← 返回前沿论文

靶向 PD-1 和 CD85j 可恢复瘤内 CD4⁺ GzmB⁺ T 细胞功能以对抗表达 MHC-II 的肿瘤

英文原题:Targeting PD-1 and CD85j can restore intratumoral CD4(+) GzmB(+) T-cell functions to combat MHC-II-expressing tumors.

查看英文原题

Targeting PD-1 and CD85j can restore intratumoral CD4(+) GzmB(+) T-cell functions to combat MHC-II-expressing tumors.

PubMed 2025/04/01(内容时间) J Immunother Cancer Q1 · IF 11.7(JCR 2025)

研究概要

我们的研究表明,肿瘤浸润性 CD4⁺GzmB⁺ T 细胞无法清除肿瘤。

中文摘要

背景:已发现一类具有细胞毒活性的 CD4⁺ T 细胞,它们通过表达穿孔素和颗粒酶发挥作用。尽管对多种疾病中的细胞毒性 CD4⁺ T 细胞表征已取得进展,非小细胞肺癌(NSCLC)中的此类细胞现状,以及促进肿瘤内细胞毒性 CD4⁺ T 细胞活化的机制仍不清楚。方法:研究者采用流式细胞术检查 NSCLC 患者外周血和肿瘤组织中 CD4⁺GzmB⁺ T 细胞的表型和功能特性。通过功能缺失分析和 RNA 测序,探究 IL-15 在体外恢复 CD4⁺GzmB⁺ T 细胞功能的机制。使用患者来源肺癌组织离体模型和动物模型,验证免疫检查点抑制剂对 CD4⁺GzmB⁺ T 细胞活化的影响。结果:NSCLC 患者肿瘤浸润、表达颗粒酶 B(GzmB)的 CD4⁺ T 细胞细胞溶解功能受损;IL-15 通过激活 AKT-FOXO1-T-bet 轴恢复该功能。此外,IL-15 以依赖 AKT 的方式提高 CD4⁺GzmB⁺ T 细胞中溶质载体家族 7 成员 5(SLC7A5)的表达;抑制 SLC7A5 会消除 IL-15 对 CD4⁺GzmB⁺ T 细胞的作用。研究还显示,程序性细胞死亡蛋白 1(PD-1)和 CD85j 这两种免疫检查点分子在 CD4⁺GzmB⁺ T 细胞中互斥表达;同时靶向 PD-1 和 CD85j 可通过激活 AKT 通路增强此类细胞的效应功能。值得注意的是,表达主要组织相容性复合体(MHC)II 类分子及 IL-15 的肿瘤细胞,决定免疫治疗应答中 CD4⁺GzmB⁺ T 细胞介导抗肿瘤免疫的效果。结论:本研究表明,肿瘤浸润 CD4⁺GzmB⁺ T 细胞无法清除肿瘤。联合阻断 PD-1 和 CD85j 并给予 IL-15,可恢复这些细胞的效应功能,促进其在肿瘤微环境中转变,从而对抗表达 MHC II 的肿瘤。

展开英文摘要原文

BACKGROUND: A subset of CD4 + T cells with cytotoxic activity has been identified, and these cells exert their effects by expressing perforin and granzymes. Despite the progress made in characterizing cytotoxic CD4 + T cells in various diseases, the status of cytotoxic CD4 + T cells in non-small cell lung cancer (NSCLC) and the underlying mechanisms involved in promoting intratumoral cytotoxic CD4 + T-cell activation remain unclear. METHODS: We used flow cytometry to examine the phenotypic and functional properties of CD4 + GzmB + T cells in the peripheral blood and tumor tissues of patients with NSCLC. Loss-of-function analyses and RNA sequencing were used to identify the underlying mechanisms involved in the effects of interleukin (IL)-15 on the restoration of CD4 + GzmB + T-cell function in vitro. A patient-derived lung cancer explant model and an animal model were used to verify the effects of immune checkpoint inhibitors on CD4 + GzmB + T-cell activation. RESULTS: In patients with NSCLC, impaired cytolytic function of tumor-infiltrated granzyme B (GzmB)-expressing CD4 + T cells was restored by IL-15 through activation of the AKT-FOXO1-T-bet axis. Moreover, IL-15 stimulation increased solute carrier family 7 member 5 (SLC7A5) expression in CD4 + GzmB + T cells in an Protein Kinase B (AKT)-dependent manner, and inhibition of SLC7A5 abrogated the effect of IL-15 on CD4 + GzmB + T cells. Additionally, we showed that the immune checkpoint molecules programmed cell death-1 (PD-1) and CD85j were mutually exclusively expressed in CD4 + GzmB + T cells and that dual targeting of PD-1 and CD85j enhanced the effector function of CD4 + GzmB + T cells by activating the AKT pathway. Notably, tumor cells expressing major histocompatibility complex (MHC)-II and IL-15 determine the effectiveness of CD4 + GzmB + T-cell-mediated antitumor immunity in response to immunotherapy. CONCLUSIONS: Our study demonstrated that tumor-infiltrating CD4 + GzmB + T cells fail to eliminate tumors. Dual blockade of PD-1 and CD85j alongside IL-15 restores the effector function of CD4 + GzmB + T cells and drives CD4 + GzmB + T-cell transformation in the tumor microenvironment to combat MHC-II-expressing tumors.

论文信息

作者
Wang B、Wang X、Wang T、Meng K、Yu T、Xi Y、Hu S、Xiong H
第一作者单位
Department of Thoracic Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China.China
通讯作者单位
Department of Thoracic Surgery, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital, Wuhan, Hubei, China lqli@tjh.tjmu.edu.cn fuxn2006@aliyun.com.China
期刊
Journal for immunotherapy of cancer2025 Apr 1
原文标识
PubMed 40169283 · DOI 10.1136/jitc-2024-010890