衰老定义了肌成纤维细胞的一个独特子集,该子集在胰腺癌中协调免疫抑制。

Senescence Defines a Distinct Subset of Myofibroblasts That Orchestrates Immunosuppression in Pancreatic Cancer.

机构信息

Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.

Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.

出版信息

Cancer Discov. 2024 Jul 1;14(7):1324-1355. doi: 10.1158/2159-8290.CD-23-0428.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) therapeutic resistance is largely attributed to a unique tumor microenvironment embedded with an abundance of cancer-associated fibroblasts (CAF). Distinct CAF populations were recently identified, but the phenotypic drivers and specific impact of CAF heterogeneity remain unclear. In this study, we identify a subpopulation of senescent myofibroblastic CAFs (SenCAF) in mouse and human PDAC. These SenCAFs are a phenotypically distinct subset of myofibroblastic CAFs that localize near tumor ducts and accumulate with PDAC progression. To assess the impact of endogenous SenCAFs in PDAC, we used an LSL-KRASG12D;p53flox;p48-CRE;INK-ATTAC (KPPC-IA) mouse model of spontaneous PDAC with inducible senescent cell depletion. Depletion of senescent stromal cells in genetic and pharmacologic PDAC models relieved immune suppression by macrophages, delayed tumor progression, and increased responsiveness to chemotherapy. Collectively, our findings demonstrate that SenCAFs promote PDAC progression and immune cell dysfunction. Significance: CAF heterogeneity in PDAC remains poorly understood. In this study, we identify a novel subpopulation of senescent CAFs that promotes PDAC progression and immunosuppression. Targeting CAF senescence in combination therapies could increase tumor vulnerability to chemo or immunotherapy. See related article by Ye et al., p. 1302.

摘要

胰腺导管腺癌 (PDAC) 的治疗耐药性在很大程度上归因于富含癌相关成纤维细胞 (CAF) 的独特肿瘤微环境。最近已经鉴定出不同的 CAF 群体,但 CAF 异质性的表型驱动因素和具体影响仍不清楚。在这项研究中,我们在小鼠和人类 PDAC 中鉴定出一种衰老肌成纤维 CAF (SenCAF) 的亚群。这些 SenCAFs 是肌成纤维 CAF 的一个表型上明显不同的亚群,定位于肿瘤导管附近,并随着 PDAC 的进展而积累。为了评估内源性 SenCAFs 在 PDAC 中的影响,我们使用了一种 LSL-KRASG12D;p53flox;p48-CRE;INK-ATTAC (KPPC-IA) 自发性 PDAC 小鼠模型,该模型可诱导衰老细胞耗竭。在遗传和药理 PDAC 模型中耗竭衰老的基质细胞可通过巨噬细胞缓解免疫抑制,延缓肿瘤进展,并增加对化疗的反应性。总之,我们的研究结果表明 SenCAFs 促进 PDAC 的进展和免疫细胞功能障碍。意义:PDAC 中的 CAF 异质性仍知之甚少。在这项研究中,我们鉴定出一种促进 PDAC 进展和免疫抑制的新型衰老 CAF 亚群。在联合治疗中靶向 CAF 衰老可能会增加肿瘤对化疗或免疫治疗的易感性。请参阅 Ye 等人的相关文章,第 1302 页。

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