Oncogene Biology Laboratory, Francis Crick Institute, London, UK.
Cancer Evolution and Genome Instability Laboratory, Francis Crick Institute, London, UK.
Sci Adv. 2024 Nov;10(44):eadl6464. doi: 10.1126/sciadv.adl6464. Epub 2024 Nov 1.
Kirsten rat sarcoma virus (KRAS)-G12C inhibition causes remodeling of the lung tumor immune microenvironment and synergistic responses to anti-PD-1 treatment, but only in T cell infiltrated tumors. To investigate mechanisms that restrain combination immunotherapy sensitivity in immune-excluded tumors, we used imaging mass cytometry to explore cellular distribution in an immune-evasive KRAS mutant lung cancer model. Cellular spatial pattern characterization revealed a community where CD4 and CD8 T cells and dendritic cells were gathered, suggesting localized T cell activation. KRAS-G12C inhibition led to increased PD-1 expression, proliferation, and cytotoxicity of CD8 T cells, and CXCL9 expression by dendritic cells, indicating an effector response. However, suppressive regulatory T cells (T) were also found in frequent contact with effector T cells within this community. Lung adenocarcinoma clinical samples showed similar communities. Depleting T led to enhanced tumor control in combination with anti-PD-1 and KRAS-G12C inhibitor. Combining T depletion with KRAS inhibition shows therapeutic potential for increasing antitumoral immune responses.
KRAS-G12C 抑制导致肺肿瘤免疫微环境重塑,并与抗 PD-1 治疗协同,但仅在 T 细胞浸润的肿瘤中发生。为了研究限制免疫排斥肿瘤中联合免疫治疗敏感性的机制,我们使用成像质谱细胞术来探索免疫逃逸 KRAS 突变型肺癌模型中的细胞分布。细胞空间模式特征揭示了一个社区,其中 CD4 和 CD8 T 细胞和树突状细胞聚集在一起,表明局部 T 细胞激活。KRAS-G12C 抑制导致 CD8 T 细胞的 PD-1 表达、增殖和细胞毒性增加,以及树突状细胞的 CXCL9 表达,表明存在效应器反应。然而,在该社区内,也经常发现抑制性调节性 T 细胞 (Treg) 与效应 T 细胞密切接触。肺腺癌临床样本显示出类似的群落。在与抗 PD-1 和 KRAS-G12C 抑制剂联合使用时,Treg 耗竭可增强肿瘤控制。T 细胞耗竭与 KRAS 抑制相结合显示出增加抗肿瘤免疫反应的治疗潜力。