Targeted degradation of sICOSL reverses cytotoxic T cells dysfunction

Zhenghao Wu1,2,3, Peng Zheng4,5, Ruobing Qi6

  • 1Department of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. wu_zhenghao@126.com.

Insights

Increased soluble ICOSL (sICOSL) impairs cytotoxic T cell (CTL) function, worsening breast cancer survival. Researchers developed nanobody-DPP4 fusion proteins to degrade sICOSL, offering a novel cancer immunotherapy strategy.

Area of Science:

  • Immunology
  • Oncology
  • Biochemistry

Background:

  • Cytotoxic T cell (CTL) dysfunction is a key mechanism of tumor immune evasion, leading to poor cancer patient survival.
  • Elevated soluble ICOSL (sICOSL) levels correlate with reduced survival in breast cancer patients, indicating its role in disease progression.

Purpose of the Study:

  • To investigate the mechanism by which sICOSL induces CTL dysfunction.
  • To identify therapeutic strategies for targeting sICOSL in cancer immunotherapy.

Main Methods:

  • Investigated the interaction between sICOSL and CTLs, focusing on ICOS receptor internalization and degradation.
  • Identified dipeptidyl peptidase-4 (DPP4) as the primary enzyme responsible for sICOSL breakdown.
  • Developed nanobody-DPP4 fusion proteins for targeted sICOSL degradation.

Main Results:

  • sICOSL directly causes CTL dysfunction by promoting ICOS receptor degradation, crucial for T cell activation.
  • DPP4 enzyme activity is suppressed by chemotherapeutic drugs via EZH2-mediated epigenetic changes.
  • Novel nanobody-DPP4 fusion proteins demonstrated selective degradation of sICOSL and tumor targeting capabilities.

Conclusions:

  • sICOSL is a critical mediator of CTL dysfunction and a negative prognostic factor in breast cancer.
  • Targeted degradation of sICOSL represents a promising new avenue for cancer immunotherapy.
  • The developed nanobody-DPP4 fusion proteins offer a potential therapeutic tool for enhancing anti-tumor immunity.

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