학술논문

Autoimmunity affecting the biliary tract fuels the immunosurveillance of cholangiocarcinoma
Document Type
article
Source
Journal of Experimental Medicine. 218(10)
Subject
Rare Diseases
Autoimmune Disease
Liver Disease
Chronic Liver Disease and Cirrhosis
Digestive Diseases
Biotechnology
Cancer
Digestive Diseases - (Gallbladder)
Liver Cancer
Aetiology
2.1 Biological and endogenous factors
Animals
Autoimmunity
Bile Duct Neoplasms
CD4-Positive T-Lymphocytes
CD8-Positive T-Lymphocytes
Cell Line
Tumor
Cholangiocarcinoma
Cholangitis
Cytokines
Female
Forkhead Transcription Factors
Liver
Mice
Inbred C57BL
Monitoring
Immunologic
Neoplasms
Experimental
Medical and Health Sciences
Immunology
Language
Abstract
Cholangiocarcinoma (CCA) results from the malignant transformation of cholangiocytes. Primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) are chronic diseases in which cholangiocytes are primarily damaged. Although PSC is an inflammatory condition predisposing to CCA, CCA is almost never found in the autoimmune context of PBC. Here, we hypothesized that PBC might favor CCA immunosurveillance. In preclinical murine models of cholangitis challenged with syngeneic CCA, PBC (but not PSC) reduced the frequency of CCA development and delayed tumor growth kinetics. This PBC-related effect appeared specific to CCA as it was not observed against other cancers, including hepatocellular carcinoma. The protective effect of PBC was relying on type 1 and type 2 T cell responses and, to a lesser extent, on B cells. Single-cell TCR/RNA sequencing revealed the existence of TCR clonotypes shared between the liver and CCA tumor of a PBC host. Altogether, these results evidence a mechanistic overlapping between autoimmunity and cancer immunosurveillance in the biliary tract.