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PLA2G4A promotes right-sided colorectal cancer progression by inducing CD39+γδ Treg polarization
Yang Zhan, Lei Zheng, Jia Liu, Dongzhi Hu, Junfeng Wang, Kai Liu, Jiansheng Guo, Ti Zhang, Dalu Kong
Yang Zhan, Lei Zheng, Jia Liu, Dongzhi Hu, Junfeng Wang, Kai Liu, Jiansheng Guo, Ti Zhang, Dalu Kong
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Research Article Oncology

PLA2G4A promotes right-sided colorectal cancer progression by inducing CD39+γδ Treg polarization

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Abstract

The γδ T cell is a promising candidate cell in tumor immunotherapy. However, γδ T cells polarize to CD39+γδ Tregs upon colorectal cancer (CRC) induction, and the underlying mechanism remains unclear. Here, we show that the frequency of CD39+γδ Tregs, which positively correlated with poor prognosis, was significantly higher in right-sided CRC (RSCRC) than in the left-sided CRC (LSCRC). Interestingly, CD39+γδ Tregs from RSCRC showed stronger immunosuppressive phenotype and function than LSCRC. Furthermore, the quantitative mass spectrometry data show that CD39+γδ Treg polarization was related to the abnormal activation of the Phospholipase a2-IVa/Arachidonic acid (PLA2G4A/AA) metabolic pathway in RSCRC. Using an in vitro coculture system and an orthotopic murine model of CRC, we show that the overexpression of Pla2g4a in CT26 cells induced CD39+γδ Tregs, inhibiting the antitumor immune response. Finally, we found that the overall survival of the PLA2G4Ahi group was significantly shortened compared with PLA2G4Alo RSCRC, while the survival of LSCRC showed the opposite. Collectively, RSCRC with abnormal PLA2G4A expression educates γδ T cells into CD39+γδ Tregs to promote tumor progression and metastasis. Our work highlights the interaction between cancer cells and immune cells by distinguishing the primary tumor site and deepens the understanding of the tumor microenvironment and immunosuppression.

Authors

Yang Zhan, Lei Zheng, Jia Liu, Dongzhi Hu, Junfeng Wang, Kai Liu, Jiansheng Guo, Ti Zhang, Dalu Kong

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Figure 8

The relationship between PLA2G4A expression and the prognosis of patients with colorectal cancer.

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The relationship between PLA2G4A expression and the prognosis of patient...
(A) Kaplan-Meier overall survival curves showed high-level expression of PLA2G4A correlated with poor prognosis in stage III–IV RSCRC. n = 20. (B) Patients with stage III–IV LSCRC with high-level of PLA2G4A had a better outcome in overall survival. n = 18. (C) Kaplan-Meier overall survival curves of patients with CRC. Log-rank test were used for analysis. n = 38. PLA2G4A median level was used as cut-off. (D) The representative IHC staining of PLA2G4A, CD8, PD-1, and γδ TCR expression in RSCRC samples (Patient 1 survival: 77 months, alive; Patient 2 survival: 14 months, deceased). Scale bars: 200 μm. (E and F) The infiltration of γδ T cells in COAD (E) and READ (F). (G and H) The infiltration of CD8+ T cells in COAD (G) and READ (H). (I and J) The infiltration of CD4+ T cells in COAD (I) and READ (J). COAD, n = 288, and normal, n = 40; READ, n = 95, and normal, n = 10. COAD, colon adenocarcinoma; READ, rectum adenocarcinoma. Data are shown as mean ± SEM. Unpaired 2-tailed t test was used to compare variables. ** P < 0.01, ***P < 0.001, ****P < 0.0001.

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