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DGKA Mediates Resistance to PD-1 Blockade.

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机构: [1]State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. [2]Hospital (TCM) Affiliated to Southwest Medical University, Luzhou, China. [3]Department of Radiation Oncology, Sun Yat-sen University Cancer Center, Guangzhou, China. [4]Department of Thoracic Surgery, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, China. [5]Guangdong Laboratory Animals Monitoring Institute, Guangdong Key Laboratory of Laboratory Animals, Guangzhou, China. [6]Affiliated Cancer Hospital and Institute of Guangzhou Medical University, Guangzhou, China. [7]Department of Colorectal Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China. [8]Department of Head and Neck Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China. [9]State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. zhouph@sysucc.org.cn.
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Immunologic checkpoint blockade has been proven effective in a variety of malignancies. However, high rates of resistance have substantially hindered its clinical use. Understanding the underlying mechanisms may lead to new strategies for improving therapeutic efficacy. Although a number of signaling pathways have been shown to be associated with tumor cell-mediated resistance to immunotherapy, T cell-intrinsic resistant mechanisms remain elusive. Here, we demonstrated that diacylglycerol kinase alpha (Dgka) mediated T-cell dysfunction during anti-PD-1 therapy by exacerbating the exhaustion of reinvigorated tumor-specific T cells. Pharmacologic ablation of Dgka postponed T-cell exhaustion and delayed development of resistance to PD-1 blockade. Dgka inhibition also enhanced the efficacy of anti-PD-1 therapy. We further found that the expression of DGKA in cancer cells promoted tumor growth via the AKT signaling pathway, suggesting that DGKA might be a target in tumor cells as well. Together, these findings unveiled a molecular pathway mediating resistance to PD-1 blockade and provide a potential therapeutic strategy with combination immunotherapy. ©2021 American Association for Cancer Research.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 2 区 免疫学 2 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 2 区 免疫学 2 区 肿瘤学
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出版当年[2019]版:
Q1 ONCOLOGY Q1 IMMUNOLOGY
最新[2023]版:
Q1 IMMUNOLOGY Q1 ONCOLOGY

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第一作者机构: [1]State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
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