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Cancer cells restrict immunogenicity of retrotransposon expression via distinct mechanisms 癌细胞通过不同机制限制转座子表达的免疫原性
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-21 DOI: 10.1016/j.immuni.2024.10.015
Siyu Sun, Eunae You, Jungeui Hong, David Hoyos, Isabella S. Del Priore, Kaloyan M. Tsanov, Om Mattagajasingh, Andrea Di Gioacchino, Sajid A. Marhon, Jonathan Chacon-Barahona, Hao Li, Hua Jiang, Samira Hozeifi, Omar Rosas-Bringas, Katherine H. Xu, Yuhui Song, Evan R. Lang, Alexandra S. Rojas, Linda T. Nieman, Bidish K. Patel, Benjamin D. Greenbaum
To thrive, cancer cells must navigate acute inflammatory signaling accompanying oncogenic transformation, such as via overexpression of repeat elements. We examined the relationship between immunostimulatory repeat expression, tumor evolution, and the tumor-immune microenvironment. Integration of multimodal data from a cohort of pancreatic ductal adenocarcinoma (PDAC) patients revealed expression of specific Alu repeats predicted to form double-stranded RNAs (dsRNAs) and trigger retinoic-acid-inducible gene I (RIG-I)-like-receptor (RLR)-associated type-I interferon (IFN) signaling. Such Alu-derived dsRNAs also anti-correlated with pro-tumorigenic macrophage infiltration in late stage tumors. We defined two complementary pathways whereby PDAC may adapt to such anti-tumorigenic signaling. In mutant TP53 tumors, ORF1p from long interspersed nuclear element (LINE)-1 preferentially binds Alus and decreases their expression, whereas adenosine deaminases acting on RNA 1 (ADAR1) editing primarily reduces dsRNA formation in wild-type TP53 tumors. Depletion of either LINE-1 ORF1p or ADAR1 reduced tumor growth in vitro. The fact that tumors utilize multiple pathways to mitigate immunostimulatory repeats implies the stress from their expression is a fundamental phenomenon to which PDAC, and likely other tumors, adapt.
癌细胞要想茁壮成长,就必须穿越伴随致癌转化的急性炎症信号,例如通过重复元素的过度表达。我们研究了免疫刺激重复表达、肿瘤演变和肿瘤免疫微环境之间的关系。通过整合一组胰腺导管腺癌(PDAC)患者的多模态数据,我们发现了特定阿鲁重复序列的表达,这些阿鲁重复序列被预测为可形成双链RNA(dsRNA)并触发视黄酸诱导基因I(RIG-I)类受体(RLR)相关的I型干扰素(IFN)信号传导。这种源于Alu的dsRNA还与晚期肿瘤中的促肿瘤性巨噬细胞浸润有反相关性。我们定义了 PDAC 适应这种抗肿瘤信号的两种互补途径。在突变型 TP53 肿瘤中,来自长间断核元素(LINE)-1 的 ORF1p 优先结合 Alus 并降低其表达,而在野生型 TP53 肿瘤中,作用于 RNA 1 的腺苷脱氨酶(ADAR1)编辑主要减少 dsRNA 的形成。删除 LINE-1 ORF1p 或 ADAR1 都会减少肿瘤在体外的生长。肿瘤利用多种途径减轻免疫刺激重复序列的事实意味着,这些重复序列的表达所带来的压力是 PDAC 以及其他肿瘤所适应的基本现象。
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引用次数: 0
A pan-family screen of nuclear receptors in immunocytes reveals ligand-dependent inflammasome control 免疫细胞核受体泛家族筛选揭示配体依赖性炎症小体控制
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.immuni.2024.10.010
Yutao Wang, Yanbo Zhang, Kyungsub Kim, Jichang Han, Daniel Okin, Zhaozhao Jiang, Liang Yang, Arum Subramaniam, Terry K. Means, Frank O. Nestlé, Katherine A. Fitzgerald, Gwendalyn J. Randolph, Cammie F. Lesser, Jonathan C. Kagan, Diane Mathis, Christophe Benoist
Ligand-dependent transcription factors of the nuclear receptor (NR) family regulate diverse aspects of metazoan biology, enabling communications between distant organs via small lipophilic molecules. Here, we examined the impact of each of 35 NRs on differentiation and homeostatic maintenance of all major immunological cell types in vivo through a “Rainbow-CRISPR” screen. Receptors for retinoic acid exerted the most frequent cell-specific roles. NR requirements varied for resident macrophages of different tissues. Deletion of either Rxra or Rarg reduced frequencies of GATA6+ large peritoneal macrophages (LPMs). Retinoid X receptor alpha (RXRα) functioned conventionally by orchestrating LPM differentiation through chromatin and transcriptional regulation, whereas retinoic acid receptor gamma (RARγ) controlled LPM survival by regulating pyroptosis via association with the inflammasome adaptor ASC. RARγ antagonists activated caspases, and RARγ agonists inhibited cell death induced by several inflammasome activators. Our findings provide a broad view of NR function in the immune system and reveal a noncanonical role for a retinoid receptor in modulating inflammasome pathways.
核受体(NR)家族的配体依赖性转录因子调控着类人猿生物学的各个方面,通过亲脂性小分子实现远距离器官之间的通讯。在这里,我们通过 "彩虹-CRISPR "筛选研究了 35 种 NR 对体内所有主要免疫细胞类型的分化和平衡维持的影响。视黄酸受体发挥了最常见的细胞特异性作用。不同组织的常驻巨噬细胞对 NR 的需求各不相同。Rxra或Rarg的缺失会降低GATA6+大腹腔巨噬细胞(LPMs)的频率。视黄酸 X 受体α(RXRα)的传统功能是通过染色质和转录调控来协调 LPM 的分化,而视黄酸受体γ(RARγ)则通过与炎性体适配体 ASC 的结合来调控热凋亡,从而控制 LPM 的存活。RARγ拮抗剂可激活caspases,而RARγ激动剂可抑制几种炎症小体激活剂诱导的细胞死亡。我们的发现为 NR 在免疫系统中的功能提供了一个广阔的视角,并揭示了视黄醇受体在调节炎性体通路中的非经典作用。
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引用次数: 0
Acute suppression of mitochondrial ATP production prevents apoptosis and provides an essential signal for NLRP3 inflammasome activation 急性抑制线粒体 ATP 的产生可防止细胞凋亡,并为 NLRP3 炎症小体的激活提供重要信号
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.immuni.2024.10.012
Benedikt S. Saller, Svenja Wöhrle, Larissa Fischer, Clara Dufossez, Isabella L. Ingerl, Susanne Kessler, Maria Mateo-Tortola, Oliver Gorka, Felix Lange, Yurong Cheng, Emilia Neuwirt, Adinarayana Marada, Christoph Koentges, Chiara Urban, Philipp Aktories, Peter Reuther, Sebastian Giese, Susanne Kirschnek, Carolin Mayer, Johannes Pilic, Olaf Groß
How mitochondria reconcile roles in functionally divergent cell death pathways of apoptosis and NLRP3 inflammasome-mediated pyroptosis remains elusive, as is their precise role in NLRP3 activation and the evolutionarily conserved physiological function of NLRP3. Here, we have shown that when cells were challenged simultaneously, apoptosis was inhibited and NLRP3 activation prevailed. Apoptosis inhibition by structurally diverse NLRP3 activators, including nigericin, imiquimod, extracellular ATP, particles, and viruses, was not a consequence of inflammasome activation but rather of their effects on mitochondria. NLRP3 activators turned out as oxidative phosphorylation (OXPHOS) inhibitors, which we found to disrupt mitochondrial cristae architecture, leading to trapping of cytochrome c. Although this effect was alone not sufficient for NLRP3 activation, OXPHOS inhibitors became triggers of NLRP3 when combined with resiquimod or Yoda-1, suggesting that NLRP3 activation requires two simultaneous cellular signals, one of mitochondrial origin. Therefore, OXPHOS and apoptosis inhibition by NLRP3 activators provide stringency in cell death decisions.
线粒体如何在细胞凋亡和 NLRP3 炎症体介导的热凋亡这两种功能不同的细胞死亡途径中协调作用,以及它们在 NLRP3 激活中的确切作用和 NLRP3 在进化过程中保守的生理功能,仍然是一个谜。在这里,我们证明了当细胞同时受到挑战时,细胞凋亡受到抑制,而 NLRP3 激活占优势。不同结构的 NLRP3 激活剂(包括尼革酸、咪喹莫特、细胞外 ATP、微粒和病毒)对细胞凋亡的抑制作用不是炎症小体激活的结果,而是它们对线粒体的影响。NLRP3 激活剂原来是氧化磷酸化(OXPHOS)抑制剂,我们发现它能破坏线粒体嵴的结构,导致细胞色素 c 的捕获。虽然这种效应本身不足以激活 NLRP3,但当 OXPHOS 抑制剂与雷司喹莫特或 Yoda-1 结合使用时,OXPHOS 抑制剂就成了 NLRP3 的触发器,这表明 NLRP3 的激活需要两个同时出现的细胞信号,其中一个来自线粒体。因此,NLRP3 激活剂对 OXPHOS 和细胞凋亡的抑制为细胞死亡决定提供了严格的条件。
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引用次数: 0
Targeting the aminopeptidase ERAP enhances antitumor immunity by disrupting the NKG2A-HLA-E inhibitory checkpoint 以氨基肽酶 ERAP 为靶点,通过破坏 NKG2A-HLA-E 抑制检查点增强抗肿瘤免疫力
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-18 DOI: 10.1016/j.immuni.2024.10.013
Hsiao-Wei Tsao, Seth Anderson, Kenneth J. Finn, Jonathan J. Perera, Lomax F. Pass, Emily M. Schneider, Aiping Jiang, Rachel Fetterman, Cun Lan Chuong, Kaiya Kozuma, Marcia M. Stickler, Marc Creixell, Susan Klaeger, Kshiti Meera Phulphagar, Suzanna Rachimi, Eva K. Verzani, Niclas Olsson, Juan Dubrot, Matthew F. Pech, Whitney Silkworth, Robert T. Manguso
The aminopeptidase, endoplasmic reticulum aminopeptidase 1 (ERAP1), trims peptides for loading into major histocompatibility complex class I (MHC class I), and loss of this activity has broad effects on the MHC class I peptidome. Here, we investigated the impact of targeting ERAP1 in immune checkpoint blockade (ICB), as MHC class I interactions mediate both activating and inhibitory functions in antitumor immunity. Loss of ERAP sensitized mouse tumor models to ICB, and this sensitivity depended on CD8+ T cells and natural killer (NK) cells. In vivo suppression screens revealed that Erap1 deletion inactivated the inhibitory NKG2A-HLA-E checkpoint, which requires presentation of a restricted set of invariant epitopes (VL9) on HLA-E. Loss of ERAP altered the HLA-E peptidome, preventing NKG2A engagement. In humans, ERAP1 and ERAP2 showed functional redundancy for the processing and presentation of VL9, and loss of both inactivated the NKG2A checkpoint in cancer cells. Thus, loss of ERAP phenocopies the inhibition of the NKG2A-HLA-E pathway and represents an attractive approach to inhibit this critical checkpoint.
氨肽酶--内质网氨肽酶 1(ERAP1)--修饰肽段以装入主要组织相容性复合体 I 类(MHC I 类),而这种活性的丧失会对 MHC I 类肽组产生广泛的影响。在这里,我们研究了靶向ERAP1对免疫检查点阻断(ICB)的影响,因为MHC I类相互作用在抗肿瘤免疫中同时介导激活和抑制功能。缺失ERAP会使小鼠肿瘤模型对ICB敏感,而这种敏感性取决于CD8+ T细胞和自然杀伤(NK)细胞。体内抑制筛选显示,Erap1缺失会使抑制性NKG2A-HLA-E检查点失活,而抑制性NKG2A-HLA-E检查点需要HLA-E上一组受限的不变表位(VL9)。ERAP的缺失改变了HLA-E肽组,阻止了NKG2A的参与。在人类中,ERAP1和ERAP2在处理和呈现VL9方面表现出功能冗余,两者的缺失会使癌细胞中的NKG2A检查点失活。因此,ERAP的缺失表征了对NKG2A-HLA-E通路的抑制,是抑制这一关键检查点的一种有吸引力的方法。
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引用次数: 0
CAR T cells in autoimmune disease: On the road to remission 自身免疫性疾病中的 CAR T 细胞:通往缓解之路
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-15 DOI: 10.1016/j.immuni.2024.10.011
Georg Schett, Carl H. June
Several recent reports have demonstrated that B cell-targeting chimeric antigen receptor (CAR) T cells offer a viable treatment option for patients with autoantibody-mediated autoimmune diseases. To present additional data on this therapy and discuss strategies for more efficient clinical translation, leading experts in CAR T cell therapy for autoimmunity from various countries, including China, Germany, and the United States, convened at the “1st International Autoimmune CAR T Innovators Summit” in Grassau, Germany, from May 10–12, 2024. The summit showcased additional insights of CAR T cell therapy in diverse autoimmune diseases and provided platforms for discussions on key questions through workshops and roundtables. Here, we summarize the recent findings and key developments reported at the summit.
最近的一些报道表明,B 细胞靶向嵌合抗原受体(CAR)T 细胞为自身抗体介导的自身免疫疾病患者提供了一种可行的治疗方案。为了展示这种疗法的更多数据并讨论更有效的临床转化策略,来自中国、德国和美国等多个国家的CAR T细胞治疗自身免疫疾病领域的顶尖专家于2024年5月10日至12日在德国格拉绍召开了 "第一届国际自身免疫CAR T创新者峰会"。峰会展示了CAR T细胞疗法在多种自身免疫性疾病中的更多见解,并通过研讨会和圆桌会议为关键问题的讨论提供了平台。在此,我们总结了峰会上报告的最新发现和关键进展。
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引用次数: 0
Sialylated IgG induces the transcription factor REST in alveolar macrophages to protect against lung inflammation and severe influenza disease Sialylated IgG 可诱导肺泡巨噬细胞中的转录因子 REST,从而防止肺部炎症和严重流感疾病的发生
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-13 DOI: 10.1016/j.immuni.2024.10.002
Saborni Chakraborty, Bowie Yik-Ling Cheng, Desmond L. Edwards, Joseph C. Gonzalez, David Kung-Chun Chiu, Hong Zheng, Courtney Scallan, Xinrong Guo, Gene S. Tan, Greg P. Coffey, Pamela B. Conley, Patrick S. Hume, William J. Janssen, Derek E. Byers, Philip A. Mudd, Jeffery Taubenberger, Matthew Memoli, Mark M. Davis, Katrin F. Chua, Michael S. Diamond, Taia T. Wang
While most respiratory viral infections resolve with little harm to the host, severe symptoms arise when infection triggers an aberrant inflammatory response that damages lung tissue. Host regulators of virally induced lung inflammation have not been well defined. Here, we show that enrichment for sialylated, but not asialylated immunoglobulin G (IgG), predicted mild influenza disease in humans and was broadly protective against heterologous influenza viruses in a murine challenge model. Mechanistic studies show that sialylated IgG mediated this protection by inducing the transcription factor repressor element-1 silencing transcription factor (REST), which repressed nuclear factor κB (NF-κB)-driven responses, preventing severe lung inflammation and protecting lung function during influenza infection. Therapeutic administration of a recombinant, sialylated Fc molecule in clinical development similarly activated REST and protected against severe influenza disease, demonstrating that this pathway could be clinically harnessed. Overall, induction of REST through sialylated IgG signaling is a strategy to limit inflammatory disease sequelae in infections caused by antigenically distinct influenza strains.
虽然大多数呼吸道病毒感染对宿主的伤害很小,但当感染引发异常炎症反应并损害肺组织时,就会出现严重症状。病毒诱导的肺部炎症的宿主调节因子尚未得到很好的定义。在这里,我们发现,富集硅氨酰化的免疫球蛋白 G(IgG)可预测人类的轻微流感疾病,而不富集淀粉酰化的免疫球蛋白 G(IgG)则可预测人类的轻微流感疾病,并且在小鼠挑战模型中对异源流感病毒具有广泛的保护作用。机理研究表明,硅氨酰化 IgG 通过诱导转录因子抑制因子-1 沉默转录因子 (REST),从而抑制核因子κB (NF-κB)驱动的反应,在流感感染期间防止严重的肺部炎症并保护肺功能。临床开发中的一种重组ialylated Fc分子的治疗用药同样激活了REST,并防止了严重流感疾病的发生,这表明这一途径可以在临床上加以利用。总之,在由抗原不同的流感病毒株引起的感染中,通过糖基化IgG信号诱导REST是一种限制炎症性疾病后遗症的策略。
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引用次数: 0
Mx1-ing it up—Mitochondrial relay for interferon-dependent, unconventional IL-1β release in SLE monocytes Mx1-ing it up--系统性红斑狼疮单核细胞中干扰素依赖性、非常规 IL-1β 释放的线粒体继电器
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.immuni.2024.10.005
Andrea Dorfleutner, Christian Stehlik, Caroline A. Jefferies
The role of type I interferon (IFN-I) in systemic lupus erythematosus (SLE) is well documented, but the role of interleukin (IL)-1β remains elusive. In this issue of Immunity, Caielli et al. identified an SLE monocyte population coproducing IL-1β and IFN-I and described how mitochondrial nucleic-acid-containing RBCs engage cGAS/STING, RIG-I, MDA5, and NLRP3 for unconventional IL-1β release.
Ⅰ型干扰素(IFN-I)在系统性红斑狼疮(SLE)中的作用已被充分证明,但白细胞介素(IL)-1β的作用却仍然难以捉摸。在本期《免疫》(Immunity)杂志上,Caielli 等人发现了一个共同产生 IL-1β 和 IFN-I 的系统性红斑狼疮单核细胞群,并描述了含线粒体核酸的红细胞如何参与 cGAS/STING、RIG-I、MDA5 和 NLRP3 以实现非常规的 IL-1β 释放。
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引用次数: 0
Home at last: Mixed signals guide memory T cells to residency 终于回家了混合信号引导记忆 T 细胞前往居住地
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.immuni.2024.10.008
Kalle Liimatta, Elina I. Zúñiga
Tissue-resident memory T (TRM) cells adapt to diverse environments, providing local long-term protection. In this issue of Immunity, Obers et al. and Raynor et al. demonstrate how diet, commensals, and host factors determine TRM cell development, maintenance, and function across tissues.
组织驻留记忆 T 细胞(TRM)能适应不同的环境,提供局部长期保护。在本期《免疫》杂志上,Obers 等人和 Raynor 等人展示了饮食、共生动物和宿主因素如何决定 TRM 细胞在不同组织中的发育、维持和功能。
{"title":"Home at last: Mixed signals guide memory T cells to residency","authors":"Kalle Liimatta, Elina I. Zúñiga","doi":"10.1016/j.immuni.2024.10.008","DOIUrl":"https://doi.org/10.1016/j.immuni.2024.10.008","url":null,"abstract":"Tissue-resident memory T (T<sub>RM</sub>) cells adapt to diverse environments, providing local long-term protection. In this issue of <em>Immunity</em>, Obers et al. and Raynor et al. demonstrate how diet, commensals, and host factors determine T<sub>RM</sub> cell development, maintenance, and function across tissues.","PeriodicalId":13269,"journal":{"name":"Immunity","volume":"80 1","pages":""},"PeriodicalIF":32.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
TKI resistance in brain metastasis: A CTLA4 state of mind 脑转移中的 TKI 抗药性:CTLA4 状态
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.immuni.2024.10.009
Elena Donders, Diether Lambrechts
Resistance to tyrosine kinase inhibitors (TKIs) in lung cancer brain metastasis (LCBM) remains a clinical challenge. Recently in Cancer Cell, Fu et al. reveal how TKIs reshape the immune microenvironment of LCBM and propose CTLA4 blockade as a promising strategy to overcome resistance.
肺癌脑转移(LCBM)患者对酪氨酸激酶抑制剂(TKIs)的耐药性仍然是一项临床挑战。最近,Fu 等人在《癌症细胞》(Cancer Cell)杂志上揭示了酪氨酸激酶抑制剂如何重塑 LCBM 的免疫微环境,并提出 CTLA4 阻断是克服耐药性的一种有前途的策略。
{"title":"TKI resistance in brain metastasis: A CTLA4 state of mind","authors":"Elena Donders, Diether Lambrechts","doi":"10.1016/j.immuni.2024.10.009","DOIUrl":"https://doi.org/10.1016/j.immuni.2024.10.009","url":null,"abstract":"Resistance to tyrosine kinase inhibitors (TKIs) in lung cancer brain metastasis (LCBM) remains a clinical challenge. Recently in <em>Cancer Cell</em>, Fu et al. reveal how TKIs reshape the immune microenvironment of LCBM and propose CTLA4 blockade as a promising strategy to overcome resistance.","PeriodicalId":13269,"journal":{"name":"Immunity","volume":"95 1","pages":""},"PeriodicalIF":32.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
T cells standing at the gates of brain metastasis 站在脑转移大门口的 T 细胞
IF 32.4 1区 医学 Q1 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.immuni.2024.10.006
Jan Remsik, Adrienne Boire
Insufficient influx of T cells into the tumor microenvironment, including brain metastasis, dramatically limits efficacy of conventional immunotherapy. In this issue of Immunity, Messmer et al. interrogate spatiotemporal dependencies of melanoma brain metastasis T cell infiltration by intravital microscopy. They find that T cells enter these brain tumors through peritumoral venous vessels and can be stimulated with immunotherapy.
T细胞涌入肿瘤微环境(包括脑转移瘤)不足,极大地限制了传统免疫疗法的疗效。在本期《免疫》杂志上,Messmer 等人通过体内显微镜研究了黑色素瘤脑转移瘤 T 细胞浸润的时空依赖性。他们发现,T细胞通过瘤周静脉血管进入这些脑瘤,并能通过免疫疗法得到刺激。
{"title":"T cells standing at the gates of brain metastasis","authors":"Jan Remsik, Adrienne Boire","doi":"10.1016/j.immuni.2024.10.006","DOIUrl":"https://doi.org/10.1016/j.immuni.2024.10.006","url":null,"abstract":"Insufficient influx of T cells into the tumor microenvironment, including brain metastasis, dramatically limits efficacy of conventional immunotherapy. In this issue of <em>Immunity</em>, Messmer et al. interrogate spatiotemporal dependencies of melanoma brain metastasis T cell infiltration by intravital microscopy. They find that T cells enter these brain tumors through peritumoral venous vessels and can be stimulated with immunotherapy.","PeriodicalId":13269,"journal":{"name":"Immunity","volume":"34 1","pages":""},"PeriodicalIF":32.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142599624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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