Xu Weiguo, Zhou Bin, Wang Ping, Ma Yuyan, Jiang Yu, Mo Dongping, Wu Jun, Ma Jingjing, Wang Xiao, Miao Yinxing, Nian Yong, Zheng Junyu, Li Jie, Yan Feng, Li Gang
Department of General Surgery, The Affiliated Cancer Hospital of Nanjing Medical University & Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, Nanjing, China.
Department of Medical Oncology, Shanghai Pulmonary Hospital, Shanghai, China.
Drug Resist Updat. 2025 Mar;79:101197. doi: 10.1016/j.drup.2024.101197. Epub 2024 Dec 26.
The balance between CD8 T cells and regulatory T (Treg) cells in the tumor microenvironment (TME) plays a crucial role in the immune checkpoint inhibition (ICI) therapy in gastric carcinoma (GC). However, related factors leading to the disturbance of TME and resistance to ICI therapy remain unknown. In this study, we applied N6-methyladenosine (m6A) small RNA Epitranscriptomic Microarray and screened out 3'tRF-AlaAGC based on its highest differential expression level and lowest inter-group variance. N6-methyladenosine modification significantly enhanced the stability of 3'tRF-AlaAGC, which strengthened glycolysis and lactic acid (LA) production in GC cells by binding to PTBP1 (Polypyrimidine Tract Binding Protein 1). In the peritoneal GC implantation model established in huPBMC-NCG mice, 3'tRF-AlaAGC significantly increased the proportion of PD1 Treg cells. Furthermore, in high-LA environments driven by glucose consumption of GC cells, Treg cells actively uptake LA through MCT1, facilitating NFAT1 translocation into the nucleus and enhancing PD1 expression, whereas PD1 expression by effector T cell is diminished. Meanwhile, T cell suppression assays were performed under low-LA or high-LA conditions, and the proliferation of CD8 T cells was dampened by adding Sintilimab in a high-LA but not in a low-LA environment, suggesting the preferential activation of PD1 Treg cell. These findings deciphered the complexities of the immune microenvironment in GC, providing prospects for identifying robust biomarkers that could improve the evaluation of therapeutic effectiveness and prognosis in immune therapy for GC.
肿瘤微环境(TME)中CD8 T细胞与调节性T(Treg)细胞之间的平衡在胃癌(GC)的免疫检查点抑制(ICI)治疗中起着关键作用。然而,导致TME紊乱和ICI治疗耐药的相关因素仍不清楚。在本研究中,我们应用N6-甲基腺苷(m6A)小RNA表观转录组微阵列,并基于其最高差异表达水平和最低组间方差筛选出3'tRF-AlaAGC。N6-甲基腺苷修饰显著增强了3'tRF-AlaAGC的稳定性,其通过与PTBP1(多嘧啶序列结合蛋白1)结合增强了GC细胞中的糖酵解和乳酸(LA)生成。在huPBMC-NCG小鼠建立的腹膜GC植入模型中,3'tRF-AlaAGC显著增加了PD1 Treg细胞的比例。此外,在由GC细胞葡萄糖消耗驱动的高LA环境中,Treg细胞通过MCT1主动摄取LA,促进NFAT1易位至细胞核并增强PD1表达,而效应T细胞的PD1表达则降低。同时,在低LA或高LA条件下进行T细胞抑制试验,在高LA而非低LA环境中添加信迪利单抗可抑制CD8 T细胞的增殖,提示PD1 Treg细胞的优先激活。这些发现揭示了GC免疫微环境的复杂性,为识别强大的生物标志物提供了前景,这些生物标志物可改善GC免疫治疗中治疗效果和预后的评估。
MedComm (2020). 2025-9-6