BxPC-3-Derived Small Extracellular Vesicles Induce FOXP3+ Treg through ATM-AMPK-Sirtuins-Mediated FOXOs Nuclear

Tao Shen1, Shengnan Jia1, Guoping Ding1

  • 1Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.

Iscience
|August 18, 2020
PubMed

Insights

Pancreatic cancer cell-derived extracellular vesicles suppress T lymphocytes by upregulating immune checkpoints and activating specific signaling pathways, hindering immunotherapy. This research uncovers key mechanisms impacting T cell function in pancreatic ductal adenocarcinoma.

Area of Science:

  • Immunology
  • Cancer Biology
  • Molecular Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) immunotherapy is limited by poor immunogenicity.
  • Cancer cell-derived small extracellular vesicles (sEVs) are known to impair immune responses.
  • The specific impact of PDAC-derived sEVs on T lymphocytes remains largely unknown.

Purpose of the Study:

  • To investigate the phenotypic and signaling pathway alterations in T lymphocytes exposed to PDAC-derived sEVs.
  • To elucidate the mechanisms by which sEVs affect T lymphocyte function.

Main Methods:

  • T lymphocytes were treated with sEVs derived from pancreatic cancer cells.
  • Mass cytometry (CyTOF) was employed to analyze T lymphocyte phenotypes.
  • Gene set enrichment analysis (GSEA) was performed to identify involved pathways.
  • Key signaling molecules and transcription factors were assessed.

Main Results:

  • sEV-treated T lymphocytes exhibited overexpression of immune checkpoint proteins (PD-1, PD-L1, CTLA4, Tim-3).
  • An enrichment of FOXP3+ regulatory T cells (Tregs) was observed in sEV-treated T lymphocytes.
  • GSEA suggested involvement of DNA damage response and metabolic pathways in sEV-induced Tregs.
  • Sequential activation of ATM, AMPK, SIRT1, SIRT2, and SIRT6 was identified, crucial for upregulating FOXO1A, FOXO3A, and FOXP3.

Conclusions:

  • PDAC-derived sEVs significantly impact T lymphocyte function, promoting an immunosuppressive phenotype.
  • The study reveals a novel mechanism involving specific signaling pathways (ATM, AMPK, Sirts) and transcription factors (FOXO family) in sEV-mediated T cell modulation.
  • These findings offer critical insights for developing novel immunotherapy strategies for PDAC.