Hypoxia Supports Differentiation of Terminally Exhausted CD8 T Cells.

Hypoxia Supports Differentiation of Terminally Exhausted CD8 T Cells.
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缺氧支持最终耗尽的 CD8 T 细胞的分化。

DOI:
10.3389/fimmu.2021.660944
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发表时间:
2021
影响因子:
7.3
通讯作者:
Croci DO
Croci DO
中科院分区:
医学2区
文献类型:
--
作者:
Bannoud N;Dalotto-Moreno T;Kindgard L;García PA;Blidner AG;Mariño KV;Rabinovich GA;Croci DO

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缺氧、血管生成和免疫抑制被认为是相互关联的事件,它们促进肿瘤进展并损害抗肿瘤治疗的临床有效性。在这里,我们提出了新的机制数据,强调缺氧在微调CD 8 T细胞体外耗竭的作用,试图调和似乎相反的证据缺氧对耗尽的CD 8 T细胞的功能特征的影响。关注最近表征的终末分化和祖细胞耗尽的CD 8 T细胞,我们发现缺氧及其调节介质血管内皮生长因子(VEGF)-A,以PD-1 + TIM-3-祖细胞样亚群为代价促进PD-1 + TIM-3+ CXCR 5+终末耗竭样CD 8 T细胞的分化,而不影响肿瘤坏死因子(TNF)-α和干扰素(IFN)-γ产生或颗粒酶B(GZMB)表达。有趣的是,缺氧加重了耗尽的CD 8 T细胞中的促血管生成分泌特征。VEGF-A是缺氧条件下耗竭的CD 8 T细胞差异分泌的主要因子。在这个意义上,我们发现VEGF-A有助于在体外分化过程中产生终末耗竭的CD 8 T细胞。总之,我们的研究结果突出了缺氧,血管生成和免疫抑制之间的相互调节,提供了一个合理的基础,以优化抗血管生成和免疫抑制策略的协同组合,提高这些治疗的疗效的总体目标。
Hypoxia, angiogenesis, and immunosuppression have been proposed to be interrelated events that fuel tumor progression and impair the clinical effectiveness of anti-tumor therapies. Here we present new mechanistic data highlighting the role of hypoxia in fine-tuning CD8 T cell exhaustion in vitro, in an attempt to reconcile seemingly opposite evidence regarding the impact of hypoxia on functional features of exhausted CD8 T cells. Focusing on the recently characterized terminally-differentiated and progenitor exhausted CD8 T cells, we found that both hypoxia and its regulated mediator, vascular endothelial growth factor (VEGF)-A, promote the differentiation of PD-1+ TIM-3+ CXCR5+ terminally exhausted-like CD8 T cells at the expense of PD-1+ TIM-3- progenitor-like subsets without affecting tumor necrosis factor (TNF)-α and interferon (IFN)-γ production or granzyme B (GZMB) expression by these subpopulations. Interestingly, hypoxia accentuated the proangiogenic secretory profile in exhausted CD8 T cells. VEGF-A was the main factor differentially secreted by exhausted CD8 T cells under hypoxic conditions. In this sense, we found that VEGF-A contributes to generation of terminally exhausted CD8 T cells during in vitro differentiation. Altogether, our findings highlight the reciprocal regulation between hypoxia, angiogenesis, and immunosuppression, providing a rational basis to optimize synergistic combinations of antiangiogenic and immunotherapeutic strategies, with the overarching goal of improving the efficacy of these treatments.
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