Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis

Abstract Background Programmed death 1 (PD-1) blockade has great effect in the prevention of oral precancerous lesions, but the drug resistance has also been observed. The determinants of immune resistance during the malignant transformation are poorly understood. Methods Anti-PD-1 antibody was admi...

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Main Authors: Liling Wen, Huanzi Lu, Qiusheng Li, Qunxing Li, Shuqiong Wen, Dikan Wang, Xi Wang, Juan Fang, Jun Cui, Bin Cheng, Zhi Wang
Format: Article
Language:English
Published: BMC 2019-07-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13046-019-1185-0
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author Liling Wen
Huanzi Lu
Qiusheng Li
Qunxing Li
Shuqiong Wen
Dikan Wang
Xi Wang
Juan Fang
Jun Cui
Bin Cheng
Zhi Wang
author_facet Liling Wen
Huanzi Lu
Qiusheng Li
Qunxing Li
Shuqiong Wen
Dikan Wang
Xi Wang
Juan Fang
Jun Cui
Bin Cheng
Zhi Wang
author_sort Liling Wen
collection DOAJ
description Abstract Background Programmed death 1 (PD-1) blockade has great effect in the prevention of oral precancerous lesions, but the drug resistance has also been observed. The determinants of immune resistance during the malignant transformation are poorly understood. Methods Anti-PD-1 antibody was administered in the 4NQO-induced carcinogenesis mouse models. The mice were then subdivided into PD-1 resistance(PD-1R) group and PD-1 sensitive(PD-1S) group according to the efficacy. The expression of PD-1 and PD-L1, and the abundance of CD3+ T cells in tumor microenvironment between the two groups was tested by immunohistochemistry. In addition, the activation and effector functions, as well as the accumulation of immunosuppressive cells and expression of immune checkpoints of T cells in the draining lymph nodes and spleen between PD-1R and PD-1S group were analyzed by flow cytometry. Results Our results showed that T cell infiltration in tumor microenvironment, effector T cell cytokine secretion and central memory T cell accumulation in peripheral lymphoid organs were all inhibited in the anti-PD-1 resistance group. Furthermore, we found that an increase of regulatory T cell (Treg) population contributed to the resistance of the anti-PD-1 therapy. Notably, TIM-3 was found to be the only immunosuppressive molecule that mediated the resistance to anti-PD-1 therapy in the oral malignant transformation model. Conclusions Our findings identified a novel mechanism that T cell dysfunction contributes to the immune resistance during the malignant transformation of the oral mucosa. This study provides new targets for improving the efficacy of immunotherapy for early stage of tumorigenesis.
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spelling doaj.art-d4c168d20cfa4d9ca0d897ffe9599e192022-12-22T01:13:25ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662019-07-0138111210.1186/s13046-019-1185-0Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesisLiling Wen0Huanzi Lu1Qiusheng Li2Qunxing Li3Shuqiong Wen4Dikan Wang5Xi Wang6Juan Fang7Jun Cui8Bin Cheng9Zhi Wang10Guangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityKey Laboratory of Gene Engineering of the Ministry of Education, State Key Laboratory of Biocontrol, School of Life Sciences, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Stomatology, Guanghua School of Stomatology, Stomatological Hospital, Sun Yat-Sen UniversityAbstract Background Programmed death 1 (PD-1) blockade has great effect in the prevention of oral precancerous lesions, but the drug resistance has also been observed. The determinants of immune resistance during the malignant transformation are poorly understood. Methods Anti-PD-1 antibody was administered in the 4NQO-induced carcinogenesis mouse models. The mice were then subdivided into PD-1 resistance(PD-1R) group and PD-1 sensitive(PD-1S) group according to the efficacy. The expression of PD-1 and PD-L1, and the abundance of CD3+ T cells in tumor microenvironment between the two groups was tested by immunohistochemistry. In addition, the activation and effector functions, as well as the accumulation of immunosuppressive cells and expression of immune checkpoints of T cells in the draining lymph nodes and spleen between PD-1R and PD-1S group were analyzed by flow cytometry. Results Our results showed that T cell infiltration in tumor microenvironment, effector T cell cytokine secretion and central memory T cell accumulation in peripheral lymphoid organs were all inhibited in the anti-PD-1 resistance group. Furthermore, we found that an increase of regulatory T cell (Treg) population contributed to the resistance of the anti-PD-1 therapy. Notably, TIM-3 was found to be the only immunosuppressive molecule that mediated the resistance to anti-PD-1 therapy in the oral malignant transformation model. Conclusions Our findings identified a novel mechanism that T cell dysfunction contributes to the immune resistance during the malignant transformation of the oral mucosa. This study provides new targets for improving the efficacy of immunotherapy for early stage of tumorigenesis.http://link.springer.com/article/10.1186/s13046-019-1185-0Oral precancerous lesion (OPL)Programmed cell death 1(PD-1)Central memory T cell (Tcm)Regulatory T cell (Treg)T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3)
spellingShingle Liling Wen
Huanzi Lu
Qiusheng Li
Qunxing Li
Shuqiong Wen
Dikan Wang
Xi Wang
Juan Fang
Jun Cui
Bin Cheng
Zhi Wang
Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
Journal of Experimental & Clinical Cancer Research
Oral precancerous lesion (OPL)
Programmed cell death 1(PD-1)
Central memory T cell (Tcm)
Regulatory T cell (Treg)
T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3)
title Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
title_full Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
title_fullStr Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
title_full_unstemmed Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
title_short Contributions of T cell dysfunction to the resistance against anti-PD-1 therapy in oral carcinogenesis
title_sort contributions of t cell dysfunction to the resistance against anti pd 1 therapy in oral carcinogenesis
topic Oral precancerous lesion (OPL)
Programmed cell death 1(PD-1)
Central memory T cell (Tcm)
Regulatory T cell (Treg)
T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3)
url http://link.springer.com/article/10.1186/s13046-019-1185-0
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