免疫检查点阻断通过扩增效应 CD8⁺ T 细胞克隆增强淋巴细胞清除性化疗诱导的抗肿瘤免疫
Immune Checkpoint Blockade Augments Lymphodepleting Chemotherapy-Induced Antitumor Immunity by Expanding Effector CD8+ T-cell Clones.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Targeting PDPN enhances antitumor T-cell activity by disrupting β-catenin-mediated PD-L1 expression in melanoma.
Targeting PDPN enhances antitumor T-cell activity by disrupting β-catenin-mediated PD-L1 expression in melanoma.
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这些发现表明,PDPN 通过 b-catenin 介导的 PD-L1 上调,是黑色素瘤免疫逃逸的关键驱动因素。用 CY12-RP2 对 PDPN 进行抑制性靶向,代表了一种有前景的治疗策略,能够破坏这一免疫抑制通路并逆转肿瘤免疫逃逸。
黑色素瘤是一种高度免疫原性且侵袭性强的恶性肿瘤,其特征为显著的瘤内淋巴细胞浸润以及对免疫治疗干预的显著应答。致癌性糖蛋白podoplanin(PDPN)在多种癌症类型中常过表达,通过与血小板及其他基质细胞上的CLEC-2相互作用促进转移播散,从而导致基质免疫抑制。尽管PDPN的促肿瘤作用已被充分记录,但其在黑色素瘤免疫逃逸中的精确机制贡献仍仅部分明确,需要进一步阐明。
为阐明PDPN在黑色素瘤中的免疫学作用,对人组织微阵列进行了多重免疫荧光染色,并进行生物信息学分析以确定PDPN与PD-L1表达及CD8+ T细胞浸润的关联。利用流式细胞术、Western blotting、ELISA以及在免疫缺陷和免疫健全小鼠模型中的体内研究,系统评估了靶向PDPN的抑制肽CY12-RP2的治疗疗效及其潜在机制。这些综合分析表明,用CY12-RP2靶向PDPN可以重建抗肿瘤免疫。
多组学分析表明,PDPN 表达与免疫检查点标志物高度相关,尤其是 PD-L1(r = 0.504,p < 0.001),并与瘤内细胞毒性免疫细胞的浸润呈负相关。单细胞和空间转录组分析显示,PDPN 支持 CD8 + T 细胞的排斥,并增加免疫抑制性细胞群体的比例。CY12-RP2 在免疫健全小鼠模型中使肿瘤生长减少 60.6%,并通过减弱 PDPN 依赖的、β-catenin 介导的 PD-L1 上调,逆转免疫逃逸。CY12-RP2 治疗广泛激活了抗肿瘤免疫反应,表现为瘤内 CD8 + T 细胞浸润增加、CD8 + T 细胞颗粒酶 B 产生升高,以及促炎细胞因子(IFN-γ、TNF-α 和 IL-1β)分泌增强。耗竭实验证实,CY12-RP2 的抗肿瘤疗效完全依赖于 CD8 + T 细胞,确立了 CD8 + T 细胞依赖的作用机制。
To clarify the immunological role of PDPN in melanoma, multiplex immunofluorescence staining was performed on human tissue microarrays, and bioinformatic analyses were conducted to determine the associations of PDPN with PD-L1 expression and CD8 + T cell infiltration. The therapeutic efficacy and underlying mechanisms of the PDPN-targeting inhibitory peptide CY12-RP2 were systematically evaluated using flow cytometry, Western blotting, ELISA, and in vivo studies in both immunodeficient and immunocompetent mouse models. These comprehensive analyses demonstrated that targeting PDPN with CY12-RP2 can reestablish antitumor immunity.
Multi-omics analyses indicated that PDPN expression is highly correlated with immune checkpoint markers, most notably PD-L1 (r = 0.504, p < 0.001), and displays an inverse relationship with the infiltration of intratumoral cytotoxic immune cells. Single-cell and spatial transcriptomic profiling revealed that PDPN supports the exclusion of CD8 + T cells and enhances the prevalence of immunosuppressive cell populations. CY12-RP2 resulted in a 60.6% reduction in tumor growth in immunocompetent murine models and reversed immune evasion by attenuating PDPN-dependent, β-catenin-mediated upregulation of PD-L1. Treatment with CY12-RP2 broadly activated antitumor immune responses, as evidenced by increased intratumoral infiltration of CD8 + T cells, elevated granzyme B production by CD8 + T cells, and enhanced secretion of pro-inflammatory cytokines (IFN-γ, TNF-α, and IL-1β). Depletion experiments confirmed that the antitumor efficacy of CY12-RP2 was entirely dependent on CD8 + T cells, establishing a CD8 + T cell-dependent mechanism of action. DISCUSSION: These findings identify PDPN as a critical driver of immune evasion in melanoma via b-catenin-mediated PD-L1 upregulation. Inhibitory targeting of PDPN with CY12-RP2 represents a promising therapeutic approach capable of disrupting this immunosuppressive pathway and reversing tumor immune escape.
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