De Sanctis, Francesco and Dusi, Silvia and Caligola, Simone and Anselmi, Cristina and Petrova, Varvara and Rossi, Barbara and Angelini, Gabriele and Erdeljan, Michael and Wöll, Stefan and Schlitter, Anna Melissa and Metzler, Thomas and Steiger, Katja and Borok, Zea and Bailey, Peter and Bauer, Aline and Halin, Cornelia and Boschi, Federico and Giugno, Rosalba and Canè, Stefania and Lawlor, Rita and Corbo, Vincenzo and Scarpa, Aldo and Constantin, Gabriela and Ugel, Stefano and Vascotto, Fulvia and Sahin, Ugur and Türeci, Özlem and Bronte, Vincenzo (2024) Expression of the membrane tetraspanin claudin 18 on cancer cells promotes T lymphocyte infiltration and antitumor immunity in pancreatic cancer. Immunity, 57 (6). 1378-1393.e14. ISSN 1074-7613

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Abstract

Tumors weakly infiltrated by T lymphocytes poorly respond to immunotherapy. We aimed to unveil malignancy-associated programs regulating T cell entrance, arrest, and activation in the tumor environment. Differential expression of cell adhesion and tissue architecture programs, particularly the presence of the membrane tetraspanin claudin (CLDN)18 as a signature gene, demarcated immune-infiltrated from immune-depleted mouse pancreatic tumors. In human pancreatic ductal adenocarcinoma (PDAC) and non-small cell lung cancer, CLDN18 expression positively correlated with more differentiated histology and favorable prognosis. CLDN18 on the cell surface promoted accrual of cytotoxic T lymphocytes (CTLs), facilitating direct CTL contacts with tumor cells by driving the mobilization of the adhesion protein ALCAM to the lipid rafts of the tumor cell membrane through actin. This process favored the formation of robust immunological synapses (ISs) between CTLs and CLDN18-positive cancer cells, resulting in increased T cell activation. Our data reveal an immune role for CLDN18 in orchestrating T cell infiltration and shaping the tumor immune contexture.

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