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Updated: Dec 7, 2025

Mass Cytometry Analysis of Systemic and Local Immune Responses in Hepatocellular Carcinoma
Published on: April 25, 2025
Regulatory T cell control of systemic immunity and immunotherapy response in liver metastasis
James C Lee1,2,3,4, Sadaf Mehdizadeh2,3, Jennifer Smith2,3
1Division of Hematology and Oncology, University of California, San Francisco, San Francisco, CA 94143, USA. jeff.bluestone@ucsf.edu james.lee4@ucsf.edu.
Abstract:
Patients with cancer with liver metastasis demonstrate significantly worse outcomes than those without liver metastasis when treated with anti-PD-1 immunotherapy. The mechanism of liver metastases-induced reduction in systemic antitumor immunity is unclear. Using a dual-tumor immunocompetent mouse model, we found that the immune response to tumor antigen presence within the liver led to the systemic suppression of antitumor immunity. The immune suppression was antigen specific and associated with the coordinated activation of regulatory T cells (Tregs) and modulation of intratumoral CD11b+ monocytes. The dysfunctional immune state could not be reversed by anti-PD-1 monotherapy unless Treg cells were depleted (anti-CTLA-4) or destabilized (EZH2 inhibitor). Thus, this study provides a mechanistic understanding and rationale for adding Treg and CD11b+ monocyte targeting agents in combination with anti-PD-1 to treat patients with cancer with liver metastasis.
Insights
Liver metastasis suppresses anti-tumor immunity by activating regulatory T cells (Tregs) and monocytes. Combining anti-PD-1 therapy with Treg-targeting agents may improve cancer treatment outcomes in patients with liver metastases.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Patients with cancer and liver metastases have poorer outcomes with anti-PD-1 immunotherapy.
- The mechanism behind liver metastasis-induced suppression of anti-tumor immunity is not well understood.
Purpose of the Study:
- To elucidate the mechanism by which liver metastases suppress systemic anti-tumor immunity.
- To identify potential therapeutic strategies to overcome this suppression.
Main Methods:
- Utilized a dual-tumor immunocompetent mouse model.
- Investigated immune responses to liver tumor antigens.
- Analyzed the roles of regulatory T cells (Tregs) and CD11b+ monocytes.
Main Results:
- Immune responses to liver tumor antigens caused systemic suppression of anti-tumor immunity.
- This suppression was antigen-specific, involving regulatory T cells (Tregs) and intratumoral CD11b+ monocytes.
- Anti-PD-1 monotherapy was ineffective unless Tregs were depleted or destabilized.
Conclusions:
- Liver metastasis induces antigen-specific immune suppression via Tregs and CD11b+ monocytes.
- Combination therapy targeting Tregs and CD11b+ monocytes with anti-PD-1 offers a rationale for treating liver metastatic cancer.
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