Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, China.
Hepatobiliary Center, The First Affiliated Hospital of Nanjing Medical University & Research Unit of Liver Transplantation and Transplant Immunology, Chinese Academy of Medical Sciences, Nanjing, Jiangsu, China.
J Immunother Cancer. 2024 Jul 27;12(7):e008721. doi: 10.1136/jitc-2023-008721.
OBJECTIVE: Hepatocellular carcinoma (HCC) poses a significant clinical challenge because the long-term benefits of immune checkpoint blockade therapy are limited. A comprehensive understanding of the mechanisms underlying immunotherapy resistance in HCC is imperative for improving patient prognosis. DESIGN: In this study, to systematically investigate the characteristics of cancer-associated fibroblast (CAF) subsets and the dynamic communication among the tumor microenvironment (TME) components regulated by CAF subsets, we generated an HCC atlas by compiling single-cell RNA sequencing (scRNA-seq) datasets on 220 samples from six datasets. We combined spatial transcriptomics with scRNA-seq and multiplexed immunofluorescence to identify the specific CAF subsets in the TME that determine the efficacy of immunotherapy in HCC patients. RESULTS: Our findings highlight the pivotal role of POSTN CAFs as potent immune response barriers at specific tumor locations, as they hinder effective T-cell infiltration and decrease the efficacy of immunotherapy. Additionally, we elucidated the interplay between POSTN CAFs and SPP1 macrophages, whereby the former recruits the latter and triggers increased SPP1 expression via the IL-6/STAT3 signaling pathway. Moreover, we demonstrated a spatial correlation between POSTN CAFs and SPP1 macrophages, revealing an immunosuppressive microenvironment that limits the immunotherapy response. Notably, we found that patients with elevated expression levels of both POSTN CAFs and SPP1 macrophages achieved less therapeutic benefit in an immunotherapy cohort. CONCLUSION: Our research elucidates light on the role of a particular subset of CAFs in immunotherapy resistance, emphasizing the potential benefits of targeting specific CAF subpopulations to improve clinical responses to immunotherapy.
目的:肝细胞癌(HCC)是一个重大的临床挑战,因为免疫检查点阻断治疗的长期获益是有限的。全面了解 HCC 中免疫治疗耐药的机制对于改善患者预后至关重要。
设计:在这项研究中,为了系统地研究癌症相关成纤维细胞(CAF)亚群的特征以及 CAF 亚群调节的肿瘤微环境(TME)成分之间的动态通讯,我们通过整合来自六个数据集的 220 个样本的单细胞 RNA 测序(scRNA-seq)数据集生成了一个 HCC 图谱。我们将空间转录组学与 scRNA-seq 和多重免疫荧光相结合,以确定 TME 中决定 HCC 患者免疫治疗疗效的特定 CAF 亚群。
结果:我们的研究结果强调了 POSTN CAFs 在特定肿瘤部位作为强大的免疫反应障碍的关键作用,因为它们阻碍有效的 T 细胞浸润并降低免疫治疗的疗效。此外,我们阐明了 POSTN CAFs 和 SPP1 巨噬细胞之间的相互作用,前者通过 IL-6/STAT3 信号通路招募后者并触发 SPP1 表达增加。此外,我们还证明了 POSTN CAFs 和 SPP1 巨噬细胞之间存在空间相关性,揭示了限制免疫治疗反应的免疫抑制微环境。值得注意的是,我们发现免疫治疗队列中同时表达 POSTN CAFs 和 SPP1 巨噬细胞水平升高的患者在治疗中获益较少。
结论:我们的研究阐明了特定 CAF 亚群在免疫治疗耐药中的作用,强调了靶向特定 CAF 亚群以改善对免疫治疗的临床反应的潜力。
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