Key Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, and.
Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China.
JCI Insight. 2024 Aug 6;9(17):e177788. doi: 10.1172/jci.insight.177788.
Antigen presentation by major histocompatibility complex class I (MHC-I) is crucial for T cell-mediated killing, and aberrant surface MHC-I expression is tightly associated with immune evasion. To address MHC-I downregulation, we conducted a high-throughput flow cytometry screen, identifying bleomycin (BLM) as a potent inducer of cell surface MHC-I expression. BLM-induced MHC-I augmentation rendered tumor cells more susceptible to T cells in coculture assays and enhanced antitumor responses in an adoptive cellular transfer mouse model. Mechanistically, BLM remodeled the tumor immune microenvironment, inducing MHC-I expression in a manner dependent on ataxia-telangiectasia mutated/ataxia telangiectasia and Rad3-related-NF-κB. Furthermore, BLM improved T cell-dependent immunotherapeutic approaches, including bispecific antibody therapy, immune checkpoint therapy, and autologous tumor-infiltrating lymphocyte therapy. Importantly, low-dose BLM treatment in mouse models amplified the antitumor effect of immunotherapy without detectable pulmonary toxicity. In summary, our findings repurpose BLM as a potential inducer of MHC-I, enhancing its expression to improve the efficacy of T cell-based immunotherapy.
主要组织相容性复合体 I 类(MHC-I)的抗原呈递对于 T 细胞介导的杀伤至关重要,而表面 MHC-I 表达异常与免疫逃逸密切相关。为了解决 MHC-I 下调的问题,我们进行了高通量流式细胞术筛选,发现博来霉素(BLM)是一种能够增强细胞表面 MHC-I 表达的有效诱导剂。BLM 诱导的 MHC-I 增强使肿瘤细胞在共培养实验中更容易受到 T 细胞的攻击,并在过继性细胞转移小鼠模型中增强了抗肿瘤反应。在机制上,BLM 重塑了肿瘤免疫微环境,以依赖共济失调毛细血管扩张突变/共济失调毛细血管扩张和 Rad3 相关-NF-κB 的方式诱导 MHC-I 表达。此外,BLM 改善了 T 细胞依赖性免疫治疗方法,包括双特异性抗体治疗、免疫检查点治疗和自体肿瘤浸润淋巴细胞治疗。重要的是,在小鼠模型中低剂量 BLM 治疗增强了免疫治疗的抗肿瘤作用,而没有可检测到的肺毒性。总之,我们的研究结果将 BLM 重新用作 MHC-I 的潜在诱导剂,增强其表达以提高基于 T 细胞的免疫治疗的疗效。