一种组成性干扰素高免疫表型决定了结直肠癌对免疫治疗的反应。
A constitutive interferon-high immunophenotype defines response to immunotherapy in colorectal cancer.
作者信息
Acha-Sagredo Amelia, Andrei Pietro, Clayton Kalum, Taggart Emma, Antoniotti Carlotta, Woodman Chloé A, Afrache Hassnae, Fourny Constance, Armero Maria, Moinudeen Hafsa Kaja, Green Mary, Bhardwaj Nisha, Mikolajczak Anna, Rodriguez-Lopez Maria, Crawford Marg, Connick Emma, Lim Steven, Hobson Philip, Linares Josep, Ignatova Ekaterina, Pelka Diana, Smyth Elizabeth C, Diamantis Nikolaos, Sosnowska Dominika, Carullo Martina, Ciraci Paolo, Bergamo Francesca, Intini Rossana, Nye Emma, Barral Patricia, Mishto Michele, Arnold James N, Lonardi Sara, Cremolini Chiara, Fontana Elisa, Rodriguez-Justo Manuel, Ciccarelli Francesca D
机构信息
Cancer Systems Biology Laboratory, The Francis Crick Institute, London NW1 1AT, UK; Centre for Cancer Evolution, Bart's Cancer Institute, Queen Mary University London, London EC1M 6AU, UK.
Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.
出版信息
Cancer Cell. 2025 Feb 10;43(2):292-307.e7. doi: 10.1016/j.ccell.2024.12.008. Epub 2025 Jan 16.
Fewer than 50% of metastatic deficient mismatch repair (dMMR) colorectal cancer (CRC) patients respond to immune checkpoint inhibition (ICI). Identifying and expanding this patient population remains a pressing clinical need. Here, we report that an interferon-high immunophenotype locally enriched in cytotoxic lymphocytes and antigen-presenting macrophages is required for response. This immunophenotype is not exclusive to dMMR CRCs but comprises a subset of MMR proficient (pMMR) CRCs. Single-cell spatial analysis and in vitro cell co-cultures indicate that interferon-producing cytotoxic T cells induce overexpression of antigen presentation in adjacent macrophages and tumor cells, including MHC class II invariant chain CD74. dMMR CRCs expressing high levels of CD74 respond to ICI and a subset of CD74 high pMMR CRC patients show better progression free survival when treated with ICI. Therefore, CD74 abundance can identify the constitutive interferon-high immunophenotype determining clinical benefit in CRC, independently of tumor mutational burden or MMR status.
转移性错配修复缺陷(dMMR)的结直肠癌(CRC)患者中,对免疫检查点抑制(ICI)有反应的患者不到50%。识别并扩大这一患者群体仍然是一项紧迫的临床需求。在此,我们报告,一种在细胞毒性淋巴细胞和抗原呈递巨噬细胞中局部富集的高干扰素免疫表型是产生反应所必需的。这种免疫表型并非dMMR CRC所特有,而是包括错配修复功能正常(pMMR)的CRC的一个子集。单细胞空间分析和体外细胞共培养表明,产生干扰素的细胞毒性T细胞会诱导相邻巨噬细胞和肿瘤细胞中抗原呈递的过表达,包括MHC II类恒定链CD74。表达高水平CD74的dMMR CRC对ICI有反应,并且一部分CD74高表达的pMMR CRC患者在接受ICI治疗时显示出更好的无进展生存期。因此,CD74丰度可以识别在CRC中决定临床获益的组成性高干扰素免疫表型,而与肿瘤突变负荷或MMR状态无关。