Cho Nam Woo, Guldberg Sophia M, Nabet Barzin Y, Yu Jie Zeng, Kim Eun Ji, Hiam-Galvez Kamir J, Yee Jacqueline L, DeBarge Rachel, Tenvooren Iliana, Ashitey Naa Asheley, Lynce Filipa, Dillon Deborah A, Rosenbluth Jennifer M, Spitzer Matthew H
Department of Radiation Oncology, University of California, San Francisco, San Francisco, California.
Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, San Francisco, California.
Cancer Immunol Res. 2025 Feb 3;13(2):229-244. doi: 10.1158/2326-6066.CIR-24-0416.
Resistance to immune checkpoint inhibitors (ICI) is common, even in tumors with T-cell infiltration. We thus investigated consequences of ICI-induced T-cell infiltration in the microenvironment of resistant tumors. T cells and neutrophil numbers increased in ICI-resistant tumors following treatment, in contrast to ICI-responsive tumors. Resistant tumors were distinguished by high expression of IL1 receptor 1, enabling a synergistic response to IL1 and TNFα to induce G-CSF, CXCL1, and CXCL2 via NF-κB signaling, supporting immunosuppressive neutrophil accumulation in tumor. Perturbation of this inflammatory resistance circuit sensitized tumors to ICIs. Paradoxically, T cells drove this resistance circuit via TNFα both in vitro and in vivo. Evidence of this inflammatory resistance circuit and its impact also translated to human cancers. These data support a mechanism of ICI resistance, wherein treatment-induced T-cell activity can drive resistance in tumors responsive to IL1 and TNFα, with important therapeutic implications.
即使在有T细胞浸润的肿瘤中,对免疫检查点抑制剂(ICI)产生耐药也很常见。因此,我们研究了ICI诱导的T细胞浸润在耐药肿瘤微环境中的后果。与ICI敏感肿瘤相反,治疗后ICI耐药肿瘤中的T细胞和中性粒细胞数量增加。耐药肿瘤的特征是白细胞介素1受体1(IL1 receptor 1)高表达,这使得肿瘤对IL1和肿瘤坏死因子α(TNFα)产生协同反应,通过核因子κB(NF-κB)信号传导诱导粒细胞集落刺激因子(G-CSF)、CXC趋化因子配体1(CXCL1)和CXC趋化因子配体2(CXCL2),从而支持免疫抑制性中性粒细胞在肿瘤中积聚。破坏这种炎症抗性回路可使肿瘤对ICI敏感。矛盾的是,T细胞在体外和体内均通过TNFα驱动这一抗性回路。这种炎症抗性回路及其影响的证据也适用于人类癌症。这些数据支持了一种ICI耐药机制,即治疗诱导的T细胞活性可在对IL1和TNFα有反应的肿瘤中驱动耐药,具有重要的治疗意义。