Dysregulation of ILC3s unleashes progression and immunotherapy resistance in colon cancer

Jeremy Goc1, Mengze Lv1, Nicholas J Bessman1

  • 1Jill Roberts Institute for Research in Inflammatory Bowel Disease, Weill Cornell Medicine, Cornell University, New York, NY, USA; Joan and Sanford I. Weill Department of Medicine, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, Cornell University, New York, NY, USA; Department of Microbiology and Immunology, Weill Cornell Medicine, Cornell University, New York, NY, USA.

Cell
|August 18, 2021
PubMed

Insights

Group 3 innate lymphoid cells (ILC3s) are crucial for anti-cancer immunity. In colorectal cancer (CRC), ILC3 dysfunction impairs gut immunity, promoting tumor growth and resistance to immunotherapy.

Area of Science:

  • Immunology
  • Oncology
  • Microbiome research

Background:

  • Group 3 innate lymphoid cells (ILC3s) are key regulators of mucosal immunity and inflammation.
  • The specific role of ILC3s in the context of colorectal cancer (CRC) pathogenesis and progression is not well understood.
  • Alterations in ILC3 populations and their interactions with other immune cells may influence cancer development.

Purpose of the Study:

  • To investigate the role of ILC3s in colorectal cancer (CRC).
  • To elucidate the mechanisms by which ILC3s influence the tumor microenvironment and anti-tumor immunity.
  • To determine the impact of ILC3 dysfunction on immunotherapy response.

Main Methods:

  • Analysis of ILC3 frequencies and plasticity in CRC patient samples.
  • Evaluation of ILC3-T cell interactions via major histocompatibility complex class II (MHCII) in mouse models.
  • Assessment of microbiota colonization and type-1 immunity induction.
  • Testing the efficacy of anti-PD-1 immunotherapy in relevant mouse models.
  • Functional studies involving transfer of microbiota from human CRC patients to mice.

Main Results:

  • Colorectal cancer (CRC) is associated with reduced frequencies and increased plasticity of ILC3s, leading to an imbalance with T cells.
  • A critical dialog between ILC3s and T cells mediated by MHCII is essential for maintaining protective microbiota and type-1 immunity.
  • Mice lacking ILC3-specific MHCII exhibit invasive CRC and resistance to anti-PD-1 immunotherapy.
  • Human CRC patients with dysregulated ILC3s harbor microbiota that fail to induce type-1 immunity and immunotherapy responsiveness.

Conclusions:

  • Group 3 innate lymphoid cells (ILC3s) play a protective role in cancer, particularly in colorectal cancer (CRC).
  • Disruption of ILC3s in CRC leads to impaired adaptive immunity, promoting tumor progression and immunotherapy resistance.
  • Restoring ILC3 function and associated microbiota-induced type-1 immunity may represent a therapeutic strategy for CRC.