Lin Annabelle C, Moscarelli Jake, Zhu Yong-Lian, Lin Z Ping, Ratner Elena S
Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA.
Sci Rep. 2025 Jul 1;15(1):20778. doi: 10.1038/s41598-025-06812-1.
Epithelial ovarian cancer (EOC) is characterized by a highly immunosuppressive tumor microenvironment (TME) that enables EOC progression and limits the efficacy of current immunotherapies. In this study, we demonstrated that isogenic BRCA2-mutated PEO1 and BRCA2-wild type PEO4 EOC cells induced immunosuppressive TMEs through distinct mechanisms. PEO1 cells produced IFNγ-induced PD-L1 and expressed CD39 and CD73 for generating adenosine. Treatment with the adenosine antagonist CGS15943 reversed PEO1 cell-mediated suppression of effector T cell activation. In contrast, PEO4 cells secreted IFNγ-induced CXCL10 and promoted up-regulation of FOXP3+ regulatory T cells (Tregs). Treatment with the CXCL10/CXCR3 antagonist AMG487 attenuated PEO4 cell-induced Tregs and decreased IL10 production. In vivo, administration of a monoclonal antibody against CXCR3 effectively hindered the progression of tumor ascites and prolonged survival in the p53(-/-) ID8 EOC syngeneic mouse model. Additionally, AMG487 treatment synergized with the VEGFA inhibitor bevacizumab, significantly reducing tumor ascites and extending mouse survival. Collectively, our results reveal that EOC leverages CXCL10-induced Tregs or adenosine signaling to dampen T cell-mediated anti-cancer immune responses. These findings suggest that targeting CXCL10/CXCR3 and adenosine signaling could effectively counter immunosuppression of EOC, offering a promising therapeutic strategy for improving patient outcomes.
上皮性卵巢癌(EOC)的特征是具有高度免疫抑制性的肿瘤微环境(TME),这使得EOC得以进展并限制了当前免疫疗法的疗效。在本研究中,我们证明了同基因的BRCA2突变的PEO1和BRCA2野生型的PEO4 EOC细胞通过不同机制诱导免疫抑制性TME。PEO1细胞产生IFNγ诱导的PD-L1,并表达CD39和CD73以生成腺苷。用腺苷拮抗剂CGS15943处理可逆转PEO1细胞介导的效应T细胞活化抑制。相比之下,PEO4细胞分泌IFNγ诱导的CXCL10,并促进FOXP3 +调节性T细胞(Tregs)的上调。用CXCL10/CXCR3拮抗剂AMG487处理可减弱PEO4细胞诱导的Tregs并降低IL10的产生。在体内,给予抗CXCR3单克隆抗体可有效阻碍肿瘤腹水的进展,并延长p53(-/-)ID8 EOC同基因小鼠模型的生存期。此外,AMG487处理与VEGFA抑制剂贝伐单抗协同作用,显著减少肿瘤腹水并延长小鼠生存期。总体而言,我们的结果表明,EOC利用CXCL10诱导的Tregs或腺苷信号来抑制T细胞介导的抗癌免疫反应。这些发现表明,靶向CXCL10/CXCR3和腺苷信号可以有效对抗EOC的免疫抑制,为改善患者预后提供了一种有前景的治疗策略。
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