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