Reprogramming immunosuppressive myeloid cells by activated T cells promotes the response to anti-PD-1 therapy in colorectal cancer

J Chen, HW Sun, YY Yang, HT Chen, XJ Yu… - … and Targeted Therapy, 2021 - nature.com
J Chen, HW Sun, YY Yang, HT Chen, XJ Yu, WC Wu, YT Xu, LL Jin, XJ Wu, J Xu, L Zheng
Signal Transduction and Targeted Therapy, 2021nature.com
Overcoming local immunosuppression is critical for immunotherapy to produce robust anti-
tumor responses. Myeloid-derived suppressor cells (MDSCs) are key regulators of
immunosuppressive networks and promote tumor progression. However, it remains unclear
whether and how tumor-infiltrating MDSCs are shaped in response to anti-PD-1 treatment
and what their impact on therapeutic efficacy is in colorectal cancer (CRC). In this study, the
levels of infiltrating MDSCs were significantly higher in the non-responding organoids and …
Abstract
Overcoming local immunosuppression is critical for immunotherapy to produce robust anti-tumor responses. Myeloid-derived suppressor cells (MDSCs) are key regulators of immunosuppressive networks and promote tumor progression. However, it remains unclear whether and how tumor-infiltrating MDSCs are shaped in response to anti-PD-1 treatment and what their impact on therapeutic efficacy is in colorectal cancer (CRC). In this study, the levels of infiltrating MDSCs were significantly higher in the non-responding organoids and were selectively reduced in the responding group, with MDSCs showing increased apoptosis and attenuated functional activity after anti-PD-1 treatment. A negative correlation between T-cell activation and MDSC function was also observed in fresh human CRC tissues. Mechanistic studies revealed that autocrine IFN-α/β upregulated TRAIL expression on activated T cells to elicit MDSC apoptosis via the TRAIL–DR5 interaction and acted synergistically with TNF-α to inhibit MDSC function of suppressing the T-cell response through the JNK-NMDAR-ARG-1 pathway. Moreover, blockade of IFN-α/β and TNF-α abolished the therapeutic efficacy of anti-PD-1 treatment by preserving the frequency and suppressive activity of infiltrating MDSCs in a CRC mouse model. This result suggested that reprogramming MDSCs by IFN-α/β and TNF-α from activated T cells was necessary for successful anti-PD-1 treatment and might serve as a novel strategy to improve the response and efficacy of anticancer therapy.
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