[HTML][HTML] Specialized dendritic cells induce tumor-promoting IL-10+IL-17+ FoxP3neg regulatory CD4+ T cells in pancreatic carcinoma

RM Barilla, B Diskin, RC Caso, KB Lee… - Nature …, 2019 - nature.com
RM Barilla, B Diskin, RC Caso, KB Lee, N Mohan, C Buttar, S Adam, Z Sekendiz, J Wang
Nature communications, 2019nature.com
The drivers and the specification of CD4+ T cell differentiation in the tumor
microenvironment and their contributions to tumor immunity or tolerance are incompletely
understood. Using models of pancreatic ductal adenocarcinoma (PDA), we show that a
distinct subset of tumor-infiltrating dendritic cells (DC) promotes PDA growth by directing a
unique TH-program. Specifically, CD11b+ CD103− DC predominate in PDA, express high IL-
23 and TGF-β, and induce FoxP3 neg tumor-promoting IL-10+ IL-17+ IFNγ+ regulatory …
Abstract
The drivers and the specification of CD4+ T cell differentiation in the tumor microenvironment and their contributions to tumor immunity or tolerance are incompletely understood. Using models of pancreatic ductal adenocarcinoma (PDA), we show that a distinct subset of tumor-infiltrating dendritic cells (DC) promotes PDA growth by directing a unique TH-program. Specifically, CD11b+CD103 DC predominate in PDA, express high IL-23 and TGF-β, and induce FoxP3neg tumor-promoting IL-10+IL-17+IFNγregulatory CD4+ T cells. The balance between this distinctive TH program and canonical FoxP3TREGS is unaffected by pattern recognition receptor ligation and is modulated by DC expression of retinoic acid. This TH-signature is mimicked in human PDA where it is associated with immune-tolerance and diminished patient survival. Our data suggest that CD11b+CD103 DC promote CD4+ T cell tolerance in PDA which may underscore its resistance to immunotherapy.
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