Abstract
TIGIT is a lymphocyte surface receptor, which is mainly expressed on the surface of CD8+T cells. The role of TIGIT in colorectal cancer and its expression pattern in colorectal cancer infiltrating lymphocytes are still controversial. This study aimed at identifying the function of TIGIT in colorectal cancer. Patients with colorectal cancer showed significantly higher TIGIT+CD8+T cell infiltration in tumor tissues, metastases compared with paired PBMC and normal tissues through flow cytometry. TIGIT+CD8+T cells showed an exhausted phenotype and expressed low levels of killer cytokines IFN-γ, IL-2, TNF-α. In addition, more inhibitory receptors such as PD-1, LAG-3, and TIM-3 were expressed on the surface of TIGIT+CD8+T cells. TGF-β1 could promote the expression of TIGIT and inhibit CD8+T cell function in vitro. Moreover, the accumulation of TIGIT+T cells in tumors was associated with advanced disease, predicted early recurrence, and reduced survival rates in colorectal cancer patients. Our results indicate that TIGIT can be a biological marker for the prognosis of colorectal cancer, and TIGIT can be used as a potential target for treatment.
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Data availability
The data used in this study are available from the corresponding author on reasonable request.
Abbreviations
- CRC:
-
Colorectal cancer
- IFN-γ:
-
Interferon γ
- IL-2:
-
Interleukin-2
- LAG-3:
-
Lymphocyte-activation gene 3
- NK cells:
-
Natural killer cells
- PBMC:
-
Peripheral blood mononuclear cell
- PD-1:
-
Programmed cell death protein 1
- PD-L1:
-
Programmed cell death ligand 1
- TGF-β:
-
Transforming growth factor-β
- TIGIT:
-
T cell immunoreceptor with Ig and ITIM domains
- TILs:
-
Tumor-infiltrating lymphocytes
- TIM-3:
-
T cell immunoglobulin and mucin domain-3
- TNF-α:
-
Tumor necrosis factor-α
- Tregs:
-
Regulatory T cells
References
Siegel RL, Miller KD, Jemal A (2020) Cancer statistics, 2020. CA Cancer J Clin 70(1):7–30. https://doi.org/10.3322/caac.21590
Yang Y (2015) Cancer immunotherapy: harnessing the immune system to battle cancer. J Clin Invest 125(9):3335–3337. https://doi.org/10.1172/jci83871
Chen DS, Mellman I (2017) Elements of cancer immunity and the cancer-immune set point. Nature 541(7637):321–330. https://doi.org/10.1038/nature21349
Baumeister SH, Freeman GJ, Dranoff G, Sharpe AH (2016) Coinhibitory pathways in immunotherapy for cancer. Annu Rev Immunol 34:539–573. https://doi.org/10.1146/annurev-immunol-032414-112049
Gentzler R, Hall R, Kunk PR, Gaughan E, Dillon P, Slingluff CL Jr, Rahma OE (2016) Beyond melanoma: inhibiting the PD-1/PD-l1 pathway in solid tumors. Immunotherapy 8(5):583–600. https://doi.org/10.2217/imt-2015-0029
Kluger HM, Chiang V, Mahajan A, Zito CR, Sznol M, Tran T, Weiss SA, Cohen JV, Yu J, Hegde U, Perrotti E, Anderson G, Ralabate A, Kluger Y, Wei W, Goldberg SB, Jilaveanu LB (2019) Long-term survival of patients with melanoma with active brain metastases treated with pembrolizumab on a phase II trial. J Clin Oncol 37(1):52–60. https://doi.org/10.1200/jco.18.00204
Dt Le, Jn Uram, Wang H, Bartlett Br et al (2015) PD-1 blockade in tumors with mismatch-repair deficiency. New Engl J Med 372(26):2509–20. https://doi.org/10.1056/NEJMoa1500596
Overman MJ, Lonardi S, Wong KYM, Lenz HJ, Gelsomino F, Aglietta M, Morse MA, Van Cutsem E, Mcdermott R, Hill A, Sawyer MB, Hendlisz A, Neyns B, Svrcek M, Moss RA, Ledeine JM, Cao ZA, Kamble S, Kopetz S, André T (2018) Durable clinical benefit with nivolumab plus ipilimumab in DNA mismatch repair-deficient/microsatellite instability-high metastatic colorectal cancer. J Clin Oncol 36(8):773–779. https://doi.org/10.1200/jco.2017.76.9901
Harjunpää H, Guillerey C (2020) TIGIT as an emerging immune checkpoint. Clin Exp Immunol 200(2):108–119. https://doi.org/10.1111/cei.13407
Kumar BV, Connors TJ, Farber DL (2018) Human T Cell development, localization, and function throughout Life. Immunity 48(2):202–213. https://doi.org/10.1016/j.immuni.2018.01.007
Solinas C, Pusole G, Demurtas L, Puzzoni M, Mascia R, Morgan G, Giampieri R, Scartozzi M (2017) Tumor infiltrating lymphocytes in gastrointestinal tumors: controversies and future clinical implications. Crit Rev Oncol Hematol 110:106–116. https://doi.org/10.1016/j.critrevonc.2016.11.016
Stanton SE, Disis ML (2016) Clinical significance of tumor-infiltrating lymphocytes in breast cancer. J Immunother Cancer 4:59. https://doi.org/10.1186/s40425-016-0165-6
Bremnes RM, Busund LT, Kilvær TL, Andersen S, Richardsen E, Paulsen EE, Hald S, Khanehkenari MR, Cooper WA, Kao SC, Dønnem T (2016) The role of tumor-infiltrating lymphocytes in development, progression, and prognosis of non-small cell lung cancer. J Thorac Oncol 11(6):789–800. https://doi.org/10.1016/j.jtho.2016.01.015
Effros RB (2004) Replicative senescence of CD8 T cells: potential effects on cancer immune surveillance and immunotherapy. Cancer Immunol Immunother 53(10):925–933. https://doi.org/10.1007/s00262-004-0508-x
Farhood B, Najafi M, Mortezaee K (2019) CD8(+) cytotoxic T lymphocytes in cancer immunotherapy: a review. J Cell Physiol 234(6):8509–8521. https://doi.org/10.1002/jcp.27782
Gajewski TF, Schreiber H, Fu YX (2013) Innate and adaptive immune cells in the tumor microenvironment. Nat Immunol 14(10):1014–1022. https://doi.org/10.1038/ni.2703
Yu X, Harden K, Gonzalez LC, Francesco M, Chiang E, Irving B, Tom I, Ivelja S, Refino CJ, Clark H, Eaton D, Grogan JL (2009) The surface protein TIGIT suppresses T cell activation by promoting the generation of mature immunoregulatory dendritic cells. Nat Immunol 10(1):48–57. https://doi.org/10.1038/ni.1674
Zhang Q, Bi J, Zheng X, Chen Y, Wang H, Wu W, Wang Z, Wu Q, Peng H, Wei H, Sun R, Tian Z (2018) Blockade of the checkpoint receptor TIGIT prevents NK cell exhaustion and elicits potent anti-tumor immunity. Nat Immunol. https://doi.org/10.1038/s41590-018-0132-0
Joller N, Lozano E, Burkett PR, Patel B, Xiao S, Zhu C, Xia J, Tan TG, Sefik E, Yajnik V, Sharpe AH, Quintana FJ, Mathis D, Benoist C, Hafler DA, Kuchroo VK (2014) Treg cells expressing the coinhibitory molecule TIGIT selectively inhibit proinflammatory Th1 and Th17 cell responses. Immunity 40(4):569–581. https://doi.org/10.1016/j.immuni.2014.02.012
Lozano E, Dominguez-Villar M, Kuchroo V, Hafler DA (2012) The TIGIT/CD226 axis regulates human T cell function. J Immunol 188(8):3869–3875. https://doi.org/10.4049/jimmunol.1103627
Schorer M, Rakebrandt N, Lambert K, Hunziker A, Pallmer K, Oxenius A, Kipar A, Stertz S, Joller N (2020) TIGIT limits immune pathology during viral infections. Nat Commun 11(1):1288. https://doi.org/10.1038/s41467-020-15025-1
Mao L, Hou H, Wu S, Zhou Y, Wang J, Yu J, Wu X, Lu Y, Mao L, Bosco MJ, Wang F, Sun Z (2017) TIGIT signalling pathway negatively regulates CD4(+) T-cell responses in systemic lupus erythematosus. Immunology 151(3):280–290. https://doi.org/10.1111/imm.12715
Blessin NC, Simon R, Kluth M, Fischer K, Hube-Magg C, Li W, Makrypidi-Fraune G, Wellge B, Mandelkow T, Debatin NF, Höflmayer D, Lennartz M, Sauter G, Izbicki JR, Minner S, Büscheck F, Uhlig R, Dum D, Krech T, Luebke AM, Wittmer C, Jacobsen F, Burandt EC, Steurer S, Wilczak W, Hinsch A (2019) Patterns of TIGIT expression in lymphatic tissue, inflammation, and cancer. Dis Markers 2019:5160565. https://doi.org/10.1155/2019/5160565
Kizhakeyil, Atish, Ong, Seow Theng et al (2019) Isolation of Human Peripheral Blood In: T-Cell Motility. Methods in Molecular Biology. pp 11-17. doi:https://doi.org/10.1007/978-1-4939-9036-8_2
Tang Z, Li C, Kang B, Gao G, Li C, Zhang Z (2017) GEPIA: a web server for cancer and normal gene expression profiling and interactive analyses. Nucleic Acids Res 45(W1):W98–W102. https://doi.org/10.1093/nar/gkx247
Park BV, Freeman ZT, Ghasemzadeh A, Chattergoon MA, Rutebemberwa A, Steigner J, Winter ME, Huynh TV, Sebald SM, Lee SJ, Pan F, Pardoll DM, Cox AL (2016) TGFbeta1-Mediated SMAD3 enhances PD-1 expression on antigen-specific T Cells in cancer. Cancer Discov 6(12):1366–1381. https://doi.org/10.1158/2159-8290.cd-15-1347
Kucan Brlic P, Lenac Rovis T, Cinamon G, Tsukerman P, Mandelboim O, Jonjic S (2019) Targeting PVR (CD155) and its receptors in anti-tumor therapy. Cell Mol Immunol 16(1):40–52. https://doi.org/10.1038/s41423-018-0168-y
Liu X, Li M, Wang X, Dang Z, Jiang Y, Wang X, Kong Y, Yang Z (2019) PD-1(+) TIGIT(+) CD8(+) T cells are associated with pathogenesis and progression of patients with hepatitis B virus-related hepatocellular carcinoma. Cancer Immunol Immunother 68(12):2041–2054. https://doi.org/10.1007/s00262-019-02426-5
Wu L, Mao L, Liu JF, Chen L, Yu GT, Yang LL, Wu H, Bu LL, Kulkarni AB, Zhang WF, Sun ZJ (2019) Blockade of TIGIT/CD155 signaling reverses t-cell exhaustion and enhances antitumor capability in head and neck squamous cell carcinoma. Cancer Immunol Res. https://doi.org/10.1158/2326-6066.Cir-18-0725
Sun Y, Luo J, Chen Y, Cui J, Lei Y, Cui Y, Jiang N, Jiang W, Chen L, Chen Y, Kuang Y, Tang K, Ke Z (2020) Combined evaluation of the expression status of CD155 and TIGIT plays an important role in the prognosis of LUAD (lung adenocarcinoma). Int Immunopharmacol 80:106198. https://doi.org/10.1016/j.intimp.2020.106198
Zhou, X., Ding, X., Li, H., Yang, C., Ma, Z., Xu, G., Yang, S., Zhang, D., Xie, X., Xin, L., and Luo, X., Upregulation of TIGIT and PD-1 in Colorectal Cancer with Mismatch-repair Deficiency. Immunol Invest, 2020: p. 1-18.DOI: https://doi.org/10.1080/08820139.2020.1758130
Saleh R, Taha RZ, Toor SM, Sasidharan Nair V, Murshed K, Khawar M, Al-Dhaheri M, Petkar MA, Abu Nada M, Elkord E (2020) Expression of immune checkpoints and T cell exhaustion markers in early and advanced stages of colorectal cancer. Cancer Immunol Immunother. https://doi.org/10.1007/s00262-020-02593-w
Kitsou M, Ayiomamitis GD, Zaravinos A (2020) High expression of immune checkpoints is associated with the TIL load, mutation rate and patient survival in colorectal cancer. Int J Oncol 57(1):237–248. https://doi.org/10.3892/ijo.2020.5062
Kurachi M (2019) CD8(+) T cell exhaustion. Semin Immunopathol 41(3):327–337. https://doi.org/10.1007/s00281-019-00744-5
Johnston RJ, Comps-Agrar L, Hackney J, Yu X, Huseni M, Yang Y, Park S, Javinal V, Chiu H, Irving B, Eaton DL, Grogan JL (2014) The immunoreceptor TIGIT regulates antitumor and antiviral CD8(+) T cell effector function. Cancer Cell 26(6):923–937. https://doi.org/10.1016/j.ccell.2014.10.018
Ej W (2011) T cell exhaustion. Nat Immunol 12(6):492–499. https://doi.org/10.1038/ni.2035
Terra M, Oberkampf M, Fayolle C, Rosenbaum P, Guillerey C, Dadaglio G, Leclerc C (2018) Tumor-derived TGFβ alters the ability of plasmacytoid dendritic cells to respond to innate immune signaling. Cancer Res 78(11):3014–3026. https://doi.org/10.1158/0008-5472.Can-17-2719
Batlle E, Massagué J (2019) Transforming growth factor-β signaling in immunity and cancer. Immunity 50(4):924–940. https://doi.org/10.1016/j.immuni.2019.03.024
Yang L, Pang Y, Moses HL (2010) TGF-beta and immune cells: an important regulatory axis in the tumor microenvironment and progression. Trends Immunol 31(6):220–227. https://doi.org/10.1016/j.it.2010.04.002
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This work was supported in part by grants from the Science and Technology Planning Project of Guangdong Province (2017B020227009 to Bo Wei).
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R.L. and B.W. contributed to conceived and designed the experiments; R.L., X.Z., and B.W. were involved in analyzed the data; R.L. and X.Z. contributed to performed the experiments and writing — original draft; B.W. was involved in writing —review and editing and funding acquisition; T.L., D.D., X.Y., and J.S contributed to assisted during the experiment; H.W. was involved in given guidance on research ideas during the research process; and Z.Z., T.C., Y.H., and J.L. contributed to provided clinical samples and information.
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Liang, R., Zhu, X., Lan, T. et al. TIGIT promotes CD8+T cells exhaustion and predicts poor prognosis of colorectal cancer. Cancer Immunol Immunother 70, 2781–2793 (2021). https://doi.org/10.1007/s00262-021-02886-8
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DOI: https://doi.org/10.1007/s00262-021-02886-8