B cell-Derived IL35 Drives STAT3-Dependent CD8+ T-cell Exclusion in Pancreatic Cancer

Bhalchandra Mirlekar1, Daniel Michaud2, Samuel J Lee1

  • 1Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina.

Insights

Interleukin-35 (IL35) produced by B cells activates STAT3 in CD8+ T cells, hindering their anti-tumor activity and causing immunotherapy resistance in pancreatic cancer. Inhibiting this pathway enhances anti-PD-1 therapy effectiveness.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDA) is aggressive, with poor CD8+ T cell infiltration and immunotherapy resistance.
  • Mechanisms driving CD8+ T cell exclusion and immunotherapy resistance in PDA are poorly understood.

Purpose of the Study:

  • To elucidate the role of Interleukin-35 (IL35) in mediating CD8+ T cell exclusion and immunotherapy resistance in PDA.
  • To identify therapeutic strategies targeting the IL35 pathway for PDA treatment.

Main Methods:

  • Utilized a Kras- and p53-driven mouse model of PDA.
  • Investigated IL35 signaling in CD8+ T cells via STAT3 activation.
  • Assessed the impact of STAT3 inhibition and IL35 deletion on tumor growth and T cell function.
  • Analyzed patient samples for IL35+ B cells and their correlation with T cell phenotypes in tumors.

Main Results:

  • IL35 activates STAT3 in CD8+ T cells, suppressing their infiltration and function by downregulating CXCR3, CCR5, and IFNγ.
  • STAT3 inhibition in tumor-educated CD8+ T cells improved PDA growth control.
  • B cell-derived IL35, not regulatory T cell-derived IL35, drives STAT3 activation in CD8+ T cells.
  • B cell-specific IL35 deletion or anti-IL35 blockade overcame resistance to anti-PD-1 immunotherapy.
  • PDA patients exhibit circulating IL35+ B cells, correlating with pStat3+CXCR3-CD8+ T cells and inversely with cytotoxic T cell signatures.

Conclusions:

  • B cell-mediated IL35/gp130/STAT3 signaling directly contributes to CD8+ T cell exclusion and immunotherapy resistance in PDA.
  • Targeting the IL35-STAT3 axis in CD8+ T cells represents a promising therapeutic strategy for PDA.