Carbon ion (12C6+) inhibits JAK2/STAT3 pathway and promotes CD8+ T cell infiltration in lung cancer
Wang Jiangtao1,2, Dai Ziying1, Miao Yandong2, Zhao Ting3, Zhao Da4, Guan Quanlin2,5, Li Qiang3, Ran Juntao1,2
1Department of Radiotherapy, First Hospital of Lanzhou University, Lanzhou 730000, China; 2The first Clinical Medical College of Lanzhou University, Lanzhou 730000, China; 3Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou 730000, China; 4Department of Oncology, First Hospital of Lanzhou University, Lanzhou 730000, China; 5Department of Surgical Oncology, First Hospital of Lanzhou University, Lanzhou 730000, China
Abstract:Objective To explore the alteration of JAK2/STAT3 pathway after carbon ion (12C6+) irradiation and the difference in the infiltration of CD8+ T cells in lung cancer regulated by downstream protein FOXP3. Methods Significantly altered JAK2/STAT3 pathway and related differentially‐expressed genes and proteins such as FOXP3 in lung cancer after carbon ion irradiation were screened based on RNA sequencing analysis in the Lewis tumor model of C57BL/6 mice. The correlation between FOXP3 and major immune cell infiltration in the immune microenvironment of lung cancer was analyzed using the ssGSEA immune infiltration algorithm in the R software "GSVA" and CD8+ T cell infiltration in the immune microenvironment of lung cancer was evaluated based on the carbon ion combined with STAT3 inhibition pathway (niclosamide). Results The JAK2/STAT3 pathway was inhibited and the expression of related genes and proteins was downregulated in lung cancer after carbon ion irradiation. Immune scoring based on the ssGSEA algorithm showed that FOXP3 expression was significantly negatively correlated with CD8+ T cell infiltration in the immune microenvironment of lung cancer. The role of targeting the JAK2/STAT3 pathway in increasing CD8+ T cell infiltration in lung cancer was further clarified by carbon ion irradiation combined with STAT3 inhibition (niclosamide). Conclusion Carbon ion irradiation (12C6+) can play a synergistic role with immunotherapy by targeting the JAK2/STAT3 pathway.
Wang Jiangtao,Dai Ziying,Miao Yandong et al. Carbon ion (12C6+) inhibits JAK2/STAT3 pathway and promotes CD8+ T cell infiltration in lung cancer[J]. Chinese Journal of Radiation Oncology, 2022, 31(9): 823-827.
[1] Gong J, Le TQ, Massarelli E, et al.Radiation therapy and PD‐1/PD‐L1 blockade: the clinical development of an evolving anticancer combination[J]. J Immunother Cancer, 2018, 6(1):46. DOI: 10.1186/s40425‐018‐0361‐7.
[2] Weichselbaum RR, Liang H, Deng L, et al. Radiotherapy and immunotherapy: a beneficial liaison? [J]. Nat Rev Clin Oncol, 2017, 14(6):365‐379. DOI: 10.1038/nrclinonc. 2016.211.
[3] Takahashi Y, Yasui T, Minami K, et al. Carbon ion irradiation enhances the antitumor efficacy of dual immune checkpoint blockade therapy both for local and distant sites in murine osteosarcoma[J]. Oncotarget, 2019, 10(6):633‐646. DOI: 10.18632/oncotarget.26551.
[4] Ji AL, Rubin AJ, Thrane K, et al. Multimodal analysis of composition and spatial architecture in human squamous cell carcinoma[J]. Cell, 2020,182(2):497‐514. DOI:10.1016/j.cell.2020.05.039.
[5] Togashi Y, Shitara K, Nishikawa H. Regulatory T cells in cancer immunosuppression ‐ implications for anticancer therapy[J]. Nat Rev Clin Oncol, 2019, 16(6):356‐371. DOI: 10.1038/s41571‐019‐0175‐7.
[6] Wang Y, Shen Y, Wang S, et al. The role of STAT3 in leading the crosstalk between human cancers and the immune system[J]. Cancer Lett, 2018, 415:117‐128. DOI: 10.1016/j.canlet.2017.12.003.
[7] Wirsdörfer F, de Leve S, Jendrossek V. Combining radiotherapy and immunotherapy in lung cancer: can we expect limitations due to altered normal tissue toxicity?[J]. Int J Mol Sci, 2018, 20(1)DOI: 10.3390/ijms20010024.
[8] Ko EC, Raben D, Formenti SC. The integration of radiotherapy with immunotherapy for the treatment of non‐small cell lung cancer[J]. Clin Cancer Res, 2018, 24(23):5792‐5806. DOI: 10.1158/1078‐0432.CCR‐17‐3620.
[9] Olivares‐Urbano MA, Griñán‐Lisón C, Marchal JA, et al. CSC radioresistance: a therapeutic challenge to improve radiotherapy effectiveness in cancer[J]. Cells, 2020, 9(7)DOI: 10.3390/cells9071651.
[10] Wozny AS, Lauret A, Battiston‐Montagne P, et al. Differential pattern of HIF‐1α expression in HNSCC cancer stem cells after carbon ion or photon irradiation: one molecular explanation of the oxygen effect[J]. Br J Cancer, 2017, 116(10):1340‐1349. DOI: 10.1038/bjc.2017.100.
[11] Park SY, Lee CJ, Choi JH, et al.The JAK2/STAT3/CCND2 axis promotes colorectal cancer stem cell persistence and radioresistance[J]. J Exp Clin Cancer Res, 2019, 38(1):399. DOI: 10.1186/s13046‐019‐1405‐7.
[12] Shi J, Feng J, Xie J, et al.Targeted blockade of TGF‐β and IL‐6/JAK2/STAT3 pathways inhibits lung cancer growth promoted by bone marrow‐derived myofibroblasts[J]. Sci Rep, 2017, 7(1):8660. DOI: 10.1038/s41598‐017‐09020‐8.
[13] Qin MZ, Qin MB, Liang ZH, et al. Effect of SOCS3 on lung injury in rats with severe acute pancreatitis through regulating JAK2/STAT3 signaling pathway[J]. Eur Rev Med Pharmacol Sci, 2019, 23(22):10123‐10131. DOI: 10.26355/eurrev_201911_19582.
[14] Li S, Xu Z, Guo J, et al. Farnesoid X receptor activation induces antitumour activity in colorectal cancer by suppressing JAK2/STAT3 signalling via transactivation of SOCS3 gene[J]. J Cell Mol Med, 2020, 24(24):14549‐14560. DOI: 10.1111/jcmm.16083.
[15] Wing JB, Tanaka A, Sakaguchi S. Human FOXP3(+) regulatory T cell heterogeneity and function in autoimmunity and cancer[J]. Immunity, 2019, 50(2):302‐316. DOI: 10.1016/j.immuni.2019.01.020.
[16] Hossain DM, Panda AK, Manna A, et al. Retracted: FOXP3 acts as a cotranscription factor with STAT3 in tumor‐induced regulatory T cells[J]. Immunity, 2013, 39(6):1057‐1069. DOI: 10.1016/j.immuni.2013.11.005.
[17] Maj T, Wang W, Crespo J, et al. Oxidative stress controls regulatory T cell apoptosis and suppressor activity and PD‐L1‐blockade resistance in tumor[J]. Nat Immunol, 2017, 18(12):1332‐1341. DOI: 10.1038/ni.3868.
[18] Liu W, Wei X, Li L, et al. CCR4 mediated chemotaxis of regulatory T cells suppress the activation of T cells and NK cells via TGF‐β pathway in human non‐small cell lung cancer[J]. Biochem Biophys Res Commun, 2017, 488(1):196‐203. DOI: 10.1016/j.bbrc.2017.05.034.
[19] Ran J, Wang J, Dai Z, et al.Irradiation‐induced changes in the immunogenicity of lung cancer cell lines: based on comparison of X‐rays and carbon ions[J]. Front Public Health, 2021, 9:666282. DOI: 10.3389/fpubh.2021.666282.
[20] You S, Li R, Park D, et al. Disruption of STAT3 by niclosamide reverses radioresistance of human lung cancer[J]. Mol Cancer Ther, 2014, 13(3):606‐616. DOI: 10.1158/1535‐7163.MCT‐13‐0608.