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TIL(肿瘤浸润淋巴细胞)中 AKT 的直接激活显著增加干扰素-γ(IFN-γ),从而促使对 PD-1 检查点阻断耐药的肿瘤消退

英文原题:Direct AKT activation in tumor-infiltrating lymphocytes markedly increases interferon-γ (IFN-γ) for the regression of tumors resistant to PD-1 checkpoint blockade.

查看英文原题

Direct AKT activation in tumor-infiltrating lymphocytes markedly increases interferon-γ (IFN-γ) for the regression of tumors resistant to PD-1 checkpoint blockade.

PubMed 2022/11/02(内容时间) Sci Rep Q1 · IF 4.9(JCR 2025)

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中文摘要

针对抑制性受体如程序性细胞死亡受体-1(PD-1)的PD-1免疫检查点阻断已彻底改变了癌症治疗。针对肿瘤抗原的有效免疫反应需要肿瘤浸润T细胞(TILs)的浸润和激活。

在此背景下,抗原受体复合物(TCR)与共受体CD28的连接激活了细胞内介质AKT(或PKB,蛋白激酶B)及其下游靶点。PD-1抑制AKT/PKB的激活。鉴于此,我们评估了直接激活AKT是否可能有效激活免疫系统,以限制对PD-1检查点阻断耐药的肿瘤生长。

我们发现,AKT小分子激活剂(SC79)限制了对PD-1免疫治疗反应较差的B16肿瘤和EMT-6同系乳腺癌模型的生长。在B16肿瘤中,直接AKT激活诱导了(i)抑制性调节性(Treg)TILs的减少和(ii)效应CD8+ TILs的增加。SC79体内治疗导致表达干扰素-γ(IFN-γ)的CD4+和CD8+ TILs数量大幅增加。这种对IFN-γ表达的影响区分了有反应与无反应的抗肿瘤反应,并可在体外用人T细胞重现。在CD4+FoxP3+Treg TILs中,AKT诱导的IFN-γ表达伴随着抑制活性的丧失、向CD4+辅助性Th1样TILs的转化以及磷酸化SHP2的显著减少。在CD8+ TILs中,我们观察到PLC-γ磷酸化激活的增加。

此外,转录因子T-bet(Tbx21)的基因缺失阻断了所有亚群上IFN-γ表达的增加,同时消除了SC79对肿瘤生长的治疗益处。

我们的研究表明,AKT激活疗法可在CD4和CD8 TIL上诱导IFN-γ,并伴随瘤内抑制性Treg向CD4+ Th1样T细胞转化以及CD8反应的增强。

展开英文摘要原文

PD-1 immune checkpoint blockade against inhibitory receptors such as receptor programmed cell death-1 (PD-1), has revolutionized cancer treatment. Effective immune reactivity against tumour antigens requires the infiltration and activation of tumour-infiltrating T-cells (TILs).

In this context, ligation of the antigen-receptor complex (TCR) in combination with the co-receptor CD28 activates the intracellular mediator AKT (or PKB, protein kinase B) and its downstream targets. PD-1 inhibits the activation of AKT/PKB. Given this, we assessed whether the direct activation of AKT might be effective in activating the immune system to limit the growth of tumors that are resistant to PD-1 checkpoint blockade.

We found that the small molecule activator of AKT (SC79) limited growth of a B16 tumor and an EMT-6 syngeneic breast tumor model that are poorly responsive to PD-1 immunotherapy. In the case of B16 tumors, direct AKT activation induced (i) a reduction of suppressor regulatory (Treg) TILs and (ii) an increase in effector CD8+ TILs. SC79 in vivo therapy caused a major increase in the numbers of CD4+ and CD8+ TILs to express interferon-γ (IFN-γ).

This effect on IFN-γ expression distinguished responsive from non-responsive anti-tumor responses and could be recapitulated ex vivo with human T-cells. In CD4+FoxP3+Treg TILs, AKT induced IFN-γ expression was accompanied by a loss of suppressor activity, the conversation to CD4 + helper Th1-like TILs and a marked reduction in phospho-SHP2. In CD8+ TILs, we observed an increase in the phospho-activation of PLC-γ.

Further, the genetic deletion of the transcription factor T-bet (Tbx21) blocked the increased IFN-γ expression on all subsets while ablating the therapeutic benefits of SC79 on tumor growth.

Our study shows that AKT activation therapy acts to induce IFN-γ on CD4 and CD8 TILs that is accompanied by the intra-tumoral conversation of suppressive Tregs into CD4 + Th1-like T-cells and augmented CD8 responses.

论文信息

作者
Santinon F、Ezzahra BF、Bachais M、Sarabia Pacis A、Rudd CE
第一作者单位
Département de Médecine, Université de Montréal, Montréal, QC, H3C 3J7, Canada.Canada
通讯作者单位
Département de Médecine, Université de Montréal, Montréal, QC, H3C 3J7, Canada. christopher.e.rudd@umontreal.ca.Canada
文献类型
非美国政府资助研究
期刊
Scientific reports2022 Nov 2
原文标识
PubMed 36323740 · DOI 10.1038/s41598-022-23016-z