Tumor PKCδ instigates immune exclusion in EGFR-mutated non-small cell lung cancer

作者:Zuo, Yi-Han; Gao, Wei-Na; Xie, Ya-Jia; Yang, Sheng-Yong; Zhou, Jin-Tai; Liang, Hai-Hai*; Fan, Xing-Xing*
来源:BMC Medicine, 2022, 20(1): 470.
DOI:10.1186/s12916-022-02670-0

摘要

BackgroundThe recruitment of a sufficient number of immune cells to induce an inflamed tumor microenvironment (TME) is a prerequisite for effective response to cancer immunotherapy. The immunological phenotypes in the TME of EGFR-mutated lung cancer were characterized as non-inflamed, for which immunotherapy is largely ineffective. MethodsGlobal proteomic and phosphoproteomic data from lung cancer tissues were analyzed aiming to map proteins related to non-inflamed TME. The ex vivo and in vivo studies were carried out to evaluate the anti-tumor effect. Proteomics was applied to identify the potential target and signaling pathways. CRISPR-Cas9 was used to knock out target genes. The changes of immune cells were monitored by flow cytometry. The correlation between PKC delta and PD-L1 was verified by clinical samples. ResultsWe proposed that PKC delta, a gatekeeper of immune homeostasis with kinase activity, is responsible for the un-inflamed phenotype in EGFR-mutated lung tumors. It promotes tumor progression by stimulating extracellular matrix (ECM) and PD-L1 expression which leads to immune exclusion and assists cancer cell escape from T cell surveillance. Ablation of PKC delta enhances the intratumoral penetration of T cells and suppresses the growth of tumors. Furthermore, blocking PKC delta significantly sensitizes the tumor to immune checkpoint blockade (ICB) therapy (alpha PD-1) in vitro and in vivo model. ConclusionsThese findings revealed that PKC delta is a critical switch to induce inflamed tumors and consequently enhances the efficacy of ICB therapy in EGFR-mutated lung cancer. This opens a new avenue for applying immunotherapy against recalcitrant tumors.

  • 单位
    哈尔滨医科大学; 四川大学