Inflammation-induced IgA+ cells dismantle anti-liver cancer immunity

S Shalapour, XJ Lin, IN Bastian, J Brain, AD Burt… - Nature, 2017 - nature.com
S Shalapour, XJ Lin, IN Bastian, J Brain, AD Burt, AA Aksenov, AF Vrbanac, W Li, A Perkins…
Nature, 2017nature.com
The role of adaptive immunity in early cancer development is controversial. Here we show
that chronic inflammation and fibrosis in humans and mice with non-alcoholic fatty liver
disease is accompanied by accumulation of liver-resident immunoglobulin-A-producing
(IgA+) cells. These cells also express programmed death ligand 1 (PD-L1) and interleukin-
10, and directly suppress liver cytotoxic CD8+ T lymphocytes, which prevent emergence of
hepatocellular carcinoma and express a limited repertoire of T-cell receptors against tumour …
Abstract
The role of adaptive immunity in early cancer development is controversial. Here we show that chronic inflammation and fibrosis in humans and mice with non-alcoholic fatty liver disease is accompanied by accumulation of liver-resident immunoglobulin-A-producing (IgA+) cells. These cells also express programmed death ligand 1 (PD-L1) and interleukin-10, and directly suppress liver cytotoxic CD8+ T lymphocytes, which prevent emergence of hepatocellular carcinoma and express a limited repertoire of T-cell receptors against tumour-associated antigens. Whereas CD8+ T-cell ablation accelerates hepatocellular carcinoma, genetic or pharmacological interference with IgA+ cell generation attenuates liver carcinogenesis and induces cytotoxic T-lymphocyte-mediated regression of established hepatocellular carcinoma. These findings establish the importance of inflammation-induced suppression of cytotoxic CD8+ T-lymphocyte activation as a tumour-promoting mechanism.
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