Metastasis is a common cause of cancer-related death. The majority of patients with colorectal cancer (CRC) suffer from metastases. Of note, liver metastasis formation is promoted by a tolerogenic micro-environment, which may further compromise immunotherapy efficacy. Here, we hypothesise that IL-10 is a key player in tolerance towards liver metastasis and may thus serve as an immunotherapeutic target in this context. This is based on our preliminary findings showing that Foxp3+ regulatory T cell (Treg)-derived IL-10 promotes CRC-derived liver metastasis (CRLM). Furthermore, we found that Foxp3+ Treg-derived IL-10 induces a subset of dysfunctional CD8+ T cells expressing TCF-1+. Based on this observation, we will initially focus on the mechanisms underlying the IL-10-mediated regulation of CD8+ T cells. In particular, we will decipher the role of PD-1 and TCF-1. To this end, we will use transgenic mice which allow the conditional, cell-specific deletion of the IL-10 receptor (IL-10Ra) in CD8+ T cells. CD8+ T cells will be characterized after liver metastasis induction using flow cytometry and functional in vitro assays. We will use bulk RNA sequencing in order to identify further mechanisms, which will be validated and then targeted using transgenic mice and in vitro assays. We specifically aim to examine whether IL-10 can be targeted to modulate liver tolerance and improve the immunotherapy response rate. Our long-term aim is to understand how liver tolerance can be broken to prevent or treat liver metastasis, while in parallel sustaining liver homeostasis and avoiding an enhanced risk for liver autoimmune and inflammatory conditions. Moreover, we will extend the understanding of IL-10-mediated CD8+ T-cell dysfunction in the context of liver metastasis receiving immunotherapy in mice and humans in the second funding period.
Our central hypothesis is that IL-10 is a key player in tolerance towards liver metastasis and may thus serve as an immunotherapeutic target in this context. Our preliminary data indicate that Foxp3+ Treg-derived IL-10 promotes CRC-derived liver metastasis (CRLM). Additionally, Foxp3+ Treg-derived IL-10 could promote dysregulation of CD8+ T cells, with a skew towards TCF-1+ CD8+ T cells in the early phase during liver metastasis formation. On this basis, we will decipher the mechanisms underlying the IL-10-mediated regulation of dysfunctional CD8+ T cells. Our long-term aim is to examine whether IL-10 can be targeted therapeutically to modulate liver immune regulation aiming to improve immunotherapy response rates.
In order to test this hypothesis, our work programme has the following work packages (WP):
WP1: To investigate the mechanisms underlying the IL-10-mediated regulation of CD8+ T cells in liver metastasis formation.
WP2: To investigate how IL-10 mediated modulation of CD8+ T-cells impacts immunotherapy response in liver metastasis.
WP3: To examine whether IL-10 can serve as biomarker to break liver tolerance and improve immuno-therapy outcomes of CRC patients with liver metastasis.
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# equally contributing authors