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Tumor PKCδ instigates immune exclusion in EGFR-mutated non-small cell lung cancer

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机构: [1]Dr.Neher’s Biophysics Laboratory for Innovative Drug Discovery, State KeyLaboratory of Quality Research in Chinese Medicine, Macau University of Scienceand Technology, Macau, China [2]Department of Cardiology, HarvardMedical School, Boston, MA, USA [3]Department of Chemistry, SouthernUniversity of Science and Technology, Shenzhen, Guangdong, China [4]StateKey Laboratory of Biotherapy and Cancer Center, West China Hospital, WestChina Medical School, Sichuan University, Chengdu, China [5]TianJin MedicalUniversity General Hospital, Tianjin, China [6]Department of Pharmacology, Collegeof Pharmacy, Harbin Medical University, Harbin, Heilongjiang, China
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关键词: Tumor microenvironment Immune checkpoint Tumor infiltrating lymphocytes PKCδ PD-1

摘要:
The recruitment of a sufficient number of immune cells to induce an inflamed tumor microenvironment (TME) is a prerequisite for effective response to cancer immunotherapy. The immunological phenotypes in the TME of EGFR-mutated lung cancer were characterized as non-inflamed, for which immunotherapy is largely ineffective.Global proteomic and phosphoproteomic data from lung cancer tissues were analyzed aiming to map proteins related to non-inflamed TME. The ex vivo and in vivo studies were carried out to evaluate the anti-tumor effect. Proteomics was applied to identify the potential target and signaling pathways. CRISPR-Cas9 was used to knock out target genes. The changes of immune cells were monitored by flow cytometry. The correlation between PKCδ and PD-L1 was verified by clinical samples.We proposed that PKCδ, a gatekeeper of immune homeostasis with kinase activity, is responsible for the un-inflamed phenotype in EGFR-mutated lung tumors. It promotes tumor progression by stimulating extracellular matrix (ECM) and PD-L1 expression which leads to immune exclusion and assists cancer cell escape from T cell surveillance. Ablation of PKCδ enhances the intratumoral penetration of T cells and suppresses the growth of tumors. Furthermore, blocking PKCδ significantly sensitizes the tumor to immune checkpoint blockade (ICB) therapy (αPD-1) in vitro and in vivo model.These findings revealed that PKCδ is a critical switch to induce inflamed tumors and consequently enhances the efficacy of ICB therapy in EGFR-mutated lung cancer. This opens a new avenue for applying immunotherapy against recalcitrant tumors.© 2022. The Author(s).

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大类 | 1 区 医学
小类 | 1 区 医学:内科
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第一作者机构: [1]Dr.Neher’s Biophysics Laboratory for Innovative Drug Discovery, State KeyLaboratory of Quality Research in Chinese Medicine, Macau University of Scienceand Technology, Macau, China [2]Department of Cardiology, HarvardMedical School, Boston, MA, USA
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