Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy

While immune checkpoint (IC) therapies, particularly those targeting the PD-1/PD-L1 axis, have revolutionized the treatment of melanoma and several other cancers, their effect remains very limited in colorectal cancer (CRC). To define a comprehensive landscape of ICs in the human CRC tumor microenvi...

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Main Authors: Kathleen Ducoin, Linda Bilonda-Mutala, Cécile Deleine, Romain Oger, Emilie Duchalais, Nicolas Jouand, Céline Bossard, Anne Jarry, Nadine Gervois-Segain
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/17/4261
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author Kathleen Ducoin
Linda Bilonda-Mutala
Cécile Deleine
Romain Oger
Emilie Duchalais
Nicolas Jouand
Céline Bossard
Anne Jarry
Nadine Gervois-Segain
author_facet Kathleen Ducoin
Linda Bilonda-Mutala
Cécile Deleine
Romain Oger
Emilie Duchalais
Nicolas Jouand
Céline Bossard
Anne Jarry
Nadine Gervois-Segain
author_sort Kathleen Ducoin
collection DOAJ
description While immune checkpoint (IC) therapies, particularly those targeting the PD-1/PD-L1 axis, have revolutionized the treatment of melanoma and several other cancers, their effect remains very limited in colorectal cancer (CRC). To define a comprehensive landscape of ICs in the human CRC tumor microenvironment (TME), we evaluated, using multiparametric flow cytometry, their ex vivo expression via tumor-infiltrating lymphocytes (TILs) (n = 40 CRCs) as well as that of their respective ligands on tumor and myeloid cells (n = 29). Supervised flow cytometry analyses showed that (i) most CD3<sup>+</sup> TILs expressed PD-1 and TIGIT and, to a lesser extent, Tim-3, Lag3 and NKG2A, and (ii) EpCAM<sup>+</sup> tumor cells and CD11b<sup>+</sup> myeloid cells differed in their IC ligand expression profile, with a strikingly high expression of CD155 by tumor cells. An in situ analysis of IC and their ligands using immunohistochemistry on paraffin sections of CRC confirmed the overexpression of TIGIT and its ligand, CD155, in the TME. Most interestingly, an unsupervised clustering analysis of IC co-expression on CD4<sup>+</sup> and CD8<sup>+</sup> TILs identified two tumor subgroups, named IC<sup>high</sup> and IC<sup>low</sup>. Altogether, our findings highlight the TIGIT/CD155 axis as a potential target that could be used in combination IC therapy in CRC.
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spelling doaj.art-7249e516e9d541d4b74f1762d51f8c872023-11-23T12:52:35ZengMDPI AGCancers2072-66942022-08-011417426110.3390/cancers14174261Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing ImmunotherapyKathleen Ducoin0Linda Bilonda-Mutala1Cécile Deleine2Romain Oger3Emilie Duchalais4Nicolas Jouand5Céline Bossard6Anne Jarry7Nadine Gervois-Segain8Nantes Université, Univ Angers, INSERM, CNRS, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302/EMR6001, F-44000 Nantes, FranceLabEx IGO, Université de Nantes, F-44000 Nantes, FranceNantes Université, Univ Angers, INSERM, CNRS, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302/EMR6001, F-44000 Nantes, FranceLabEx IGO, Université de Nantes, F-44000 Nantes, FranceCHU Nantes, Department of Digestive Surgery and IMAD, F-44000 Nantes, FranceCytocell, BioCore, Nantes Université UMS 3556, Inserm US016, CNRS UAR 3556, CHU Nantes, SFR Santé François BONAMY, F-44000 Nantes, FranceCHU Nantes, Pathology Department, F-44000 Nantes, FranceNantes Université, Univ Angers, INSERM, CNRS, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302/EMR6001, F-44000 Nantes, FranceNantes Université, Univ Angers, INSERM, CNRS, Immunology and New Concepts in ImmunoTherapy, INCIT, UMR 1302/EMR6001, F-44000 Nantes, FranceWhile immune checkpoint (IC) therapies, particularly those targeting the PD-1/PD-L1 axis, have revolutionized the treatment of melanoma and several other cancers, their effect remains very limited in colorectal cancer (CRC). To define a comprehensive landscape of ICs in the human CRC tumor microenvironment (TME), we evaluated, using multiparametric flow cytometry, their ex vivo expression via tumor-infiltrating lymphocytes (TILs) (n = 40 CRCs) as well as that of their respective ligands on tumor and myeloid cells (n = 29). Supervised flow cytometry analyses showed that (i) most CD3<sup>+</sup> TILs expressed PD-1 and TIGIT and, to a lesser extent, Tim-3, Lag3 and NKG2A, and (ii) EpCAM<sup>+</sup> tumor cells and CD11b<sup>+</sup> myeloid cells differed in their IC ligand expression profile, with a strikingly high expression of CD155 by tumor cells. An in situ analysis of IC and their ligands using immunohistochemistry on paraffin sections of CRC confirmed the overexpression of TIGIT and its ligand, CD155, in the TME. Most interestingly, an unsupervised clustering analysis of IC co-expression on CD4<sup>+</sup> and CD8<sup>+</sup> TILs identified two tumor subgroups, named IC<sup>high</sup> and IC<sup>low</sup>. Altogether, our findings highlight the TIGIT/CD155 axis as a potential target that could be used in combination IC therapy in CRC.https://www.mdpi.com/2072-6694/14/17/4261immune checkpointsTIGITtumor-infiltrating lymphocytecolorectal cancerimmunotherapy
spellingShingle Kathleen Ducoin
Linda Bilonda-Mutala
Cécile Deleine
Romain Oger
Emilie Duchalais
Nicolas Jouand
Céline Bossard
Anne Jarry
Nadine Gervois-Segain
Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
Cancers
immune checkpoints
TIGIT
tumor-infiltrating lymphocyte
colorectal cancer
immunotherapy
title Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
title_full Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
title_fullStr Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
title_full_unstemmed Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
title_short Defining the Immune Checkpoint Landscape in Human Colorectal Cancer Highlights the Relevance of the TIGIT/CD155 Axis for Optimizing Immunotherapy
title_sort defining the immune checkpoint landscape in human colorectal cancer highlights the relevance of the tigit cd155 axis for optimizing immunotherapy
topic immune checkpoints
TIGIT
tumor-infiltrating lymphocyte
colorectal cancer
immunotherapy
url https://www.mdpi.com/2072-6694/14/17/4261
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