Wu Jing, Zhang Peng-Fei, Zeng Yu, Hai Ya-Nan, Zhang Kun-Ming, Dong Shu, Xu Ji-Chong, Zhang Lan-Lin, Wu Zhi-Xiong, Jiang Hong
Department of Cancer Center, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Cancer Drug Resist. 2025 Jul 29;8:38. doi: 10.20517/cdr.2025.97. eCollection 2025.
The immune evasion mechanisms of gastric cancer are complex, involving various cellular dysfunctions within the tumor microenvironment. Recently, there has been growing interest in how cancer-associated fibroblasts (CAFs) contribute to tumor immune evasion. However, the precise molecular pathways through which CAFs drive immune escape in the context of gastric cancer are not yet fully elucidated. The abundance of FAPCAFs in gastric cancer tissues was assessed by immunohistochemistry (IHC), and its correlation with tumor sensitivity to PD-1 monoclonal antibody therapy was analyzed. To study the effect of FAPCAFs on naive CD4 T cell differentiation, co-culture experiments were conducted. The underlying molecular mechanisms were further investigated through western blotting and animal experiments. FAPCAFs were significantly increased in gastric cancer tissues resistant to PD-1 monoclonal antibody, and a positive correlation was found with Th2 cells. Additionally, the expression and secretion of IL-31 in FAPCAFs cells were elevated. Mechanistically, IL-31 interacts with the IL-31R expressed on naive CD4 T cells, leading to the activation of the STAT6 signaling pathway. This cascade facilitates the differentiation of naive CD4 T cells into Th2 cells, thereby contributing to resistance against anti-PD-1 therapy in gastric cancer. FAPCAFs may reduce sensitivity to anti-PD-1 therapy in gastric cancer by promoting Th2 polarization of naive CD4 T cells via the IL-31/STAT6 signaling pathway. Targeting this axis could offer a potential strategy to improve immunotherapy outcomes, although further validation is required.
胃癌的免疫逃逸机制复杂,涉及肿瘤微环境内的各种细胞功能障碍。最近,人们越来越关注癌症相关成纤维细胞(CAFs)如何促进肿瘤免疫逃逸。然而,在胃癌背景下CAFs驱动免疫逃逸的确切分子途径尚未完全阐明。通过免疫组织化学(IHC)评估胃癌组织中FAPCAFs的丰度,并分析其与肿瘤对PD-1单克隆抗体治疗敏感性的相关性。为了研究FAPCAFs对初始CD4 T细胞分化的影响,进行了共培养实验。通过蛋白质印迹和动物实验进一步研究其潜在的分子机制。在对PD-1单克隆抗体耐药的胃癌组织中,FAPCAFs显著增加,并且发现其与Th2细胞呈正相关。此外,FAPCAFs细胞中IL-31的表达和分泌升高。机制上,IL-31与初始CD4 T细胞上表达的IL-31R相互作用,导致STAT6信号通路激活。这一系列反应促进初始CD4 T细胞分化为Th2细胞,从而导致胃癌对抗PD-1治疗产生抗性。FAPCAFs可能通过IL-31/STAT6信号通路促进初始CD4 T细胞向Th2极化,从而降低胃癌对抗PD-1治疗的敏感性。尽管需要进一步验证,但靶向该轴可能提供一种改善免疫治疗结果的潜在策略。
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