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author:

Wu, Q. (Wu, Q..) [1] | Liu, Z. (Liu, Z..) [2] | Gao, Z. (Gao, Z..) [3] | Luo, Y. (Luo, Y..) [4] | Li, F. (Li, F..) [5] | Yang, C. (Yang, C..) [6] | Wang, T. (Wang, T..) [7] | Meng, X. (Meng, X..) [8] | Chen, H. (Chen, H..) [9] | Li, J. (Li, J..) [10] | Kong, Y. (Kong, Y..) [11] | Dong, C. (Dong, C..) [12] | Sun, S. (Sun, S..) [13] | Chen, C. (Chen, C..) [14]

Indexed by:

Scopus

Abstract:

Background: Immune checkpoint blockers (ICBs) are revolutionized therapeutic strategies for cancer, but most patients with solid neoplasms remain resistant to ICBs, partly because of the difficulty in reversing the highly immunosuppressive tumor microenvironment (TME). Exploring the strategies for tumor immunotherapy is highly dependent on the discovery of molecular mechanisms of tumor immune escape and potential therapeutic target. Krüppel-like Factor 5 (KLF5) is a cell-intrinsic oncogene to promote tumorigenesis. However, the cell-extrinsic effects of KLF5 on suppressing the immune response to cancer remain unclear. Methods: We analyzed the immunosuppressive role of KLF5 in mice models transplanted with KLF5-deleted/overexpressing tumor cells. We performed RNA sequencing, immunohistochemistry, western blotting, real time-PCR, ELISA, luciferase assay, chromatin immunoprecipitation (ChIP), and flow cytometry to demonstrate the effects of KLF5 on CD8+ T cell infiltration and related molecular mechanism. Single-cell RNA sequencing and spatial transcriptomics analysis were applied to further decipher the association between KLF5 expression and infiltrating immune cells. The efficacy of KLF5/COX2 inhibitors combined with anti-programmed cell death protein 1 (anti-PD1) therapy were explored in pre-clinical models. Finally, a gene-expression signature depending on KLF5/COX2 axis and associated immune markers was created to predict patient survival. Results: KLF5 inactivation decelerated basal-like breast tumor growth in a CD8+ T-cell-dependent manner. Transcriptomic profiling revealed that KLF5 loss in tumors increases the number and activated function of T lymphocytes. Mechanistically, KLF5 binds to the promoter of the COX2 gene and promotes COX2 transcription; subsequently, KLF5 deficiency decreases prostaglandin E2 (PGE2) release from tumor cells by reducing COX2 expression. Inhibition of the KLF5/COX2 axis increases the number and functionality of intratumoral antitumor T cells to synergize the antitumorigenic effects of anti-PD1 therapy. Analysis of patient datasets at single-cell and spatial resolution shows that low expression of KLF5 is associated with an immune-supportive TME. Finally, we generate a KLF5/COX2-associated immune score (KC-IS) to predict patient survival. Conclusions: Our results identified a novel mechanism responsible for KLF5-mediated immunosuppression in TME, and targeting the KLF5/COX2/PGE2 axis is a critical immunotherapy sensitizer. © The author(s).

Keyword:

breast cancer CD8+ T cell COX2 KLF5 PD1 blocker

Community:

  • [ 1 ] [Wu, Q.]Key Laboratory of Animal Models and Human Disease Mechanisms, Chinese Academy of Sciences and Yunnan Province, KIZ-CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China
  • [ 2 ] [Wu, Q.]Tongji University Cancer Center, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China
  • [ 3 ] [Liu, Z.]Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Hubei, Wuhan, China
  • [ 4 ] [Gao, Z.]Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Hubei, Wuhan, China
  • [ 5 ] [Luo, Y.]Medical Faculty of Kunming University of Science and Technology, Kunming, China
  • [ 6 ] [Li, F.]Academy of Biomedical Engineering, Kunming Medical University, Kunming, 650500, China
  • [ 7 ] [Yang, C.]Key Laboratory of Animal Models and Human Disease Mechanisms, Chinese Academy of Sciences and Yunnan Province, KIZ-CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China
  • [ 8 ] [Wang, T.]School of Life Science, University of Science & Technology of China, Anhui, Hefei, 230027, China
  • [ 9 ] [Meng, X.]Center for Single-Cell Omics and Tumor Liquid Biopsy, Zhongnan Hospital of Wuhan University, Hubei, Wuhan, China
  • [ 10 ] [Chen, H.]College of Chemistry, Fuzhou University, Fujian, Fuzhou, 350108, China
  • [ 11 ] [Li, J.]Department of Breast and Thyroid Surgery, Renmin Hospital of Wuhan University, Hubei, Wuhan, China
  • [ 12 ] [Kong, Y.]Pathology Department, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Health Science Center, Shenzhen, 518035, China
  • [ 13 ] [Dong, C.]Department of Medical Oncology, The First Affiliated Hospital of Kunming Medical University, Kunming, China
  • [ 14 ] [Sun, S.]Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Hubei, Wuhan, China
  • [ 15 ] [Chen, C.]Key Laboratory of Animal Models and Human Disease Mechanisms, Chinese Academy of Sciences and Yunnan Province, KIZ-CUHK Joint Laboratory of Bioresources and Molecular Research in Common Diseases, Kunming Institute of Zoology, Chinese Academy of Sciences, Kunming, China
  • [ 16 ] [Chen, C.]Academy of Biomedical Engineering, Kunming Medical University, Kunming, 650500, China
  • [ 17 ] [Chen, C.]The Third Affiliated Hospital, Kunming Medical University, Kunming, 650118, China

Reprint 's Address:

  • [Dong, C.]Department of Medical Oncology, China;;[Sun, S.]Department of Clinical Laboratory, Hubei, China;;[Chen, C.]The Third Affiliated Hospital, China;;[Kong, Y.]Pathology Department, China

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Source :

Theranostics

ISSN: 1838-7640

Year: 2023

Issue: 4

Volume: 13

Page: 1381-1400

1 2 . 4

JCR@2023

1 2 . 4 0 0

JCR@2023

ESI HC Threshold:25

JCR Journal Grade:1

CAS Journal Grade:1

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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