Single-cell transcriptome analysis reveals T-cell exhaustion in denosumab-treated giant cell tumor of bone.

Single-cell transcriptome analysis reveals T-cell exhaustion in denosumab-treated giant cell tumor of bone.
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DOI:
10.3389/fimmu.2022.934078
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发表时间:
2022
影响因子:
7.3
通讯作者:
--
中科院分区:
医学2区
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--
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Denosumab (DMAB)是一种针对核因子κ B配体受体激活剂的人单克隆抗体,用于治疗不可切除的骨巨细胞瘤(GCTB)。然而,对DMAB治疗后gctb浸润淋巴细胞的分子和功能特征知之甚少。在这里,我们进行了单细胞RNA测序和免疫染色测定,以描绘存在和不存在DMAB的GCTB的免疫景观。我们发现枯竭的CD8+ T细胞在dmab处理的GCTB中优先富集。一种独特的m2偏斜型肿瘤相关巨噬细胞(tam)包括大多数GCTB tam。我们发现细胞因子,包括白细胞介素-10和M2 tam的抑制性受体是CD8+ T细胞衰竭的重要介质。我们进一步发现,DMAB处理显著增加GCTB细胞中骨膜蛋白(POSTN)的表达水平。此外,POSTN的表达受c-FOS信号的转录调控,并与DMAB治疗后患者的GCTB复发相关。总的来说,我们的研究结果表明,CD8+ t细胞在DMAB治疗期间经历了不被重视的衰竭,GCTB细胞来源的POSTN教育tam并建立了促进GCTB复发的微环境生态位。
Denosumab (DMAB), a human monoclonal antibody against the receptor activator of the nuclear factor-kappa B ligand, is used for the treatment for unresectable giant cell tumor of bone (GCTB). However, little is known about the molecular and functional characteristics of GCTB-infiltrating lymphocytes after DMAB treatment. Here, we performed single-cell RNA sequencing and immunostaining assays to delineate the immune landscape of GCTB in the presence and absence of DMAB. We found that exhausted CD8+ T cells were preferentially enriched in DMAB-treated GCTB. A distinct M2-skewed type of tumor-associated macrophages (TAMs) comprises the majority of GCTB TAMs. We identified cytokines, including interleukin-10, and inhibitory receptors of M2 TAMs as important mediators of CD8+ T cell exhaustion. We further revealed that DMAB treatment notably increased the expression levels of periostin (POSTN) in GCTB cells. Furthermore, POSTN expression was transcriptionally regulated by c-FOS signaling and correlated with GCTB recurrence in patients after DMAB treatment. Collectively, our findings reveal that CD8+ T-cells undergo unappreciated exhaustion during DMAB therapy and that GCTB cell-derived POSTN educates TAMs and establishes a microenvironmental niche that facilitates GCTB recurrence.
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影响因子: 16.6
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DOI: 10.1007/s11999-015-4249-2
发表时间: 2015-09-01
影响因子: 4.2
作者:
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通讯作者: Farfalli, German L.