丁酸盐通过促进CPT1A介导的脂肪酸氧化赋予结肠癌细胞对抗PD-1治疗的抗性。
Butyrate confers colorectal cancer cell resistance to anti-PD-1 therapy by promoting CPT1A-mediated fatty acid oxidation.
作者信息
Zhu Ran, Gu Shujiang, Tao Yuan, Zhang Yan
机构信息
Department of Pathology, Changping Hospital of Integrated Chinese and Western Medicine, Beijing, 102208, China.
Department of Laboratory Medicine, Beijing Changping Traditional Chinese Medicine Hospital, Beijing, 102200, China.
出版信息
Discov Oncol. 2025 May 27;16(1):935. doi: 10.1007/s12672-025-02686-x.
Immunotherapy including anti-PD-1 demonstrated therapeutic promise to colorectal cancer (CRC) patients, but tumor cell resistance limits their efficacy. Butyrate may influence therapeutic outcomes by modulating tumor metabolism, but it remains unclear whether butyrate influences CRC cell resistance to anti-PD-1 therapy. We aimed to investigate whether butyrate promotes resistance to anti-PD-1 therapy in CRC and underlying metabolic and immunologic mechanisms. CRC murine models were established by subcutaneously inoculating MC38 cells or butyrate/anti-PD-1-administered tumor cells of mice, followed by treatment with butyrate, anti-PD-1, or a combination. Therapeutic efficacy was assessed by tumor growth and survival outcomes. In vitro, HCT116 cells were exposed to monotherapy or co-therapy regimens. Carnitine Palmitoyltransferase 1A (CPT1A) knockdown was conducted by shRNA transfection both in vivo and in vitro. Fatty acid oxidation (FAO) was determined by oxygen consumption rate and CPT1A expression. CD8+ T cell cytotoxicity assays and CD8 expression in tumors were performed to evaluate immune cell infiltration. The addition of butyrate into anti-PD-1 treatment combination did not improve survival or reduce tumor volume compared to anti-PD-1 alone, with a marked activation of CPT1A observed in treated tumor tissues. Butyrate significantly elevated FAO, contributing to elevated oxygen consumption rate and reduced CD8+ T cell cytotoxicity. However, in sh-CPT1A models, the combination therapy significantly improved antitumor efficacy and restored CD8+ T cell infiltration. Furthermore, CRC patient samples resistant to anti-PD-1 therapy exhibited elevated CPT1A levels. Butyrate-induced CPT1A-mediated FAO promotes resistance to anti-PD-1 therapy in CRC, suggesting that targeting CPT1A might enhance the efficacy of immunotherapy.
包括抗PD - 1在内的免疫疗法对结直肠癌(CRC)患者显示出治疗前景,但肿瘤细胞耐药性限制了其疗效。丁酸可能通过调节肿瘤代谢影响治疗结果,但丁酸是否影响CRC细胞对抗PD - 1治疗的耐药性仍不清楚。我们旨在研究丁酸是否促进CRC对抗PD - 1治疗的耐药性以及潜在的代谢和免疫机制。通过皮下接种MC38细胞或给予丁酸/抗PD - 1的小鼠肿瘤细胞建立CRC小鼠模型,随后用丁酸、抗PD - 1或联合治疗。通过肿瘤生长和生存结果评估治疗效果。在体外,将HCT116细胞暴露于单药治疗或联合治疗方案。在体内和体外通过shRNA转染进行肉碱棕榈酰转移酶1A(CPT1A)敲低。通过耗氧率和CPT1A表达测定脂肪酸氧化(FAO)。进行CD8 + T细胞细胞毒性测定和肿瘤中CD8表达以评估免疫细胞浸润。与单独使用抗PD - 1相比,在抗PD - 1治疗组合中添加丁酸并没有改善生存率或减小肿瘤体积,在治疗的肿瘤组织中观察到CPT1A明显激活。丁酸显著提高FAO,导致耗氧率升高和CD8 + T细胞细胞毒性降低。然而,在sh - CPT1A模型中,联合治疗显著提高了抗肿瘤疗效并恢复了CD8 + T细胞浸润。此外,对抗PD - 1治疗耐药的CRC患者样本显示CPT1A水平升高。丁酸诱导的CPT1A介导的FAO促进CRC对抗PD - 1治疗的耐药性,表明靶向CPT1A可能增强免疫治疗的疗效。