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The Nuclear Orphan Receptor NR2F6 Is a Central Checkpoint for Cancer Immune Surveillance

机译:核孤儿受体NR2F6是癌症免疫监测的中心检查站。

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class="head no_bottom_margin" id="sec1title">IntroductionAdaptive immunity together with innate effector immune cells is established to efficiently control malignant cells. The importance of T cells for tumor cell elimination is underscored by the observation that tumor infiltration by T cells represents a valuable prognostic marker in different human cancer types (; reviewed in ). Residual T cell reactivity against malignant cells is limited by various components of immune evasion, such as local accumulation of immunosuppressive cell types within the tumor microenvironment. Together this favors tumor escape from the immune system instead of immune-mediated cancer cell elimination (for review, see ). Consistently, interleukin 2 (IL-2) and interferon γ (IFN-γ) are both additional key prognostic indicators mirroring a protective anti-tumor immune response in humans. High IL-2 levels thereby favor CD8+ T cell effector functions (). High IFN-γ directly modulates both cancer biology (e.g., by inducing tumor cell senescence) () and induces an immune contexture favoring continuous tumor cell elimination, a concept coined “cancer immune surveillance” ().Manipulating the immune system to harness anti-tumor immune responses for the treatment of cancer patients has been a major goal for many decades. Promising novel therapeutic advances blocking immune system inhibitory pathways, such as cytotoxic T lymphocyte-associated protein 4 (CTLA-4) and programmed cell death 1 (PD-1)/PD-1 ligand (PD-L1), are referred to as “immune checkpoints” (i.e., inhibitory signaling intermediates that control the duration and amplitude of physiological immune responses) are successful entering into clinics (). In addition, adoptive T cell transfer therapy or vaccination approaches are now also providing more encouraging results, especially when combined with cytokines or the above mentioned immune checkpoint-antagonizing antibodies (). Even though these approaches are exciting, there is an unmet medical need, as still only a limited number of patients response to and even less patients are potentially cured by these approaches. Thus, there is a high scientific interest to explore novel cancer immunotherapeutic approaches with the ultimate goal to further strengthen the patient’s immune system.Notably, mechanistic processes that support immune-mediated tissue destruction appear to be strikingly analogous in autoimmunity and cancer. We previously demonstrated that the nuclear receptor subfamily 2, group F, member 6 (NR2F6; also called COUP-TFIII or Ear2) represents an important gatekeeper of antigen receptor-induced cytokine response thresholds of pro-inflammatory CD4+ Th17 lymphocytes (). In these autoimmunity-promoting Th17 cells, NR2F6 directly antagonizes the binding of the transcription factors NFAT and, particularly, retinoic acid receptor-related orphan receptor-γ-t (RORc) to the Il17 cytokine locus (), thereby reducing central nervous system inflammation. Here, we employed various types of transplantable and spontaneous tumor models to define the role of NR2F6 in tumor immunology. Using these model systems, we provide strong experimental evidence that genetic deletion of Nr2f6 is both necessary and sufficient to induce host-protective immune rejection of cancer. Nr2f6 deficiency leads to augmented intratumoral effector CD4+ and CD8+ T cell infiltration and strongly enhances local production of IL-2, IFN-γ, and tumor necrosis factor-α (TNF-α), thereby forming an immune environment that allows strong anti-tumor T cell responses in tumor-bearing mice.
机译:<!-fig ft0-> <!-fig @ position =“ anchor” mode =文章f4-> <!-fig mode =“ anchred” f5-> <!-fig / graphic | fig / alternatives / graphic mode =“ anchored” m1-> class =“ head no_bottom_margin” id =“ sec1title”>简介建立了自适应免疫以及先天性效应免疫细胞,以有效控制恶性细胞。观察到T细胞对肿瘤的浸润代表了在不同类型人类癌症中有价值的预后标志物,这突显了T细胞对于消除肿瘤细胞的重要性。残留的T细胞对恶性细胞的反应性受到免疫逃逸的各种成分的限制,例如肿瘤微环境中免疫抑制细胞类型的局部积累。这共同促进了肿瘤从免疫系统逃逸,而不是免疫介导的癌细胞消除(有关综述,请参见参考资料)。一致地,白介素2(IL-2)和干扰素γ(IFN-γ)都是反映人类保护性抗肿瘤免疫反应的其他关键预后指标。因此,高IL-2水平有利于CD8 + T细胞效应子功能()。高IFN-γ直接调节两种癌症的生物学特性(例如,通过诱导肿瘤细胞衰老)(),并诱导有利于连续消灭肿瘤细胞的免疫环境,这一概念被称为“癌症免疫监视”()。数十年来,用于治疗癌症患者的肿瘤免疫应答一直是主要目标。有望阻止细胞免疫T淋巴细胞相关蛋白4(CTLA-4)和程序性细胞死亡1(PD-1)/ PD-1配体(PD-L1)等免疫系统抑制途径的新疗法有望获得成功,免疫检查点”(即控制信号强度的生理免疫反应的持续时间和幅度的抑制性中间体)已成功进入诊所()。此外,过继性T细胞转移疗法或疫苗接种方法现在也提供了更令人鼓舞的结果,尤其是与细胞因子或上述提到的免疫检查点拮抗抗体组合使用时。尽管这些方法令人兴奋,但仍未满足医疗需求,因为通过这些方法仍然只有有限的患者反应,甚至可能治愈的患者更少。因此,探索新的癌症免疫治疗方法具有极大的科学兴趣,其最终目标是进一步增强患者的免疫系统。值得注意的是,支持免疫介导的组织破坏的机制过程在自身免疫和癌症方面非常相似。我们先前证明核受体亚家族2,F组,成员6(NR2F6;也称为COUP-TFIII或Ear2)代表了抗原受体诱导的促炎性CD4 + Th17淋巴细胞()。在这些促进自身免疫的Th17细胞中,NR2F6直接拮抗转录因子NFAT,尤其是视黄酸受体相关的孤儿受体γ-t(RORc)与Il17细胞因子基因座的结合,从而减轻中枢神经系统炎症。在这里,我们采用了各种类型的可移植和自发性肿瘤模型来定义NR2F6在肿瘤免疫学中的作用。使用这些模型系统,我们提供了有力的实验证据,证明Nr2f6的基因缺失对于诱导宿主保护性免疫排斥反应既必要又足够。 Nr2f6缺乏导致肿瘤内效应子CD4 + 和CD8 + T细胞浸润增加,并强烈增强IL-2,IFN-γ和肿瘤坏死因子-α的局部产生( TNF-α),从而形成一个免疫环境,使荷瘤小鼠具有强大的抗肿瘤T细胞反应。

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