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Tumor Microenvironment-Derived R-spondins Enhance Antitumor Immunity to Suppress Tumor Growth and Sensitize for Immune Checkpoint Blockade Therapy

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单位: [1]Cincinnati Childrens Hosp Med Ctr, Div Pathol, Cincinnati, OH USA [2]Cincinnati Childrens Hosp Med Ctr, Div Expt Hematol, Cincinnati, OH USA [3]Cincinnati Childrens Hosp Med Ctr, Div Canc Biol, Cincinnati, OH USA [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Hematol, Wuhan, Hubei, Peoples R China [5]Cincinnati Childrens Hosp Med Ctr, Div Expt Hematol & Canc Biol, Cincinnati, OH USA [6]Cincinnati Childrens Hosp Med Ctr, Ctr Autoimmune Genom & Etiol, Cincinnati, OH USA [7]Soochow Univ, Affiliated Hosp 1, Jiangsu Inst Hematol, Natl Clin Res Ctr Hematol Dis, Suzhou, Peoples R China [8]Loyola Univ Chicago, Oncol Inst, Maywood, IL USA [9]Loyola Univ Chicago, Dept Pathol, Maywood, IL USA [10]Aix Marseille Univ, CNRS, INSERM, Ctr Immunol Marseille Luminy, Marseille, France [11]Hop La Timone, Assistance Publ Hop Marseille, Marseille Immunopole, Immunol, Marseille, France [12]Innate Pharm, Innate Pharm Res Labs, Marseille, France [13]Univ Cincinnati, Dept Pediat, Coll Med, Cincinnati, OH USA [14]UT Hlth San Antonio, Dept Cell Syst & Anat, Dept Pathol & Lab Med, Joe R & Teresa Lozano Long Sch Med,Mays Canc Ctr, 8403 Floyd Curl Dr, San Antonio, TX 78229 USA
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Natural killer (NK) cells and T cells are key effectors of antitumor immune responses and major targets of checkpoint inhibitors. In multiple cancer types, we find that the expression of Wnt signaling potentiator R-spondin genes (e.g., RSPO3) is associated with favorable prognosis and positively correlates with gene signatures of both NK cells and T cells. Although endothelial cells and cancer-associated fibroblasts comprise the R-spondin 3-producing cells, NK cells and T cells correspondingly express the R-spondin 3 receptor LGR6 within the tumor microenvironment (TME). Exogenous expression or intratumor injection of R-spondin 3 in tumors enhanced the infiltration and function of cytotoxic effector cells, which led to tumor regression. NK cells and CD8+T cells independently and cooperatively contributed to R-spondin 3-induced control of distinct tumor types. The effect of R-spondin 3 was mediated in part through upregulation of MYC and ribosomal biogenesis. Importantly, R-spondin 3 expression enhanced tumor sensitivity to anti-PD-1 therapy, thereby highlighting new therapeutic avenues.SIGNIFICANCE: Our study identifies novel targets in enhancing antitumor immunity and sensitizing immune checkpoint inhibition, which provides a rationale for developing new immunotherapies against cancers. It also offers mechanistic insights on Wnt signaling-mediated modulation of anticancer immu-nity in the TME and implications for a putative R-spondin-LGR6 axis in regulating NK-cell biology.

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大类 | 1 区 医学
小类 | 1 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 肿瘤学
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出版当年[2019]版:
Q1 ONCOLOGY
最新[2023]版:
Q1 ONCOLOGY

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第一作者单位: [1]Cincinnati Childrens Hosp Med Ctr, Div Pathol, Cincinnati, OH USA [2]Cincinnati Childrens Hosp Med Ctr, Div Expt Hematol, Cincinnati, OH USA [3]Cincinnati Childrens Hosp Med Ctr, Div Canc Biol, Cincinnati, OH USA
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通讯机构: [1]Cincinnati Childrens Hosp Med Ctr, Div Pathol, Cincinnati, OH USA [2]Cincinnati Childrens Hosp Med Ctr, Div Expt Hematol, Cincinnati, OH USA [3]Cincinnati Childrens Hosp Med Ctr, Div Canc Biol, Cincinnati, OH USA [14]UT Hlth San Antonio, Dept Cell Syst & Anat, Dept Pathol & Lab Med, Joe R & Teresa Lozano Long Sch Med,Mays Canc Ctr, 8403 Floyd Curl Dr, San Antonio, TX 78229 USA
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