CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
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.
Direct AKT activation in tumor-infiltrating lymphocytes markedly increases interferon-γ (IFN-γ) for the regression of tumors resistant to PD-1 checkpoint blockade.
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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。
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.
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