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Publication : Human prostate cancer bone metastases have an actionable immunosuppressive microenvironment.

First Author  Kfoury Y Year  2021
Journal  Cancer Cell Volume  39
Issue  11 Pages  1464-1478.e8
PubMed ID  34719426 Mgi Jnum  J:355253
Mgi Id  MGI:6810277 Doi  10.1016/j.ccell.2021.09.005
Citation  Kfoury Y, et al. (2021) Human prostate cancer bone metastases have an actionable immunosuppressive microenvironment. Cancer Cell 39(11):1464-1478.e8
abstractText  Bone metastases are devastating complications of cancer. They are particularly common in prostate cancer (PCa), represent incurable disease, and are refractory to immunotherapy. We seek to define distinct features of the bone marrow (BM) microenvironment by analyzing single cells from bone metastatic prostate tumors, involved BM, uninvolved BM, and BM from cancer-free, orthopedic patients, and healthy individuals. Metastatic PCa is associated with multifaceted immune distortion, specifically exhaustion of distinct T cell subsets, appearance of macrophages with states specific to PCa bone metastases. The chemokine CCL20 is notably overexpressed by myeloid cells, as is its cognate CCR6 receptor on T cells. Disruption of the CCL20-CCR6 axis in mice with syngeneic PCa bone metastases restores T cell reactivity and significantly prolongs animal survival. Comparative high-resolution analysis of PCa bone metastases shows a targeted approach for relieving local immunosuppression for therapeutic effect.
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