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NPC1L1 on pancreatic adenocarcinoma cell functions as a two-pronged checkpoint against antitumor activity

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机构: [1]Department of Oncology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China [2]Department of Oncology, Fuling Hospital of Chongqing University, Chongqing 408000, China [3]College of Pharmacy, Third Military Medical University (Army Medical University), Chongqing 400038, China [4]Department of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China [5]Department of Pathology, Daping Hospital, Third Military Medical University (Army Medical University), Chongqing 400042, China [6]Medical Research Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China [7]Biomedical Analysis Center, Third Military Medical University (Army Medical University), Chongqing 400042, China [8]Genecast Biotechnology Co., Wuxi 214104, China [9]Galixir Technologies, Beijing 100086, China [10]Department of Gastroenterology, The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing 100853, China [11]National University of Singapore (Chongqing) Research Institute, Chongqing 401123, China [12]Yu-Yue Pathology Scientific Research Center, Chongqing 401329, China [13]Center for Translational Research in Cancer, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu 610042, China
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关键词: TCR activation Q Cholesterol PAAD patients Clinical value

摘要:
Pancreatic adenocarcinoma (PAAD) is a highly lethal malignancy with an immunosuppressive microenvironment and a limited immunotherapy response. Cholesterol is necessary for rapid growth of cancer cells, and cholesterol metabolism reprogramming is a hallmark of PAAD. How PAAD cells initiate cholesterol reprogramming to sustain their growth demand and suppressive immunomicroenvironment remains elusive. In this study, we for the first time revealed that PAAD cells overcome cholesterol shortage and immune surveillance via ectopically overexpressing NPC1L1, a cholesterol transporter, but function as a two-pronged checkpoint, which not only directly suppresses TCR activation of CD8'T cells but also hijacks the intracellular cholesterol from CD8'T cells. In vivo, we showed that ezetimibe, an NPC1L1 inhibitor usually for hypercholesterolemia, efficiently prevented PAAD cells from depriving cholesterol of CD8'T cells, and improved the anti-tumor immunity of PAAD to synergize with PD-1 blockade, suggesting NPC1L1 as a promising target to rescue the anti-tumor activity in PAAD.

基金:

基金编号: 82150109 82072745 82273249 81874211 BX20200158 2022NSCQ-MSX5088 SWH2016ZDCX1002 flyygzkpy2022005 flyygzkpy2022004 flyygzkpy2022006 CSTB2023NSCQ-MSX0768

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第一作者机构: [1]Department of Oncology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing 400038, China
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通讯机构: [12]Yu-Yue Pathology Scientific Research Center, Chongqing 401329, China [13]Center for Translational Research in Cancer, Sichuan Cancer Hospital & Institute, University of Electronic Science and Technology of China, Chengdu 610042, China
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