Simultaneous Loss of Both Atypical Protein Kinase C Genes in the Intestinal Epithelium Drives Serrated Intestinal

Yuki Nakanishi1, Angeles Duran1, Antoine L'Hermitte1

  • 1Cancer Metabolism and Signaling Networks Program, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA 92037, USA.

Immunity
|December 16, 2018
PubMed

Insights

Reduced protein kinase C (PKC)ζ and PKCλ/ι expression drives aggressive serrated colorectal cancer (CRC). Targeting these pathways with TGF-β inhibitors and anti-PD-L1 offers a promising treatment strategy.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Serrated adenocarcinoma is an aggressive colorectal cancer (CRC) subtype with poor treatment outcomes.
  • This pathway involves distinct molecular mechanisms compared to conventional CRC.
  • Understanding the role of protein kinase C (PKC) in serrated CRC is crucial.

Purpose of the Study:

  • To investigate the role of atypical protein kinase C ζ (PKCζ) and PKCλ/ι in serrated colorectal cancer development.
  • To explore the impact of PKCζ and PKCλ/ι deficiency on tumor immunity and progression.
  • To identify potential therapeutic strategies for serrated CRC.

Main Methods:

  • Analysis of PKCζ and PKCλ/ι expression in human serrated tumors.
  • Inactivation of PKCζ and PKCλ/ι encoding genes in mouse intestinal epithelium.
  • Assessment of tumor progression, stromal response, and immune cell infiltration in mouse models.
  • Evaluation of combination therapy using TGF-β receptor inhibitor and anti-PD-L1 blockade.

Main Results:

  • Reduced PKCζ and PKCλ/ι expression observed in human serrated tumors.
  • Inactivation of PKC genes in mice led to spontaneous serrated tumorigenesis with immunosuppressive stroma.
  • PKCλ/ι deficiency promoted immunogenic cell death and CD8+ T cell infiltration, repressing tumor initiation.
  • PKCζ loss impaired interferon and CD8+ T cell responses, facilitating tumorigenesis.
  • Combined TGF-β receptor inhibitor and anti-PD-L1 therapy demonstrated synergistic curative effects.

Conclusions:

  • PKCζ and PKCλ/ι play critical roles in the immunosurveillance defects of serrated colorectal cancer.
  • Targeting PKC signaling and immune checkpoints offers a novel therapeutic avenue for this aggressive CRC subtype.
  • These findings provide insights for the detection and treatment of poor-prognosis serrated CRC.

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