Abstract

The dysfunction of natural killer (NK) cells has been increasingly reported in malignancies, especially in solid tumours. Mesenchymal stem cells (MSCs) exhibit pleiotropic functions that include mediating immune cell exhaustion which is implicated in cancer progression. However, the association of MSCs derived from gastric cancer (gastric cancer mesenchymal stem cells: GCMSCs) with the dysfunction of NK cells remains poorly understood. In this study, we demonstrated that GCMSCs effectively contributed to the exhaustion of NK cells through the release of soluble factors. Furthermore, passivation of the antitumour effect in NK cells was closely associated with their dysfunctional state. The GCMSC-conditioned medium prevented the frequency and effector function of infiltrating NK cells in tumour-bearing mouse models, thus promoting tumour growth. Mechanistically, mammalian target of rapamycin (mTOR) signalling, a critical regulator of cellular metabolism that mediates the function of immune cells, was inhibited in NK cells treated with GCMSCs. However, the checkpoint receptor PD-1 was still present at minimal levels with or without GCMSCs. The study results revealed that GCMSCs contributed to dysfunctional NK cells involved at least partially in the inhibition of mTOR signalling, suggesting potential directions for NK cell-based cancer immunotherapy.

Highlights

  • Gastric cancer (GC) is the fifth most commonly diagnosed cancer and the fourth leading cause of cancer death worldwide [1]

  • The results revealed that natural killer (NK) cells from different donors displayed similar but minimal levels of CD107a expression, and the levels were more reduced in the presence of GCMSCs than in the control (Figures 2(a)–2(d)), which suggests that GCMSCs weakened the degranulation function of NK cells

  • We investigated whether the reduction in NK cell function by GCMSCs depended on mammalian target of rapamycin (mTOR) signalling, a key regulator of cellular metabolism

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Summary

Introduction

Gastric cancer (GC) is the fifth most commonly diagnosed cancer and the fourth leading cause of cancer death worldwide [1]. Despite major advances in surgical procedures and other therapies, the overall 5-year survival rate for GC remains less than 30% in most countries [2]. The development and progression of GC are influenced by the crosstalk between a tumour and the host immune system [3]. Clinical trials targeting immune checkpoints, such as the PD-1/PDL1 inhibitory axis, have reported outstanding results for various tumours. The objective response rate in GC was only 15% [4]. Developing an in-depth understanding of the underlying mechanism of immune escape during GC development and progression is essential

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