免疫疗法
内源性逆转录病毒
抗体
病毒学
免疫学
肺癌
癌症免疫疗法
生物
内生
癌症
免疫系统
医学
肿瘤科
基因组
内科学
遗传学
基因
作者
Kevin W. Ng,Jesse Boumelha,Katey S.S. Enfield,Jorge Almagro,Hongui Cha,Oriol Pich,Takahiro Karasaki,David A. Moore,Roberto Salgado,Monica Sivakumar,George R. Young,Míriam Molina‐Arcas,Sophie de Carné Trécesson,Panayiotis Anastasiou,Annika Fendler,Lewis Au,Scott T.C. Shepherd,Carlos Martínez‐Ruiz,Clare Puttick,James R. Black
出处
期刊:Nature
[Nature Portfolio]
日期:2023-04-12
卷期号:616 (7957): 563-573
被引量:242
标识
DOI:10.1038/s41586-023-05771-9
摘要
B cells are frequently found in the margins of solid tumours as organized follicles in ectopic lymphoid organs called tertiary lymphoid structures (TLS)1,2. Although TLS have been found to correlate with improved patient survival and response to immune checkpoint blockade (ICB), the underlying mechanisms of this association remain elusive1,2. Here we investigate lung-resident B cell responses in patients from the TRACERx 421 (Tracking Non-Small-Cell Lung Cancer Evolution Through Therapy) and other lung cancer cohorts, and in a recently established immunogenic mouse model for lung adenocarcinoma3. We find that both human and mouse lung adenocarcinomas elicit local germinal centre responses and tumour-binding antibodies, and further identify endogenous retrovirus (ERV) envelope glycoproteins as a dominant anti-tumour antibody target. ERV-targeting B cell responses are amplified by ICB in both humans and mice, and by targeted inhibition of KRAS(G12C) in the mouse model. ERV-reactive antibodies exert anti-tumour activity that extends survival in the mouse model, and ERV expression predicts the outcome of ICB in human lung adenocarcinoma. Finally, we find that effective immunotherapy in the mouse model requires CXCL13-dependent TLS formation. Conversely, therapeutic CXCL13 treatment potentiates anti-tumour immunity and synergizes with ICB. Our findings provide a possible mechanistic basis for the association of TLS with immunotherapy response.
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