[HTML][HTML] The IL-33/ST2 pathway shapes the regulatory T cell phenotype to promote intestinal cancer

E Pastille, MH Wasmer, A Adamczyk, VP Vu… - Mucosal …, 2019 - nature.com
E Pastille, MH Wasmer, A Adamczyk, VP Vu, LF Mager, NNT Phuong, V Palmieri, C Simillion…
Mucosal immunology, 2019nature.com
The composition of immune infiltrates strongly affects the prognosis of patients with
colorectal cancer (CRC). Interleukin (IL)-33 and regulatory T cells (Tregs) in the tumor
microenvironment have been separately implicated in CRC; however their contribution to
intestinal carcinogenesis is still controversial. Here, we reveal that IL-33 signaling promotes
CRC by changing the phenotype of Tregs. In mice with CRC, tumor-infiltrating Tregs
preferentially upregulate IL-33 receptor (ST2), and IL-33/ST2 signaling positively correlates …
Abstract
The composition of immune infiltrates strongly affects the prognosis of patients with colorectal cancer (CRC). Interleukin (IL)-33 and regulatory T cells (Tregs) in the tumor microenvironment have been separately implicated in CRC; however their contribution to intestinal carcinogenesis is still controversial. Here, we reveal that IL-33 signaling promotes CRC by changing the phenotype of Tregs. In mice with CRC, tumor-infiltrating Tregs preferentially upregulate IL-33 receptor (ST2), and IL-33/ST2 signaling positively correlates with tumor number and size. Transcriptomic and flow cytometry analyses demonstrate that ST2 expression induces a more activated and migratory phenotype in FOXP3+ Tregs, which favors their accumulation in the tumor environment. Consequently, genetic ablation of St2 reduces Treg infiltration and concomitantly enhances the frequencies of effector CD8+ T cells, thereby restraining CRC. Mechanistically, IL-33 curtails IL-17 production by FOXP3+ Tregs and inhibits Th17 differentiation. In humans, numbers of activated ST2-expressing Tregs are increased in blood and tumor lesions of CRC patients, suggesting a similar mode of regulation. Together, these data indicate a central role of IL-33/ST2 signaling in shaping an immunosuppressive environment during intestinal tumorigenesis. Blockade of this pathway may provide a strategy to modulate the composition of CRC immune infiltrates.
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