Ursodeoxycholic acid reduces antitumor immunosuppression by inducing CHIP-mediated TGF-β degradation.

Ursodeoxycholic acid reduces antitumor immunosuppression by inducing CHIP-mediated TGF-β degradation.
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熊去氧胆酸通过诱导 CHIP 介导的 TGF-β 降解来减少抗肿瘤免疫抑制

DOI:
10.1038/s41467-022-31141-6
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发表时间:
2022-06-14
影响因子:
16.6
通讯作者:
Cai, Zhijian
Cai, Zhijian
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Shen, Yingying;Lu, Chaojie;Song, Zhengbo;Qiao, Chenxiao;Wang, Jiaoli;Chen, Jinbiao;Zhang, Chengyan;Zeng, Xianchang;Ma, Zeyu;Chen, Tao;Li, Xu;Lin, Aifu;Guo, Jufeng;Wang, Jianli;Cai, Zhijian

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TGF-β对于诱导全身性肿瘤免疫抑制至关重要;因此,阻断TGF-β可以大大增强抗肿瘤免疫力。然而,目前尚无有效的TGF-β抑制剂应用于临床。在这里,我们证明临床批准的化合物熊去氧胆酸(UDCA)通过降解TGF-β,通过抑制荷瘤小鼠的Treg细胞分化和活化来增强抗肿瘤免疫。此外,UDCA与抗PD-1协同作用,增强荷瘤小鼠的抗肿瘤免疫力和肿瘤特异性免疫记忆。 UDCA 通过 TGR5-cAMP-PKA 轴在 T282 位点磷酸化 TGF-β,导致 TGF-β 与 Hsc70 相互作用蛋白 (CHIP) 羧基末端的结合增加。然后,CHIP 在 K315 位点泛素化 TGF-β,启动 p62 依赖性自噬分选以及随后的 TGF-β 降解。值得注意的是,回顾性分析结果表明,抗PD-1或抗PD-L1与UDCA联合治疗对肿瘤患者的疗效优于单独使用抗PD-1或抗PD-L1。因此,我们的结果显示了 TGF-β 调节的机制,并暗示 UDCA 作为潜在的 TGF-β 抑制剂来增强抗肿瘤免疫。 TGF-β可以增强Treg细胞功能并降低抗肿瘤免疫力。作者在此表明,UDCA 是一种潜在的介质,可以降低 TGF-β 活性并促进小鼠的抗肿瘤免疫反应,并且可以与其他检查点抑制剂相结合。
TGF-β is essential for inducing systemic tumor immunosuppression; thus, blocking TGF-β can greatly enhance antitumor immunity. However, there are still no effective TGF-β inhibitors in clinical use. Here, we show that the clinically approved compound ursodeoxycholic acid (UDCA), by degrading TGF-β, enhances antitumor immunity through restraining Treg cell differentiation and activation in tumor-bearing mice. Furthermore, UDCA synergizes with anti-PD-1 to enhance antitumor immunity and tumor-specific immune memory in tumor-bearing mice. UDCA phosphorylates TGF-β at T282 site via TGR5-cAMP-PKA axis, causing increased binding of TGF-β to carboxyl terminus of Hsc70-interacting protein (CHIP). Then, CHIP ubiquitinates TGF-β at the K315 site, initiating p62-dependent autophagic sorting and subsequent degradation of TGF-β. Notably, results of retrospective analysis shows that combination therapy with anti-PD-1 or anti-PD-L1 and UDCA has better efficacy in tumor patients than anti-PD-1 or anti-PD-L1 alone. Thus, our results show a mechanism for TGF-β regulation and implicate UDCA as a potential TGF-β inhibitor to enhance antitumor immunity. TGF-β can function to increase Treg cell function and reduce anti-tumour immunity. Here the authors show that UDCA is a potential mediator that can reduce TGF-β activity and promote anti-tumour immune responses in mice and can be additive to other checkpoint inhibitors.
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