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Publication : Circadian control of tumor immunosuppression affects efficacy of immune checkpoint blockade.

First Author  Fortin BM Year  2024
Journal  Nat Immunol Volume  25
Issue  7 Pages  1257-1269
PubMed ID  38806707 Mgi Jnum  J:361564
Mgi Id  MGI:7859592 Doi  10.1038/s41590-024-01859-0
Citation  Fortin BM, et al. (2024) Circadian control of tumor immunosuppression affects efficacy of immune checkpoint blockade. Nat Immunol 25(7):1257-1269
abstractText  The circadian clock is a critical regulator of immunity, and this circadian control of immune modulation has an essential function in host defense and tumor immunosurveillance. Here we use a single-cell RNA sequencing approach and a genetic model of colorectal cancer to identify clock-dependent changes to the immune landscape that control the abundance of immunosuppressive cells and consequent suppression of cytotoxic CD8(+) T cells. Of these immunosuppressive cell types, PD-L1-expressing myeloid-derived suppressor cells (MDSCs) peak in abundance in a rhythmic manner. Disruption of the epithelial cell clock regulates the secretion of cytokines that promote heightened inflammation, recruitment of neutrophils and the subsequent development of MDSCs. We also show that time-of-day anti-PD-L1 delivery is most effective when synchronized with the abundance of immunosuppressive MDSCs. Collectively, these data indicate that circadian gating of tumor immunosuppression informs the timing and efficacy of immune checkpoint inhibitors.
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