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分泌型IgA功能障碍是感染性结直肠癌预后不良的潜在原因。

Secretory IgA dysfunction underlies poor prognosis in -infected colorectal cancer.

作者信息

Choi Ilseok, Kim Kyung-A, Kim Sang Cheol, Park Donghwan, Nam Ki Taek, Cha Jun Hyung, Baek Seungbyn, Cha Junha, Jo Hye-Yeong, Jung Minsun, Zeng Melody Y, Matei Irina, Bullman Susan, Ahn Joong Bae, Han Yoon Dae, Kim Han Sang, Lee Insuk

机构信息

Department of Biotechnology, College of Life Science and Biotechnology, Yonsei University, Seoul, Republic of Korea.

Yonsei Cancer Center, Division of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.

出版信息

Gut Microbes. 2025 Dec;17(1):2528428. doi: 10.1080/19490976.2025.2528428. Epub 2025 Jul 16.

Abstract

(Fn) is commonly enriched in colorectal cancer (CRC) and associated with poor outcomes, though its mechanisms remain unclear. Our study investigated how Fn affects the tumor microenvironment through single-cell transcriptomic analyses of 42 CRC patient tissues, comparing Fn-positive and Fn-negative tumors. We discovered that Fn impairs IgA plasma cell development and secretory IgA (sIgA) production by disrupting communication with tumor-associated macrophages. Additional experiments in germ-free mice, together with our re-analysis of a publicly available single-cell RNA-seq data set from a CRC mouse model with an intact gut microbiome-both models having been orally gavaged with Fn-jointly validated the causal role of Fn in impairing sIgA induction. We identified a dysregulated IgA maturation (IGAM) module in Fn-positive patients, indicating compromised mucosal immunity and increased bacterial infiltration. This IGAM signature effectively stratified Fn-positive patients, suggesting potential for targeted therapeutic approaches. Our findings reveal that Fn disrupts sIgA production, increasing tumor microbial burden and worsening prognosis through chronic inflammation in Fn-positive CRC.

摘要

尽管机制尚不清楚,但纤连蛋白(Fn)在结直肠癌(CRC)中通常会富集,并与不良预后相关。我们的研究通过对42例CRC患者组织进行单细胞转录组分析,比较Fn阳性和Fn阴性肿瘤,研究了Fn如何影响肿瘤微环境。我们发现,Fn通过破坏与肿瘤相关巨噬细胞的通讯,损害了IgA浆细胞的发育和分泌型IgA(sIgA)的产生。在无菌小鼠中进行的额外实验,以及我们对来自具有完整肠道微生物群的CRC小鼠模型的公开单细胞RNA测序数据集的重新分析(两个模型均经口服灌胃Fn),共同验证了Fn在损害sIgA诱导中的因果作用。我们在Fn阳性患者中鉴定出一个失调的IgA成熟(IGAM)模块,表明粘膜免疫受损和细菌浸润增加。这种IGAM特征有效地对Fn阳性患者进行了分层,提示了靶向治疗方法的潜力。我们的研究结果表明,Fn破坏sIgA的产生,增加肿瘤微生物负荷,并通过Fn阳性CRC中的慢性炎症恶化预后。

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