver Disease Center, Organ Transplantation Center, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266071, PR China.

出版信息

Int Immunopharmacol. 2024 Mar 10;129:111601. doi: 10.1016/j.intimp.2024.111601. Epub 2024 Feb 13.


DOI:10.1016/j.intimp.2024.111601
PMID:38350354
Abstract

Understanding the mechanisms of resistance of hepatocellular carcinoma (HCC) to targeted therapies and immune checkpoint blockade is critical for the development of new combination therapies and improving patient survival. Here, we found that in HCC, anti-programmed cell death 1 ligand 1 (PD-L1) therapy reduces liver cancer growth, but the tumors eventually become resistant to continued therapy. Experimental analyses shows that the infiltration of pathogenic T helper 17 (pTh17) cells increases in drug-resistant HCC, and pTh17 cells secrete interleukin-17A (IL-17A), which promotes the expression of PD-L1 on the surface of HCC cells and produces resistance to anti-PD-L1 therapy. Anti-IL-17A combined with PD-L1 blockade significantly increased the infiltration of cytotoxic CD8 T cells expressing high levels of interferon-γ and reduced treatment resistance in HCC. These results support the combination of anti-PD-L1 and anti-IL-17A as a novel strategy to induce effective T cell-mediated anti-tumor immune responses.

摘要

了解肝细胞癌 (HCC) 对靶向治疗和免疫检查点阻断的耐药机制对于开发新的联合治疗方法和提高患者生存率至关重要。在这里,我们发现 HCC 中抗程序性细胞死亡 1 配体 1 (PD-L1) 治疗可减少肝癌生长,但肿瘤最终对持续治疗产生耐药性。实验分析表明,耐药性 HCC 中致病性辅助性 T 细胞 17 (pTh17) 细胞的浸润增加,pTh17 细胞分泌白细胞介素-17A (IL-17A),促进 HCC 细胞表面 PD-L1 的表达,并产生对抗 PD-L1 治疗的耐药性。抗 IL-17A 联合 PD-L1 阻断显著增加了表达高水平干扰素-γ的细胞毒性 CD8 T 细胞的浸润,降低了 HCC 的治疗耐药性。这些结果支持抗 PD-L1 和抗 IL-17A 的联合应用作为一种诱导有效 T 细胞介导的抗肿瘤免疫反应的新策略。

相似文献

[1]
Pathogenic Th17 cell-mediated liver fibrosis contributes to resistance to PD-L1 antibody immunotherapy in hepatocellular carcinoma.

Int Immunopharmacol. 2024-3-10

[2]
Sensitizing tumors to anti-PD-1 therapy by promoting NK and CD8+ T cells via pharmacological activation of FOXO3.

J Immunother Cancer. 2021-12

[3]
Ultra-thin layered double hydroxide-mediated photothermal therapy combine with asynchronous blockade of PD-L1 and NR2F6 inhibit hepatocellular carcinoma.

J Nanobiotechnology. 2022-7-30

[4]
Disruption of SIRT7 Increases the Efficacy of Checkpoint Inhibitor via MEF2D Regulation of Programmed Cell Death 1 Ligand 1 in Hepatocellular Carcinoma Cells.

Gastroenterology. 2019-10-31

[5]
Fibrotic immune microenvironment remodeling mediates superior anti-tumor efficacy of a nano-PD-L1 trap in hepatocellular carcinoma.

Mol Ther. 2023-1-4

[6]
Disruption of tumour-associated macrophage trafficking by the osteopontin-induced colony-stimulating factor-1 signalling sensitises hepatocellular carcinoma to anti-PD-L1 blockade.

Gut. 2019-3-22

[7]
FXa-mediated PAR-2 promotes the efficacy of immunotherapy for hepatocellular carcinoma through immune escape and anoikis resistance by inducing PD-L1 transcription.

J Immunother Cancer. 2024-7-25

[8]
Antibodies Against Immune Checkpoint Molecules Restore Functions of Tumor-Infiltrating T Cells in Hepatocellular Carcinomas.

Gastroenterology. 2017-6-23

[9]
PD-1/PD-L1 checkpoint inhibitors in advanced hepatocellular carcinoma immunotherapy.

Front Immunol. 2022

[10]
Glycolytic activation of peritumoral monocytes fosters immune privilege via the PFKFB3-PD-L1 axis in human hepatocellular carcinoma.

J Hepatol. 2019-5-7

引用本文的文献

[1]
Interleukin-17A facilitates tumor progression upregulating programmed death ligand-1 expression in hepatocellular carcinoma.

World J Gastrointest Oncol. 2025-1-15

[2]
Pinpointing the integration of artificial intelligence in liver cancer immune microenvironment.

Front Immunol. 2024-12-20

[3]
Decoding tumor-fibrosis interplay: mechanisms, impact on progression, and innovative therapeutic strategies.

Front Pharmacol. 2024-10-23

[4]
Th17 cell function in cancers: immunosuppressive agents or anti-tumor allies?

Cancer Cell Int. 2024-10-27

[5]
Immunosuppressive tumor microenvironment and immunotherapy of hepatocellular carcinoma: current status and prospectives.

J Hematol Oncol. 2024-4-29

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