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Publication : Radiation-activated secretory proteins of <i>Scgb1a1</i> <sup>+</sup> club cells increase the efficacy of immune checkpoint blockade in lung cancer.

First Author  Ban Y Year  2021
Journal  Nat Cancer Volume  2
Issue  9 Pages  919-931
PubMed ID  34917944 Mgi Jnum  J:321549
Mgi Id  MGI:6885690 Doi  10.1038/s43018-021-00245-1
Citation  Ban Y, et al. (2021) Radiation-activated secretory proteins of Scgb1a1 (+) club cells increase the efficacy of immune checkpoint blockade in lung cancer. Nat Cancer 2(9):919-931
abstractText  Radiation therapy (RT) in combination with immune checkpoint inhibitor (ICI) represents a promising regimen for non-small cell lung cancer (NSCLC), however, the underlying mechanisms are poorly characterized. We identified a specific dose of RT that conferred tumor regression and improved survival in NSCLC models when combined with ICI. The immune-modulating functions of RT was ascribed to activated lung-resident Scgb1a1+ club cells. Importantly, mice with club cell-specific knockout of synaptosome-associated protein 23 failed to benefit from the combination treatment, indicating a pivotal role of club cell secretome. We identified 8 club cells secretory proteins, which inhibited immunosuppressive myeloid cells, reduced pro-tumor inflammation, and enhanced anti-tumor immunity. Notably, CC10, a member of club cell secretome was increased in plasma of NSCLC patients responding to the combination therapy. By revealing an immune-regulatory role of club cells, our studies have the potential to guide future clinical trials of ICI in NSCLC.
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