Bruton Tyrosine Kinase-Dependent Immune Cell Cross-talk Drives Pancreas Cancer.
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Gunderson AJ
Department of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, Oregon.
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Kaneda MM
Moores Cancer Center, University of California, San Diego, La Jolla, California.
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Tsujikawa T
Department of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, Oregon. Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.
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Nguyen AV
Moores Cancer Center, University of California, San Diego, La Jolla, California.
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Affara NI
Department of Pathology, University of California, San Francisco, California.
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Ruffell B
Department of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, Oregon.
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Gorjestani S
Moores Cancer Center, University of California, San Diego, La Jolla, California.
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Liudahl SM
Department of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, Oregon.
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Truitt M
Department of Biochemistry and Biophysics, University of California, San Francisco, California.
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Olson P
Department of Biochemistry and Biophysics, University of California, San Francisco, California.
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Kim G
Department of Pathology, University of California, San Francisco, California. Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California.
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Hanahan D
Swiss Institute for Experimental Cancer Research, Swiss Federal Institute of Technology, Lausanne, Switzerland.
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Tempero MA
Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, California. Department of Medicine, University of California, San Francisco, California.
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Sheppard B
Department of Surgery, Oregon Health and Science University, Portland, Oregon. Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon.
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Irving B
Genentech, South San Francisco, California.
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Chang BY
Pharmacyclics Inc., Sunnyvale, California.
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Varner JA
Moores Cancer Center, University of California, San Diego, La Jolla, California. Department of Pathology, University of California, San Diego, La Jolla, California. coussenl@ohsu.edu jvarner@ucsd.edu.
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Coussens LM
Department of Cell, Developmental and Cancer Biology, Oregon Health and Science University, Portland, Oregon. Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon. coussenl@ohsu.edu jvarner@ucsd.edu.
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English
UNLABELLED
Pancreas ductal adenocarcinoma (PDAC) has one of the worst 5-year survival rates of all solid tumors, and thus new treatment strategies are urgently needed. Here, we report that targeting Bruton tyrosine kinase (BTK), a key B-cell and macrophage kinase, restores T cell-dependent antitumor immune responses, thereby inhibiting PDAC growth and improving responsiveness to standard-of-care chemotherapy. We report that PDAC tumor growth depends on cross-talk between B cells and FcRγ(+) tumor-associated macrophages, resulting in T(H)2-type macrophage programming via BTK activation in a PI3Kγ-dependent manner. Treatment of PDAC-bearing mice with the BTK inhibitor PCI32765 (ibrutinib) or by PI3Kγ inhibition reprogrammed macrophages toward a T(H)1 phenotype that fostered CD8(+) T-cell cytotoxicity, and suppressed PDAC growth, indicating that BTK signaling mediates PDAC immunosuppression. These data indicate that pharmacologic inhibition of BTK in PDAC can reactivate adaptive immune responses, presenting a new therapeutic modality for this devastating tumor type.
SIGNIFICANCE
We report that BTK regulates B-cell and macrophage-mediated T-cell suppression in pancreas adenocarcinomas. Inhibition of BTK with the FDA-approved inhibitor ibrutinib restores T cell-dependent antitumor immune responses to inhibit PDAC growth and improves responsiveness to chemotherapy, presenting a new therapeutic modality for pancreas cancer.
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Language
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Open access status
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bronze
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Persistent URL
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https://sonar.ch/global/documents/176932
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