Senescent cancer-associated fibroblasts in pancreatic adenocarcinoma restrict CD8+ T cell activation and limit responsiveness to immunotherapy in mice

  • Benjamin Assouline
  • , Rachel Kahn
  • , Lutfi Hodali
  • , Reba Condiotti
  • , Yarden Engel
  • , Ela Elyada
  • , Tzlil Mordechai-Heyn
  • , Jason R. Pitarresi
  • , Dikla Atias
  • , Eliana Steinberg
  • , Tirza Bidany-Mizrahi
  • , Esther Forkosh
  • , Lior H. Katz
  • , Ofra Benny
  • , Talia Golan
  • , Matan Hofree
  • , Sheila A. Stewart
  • , Karine A. Atlan
  • , Gideon Zamir
  • , Ben Z. Stanger
  • Michael Berger, Ittai Ben-Porath

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

Senescent cells within tumors and their stroma exert complex pro- and anti-tumorigenic functions. However, the identities and traits of these cells, and the potential for improving cancer therapy through their targeting, remain poorly characterized. Here, we identify a senescent subset within previously-defined cancer-associated fibroblasts (CAFs) in pancreatic ductal adenocarcinomas (PDAC) and in premalignant lesions in mice and humans. Senescent CAFs isolated from mouse and humans expressed elevated levels of immune-regulatory genes. Depletion of senescent CAFs, either genetically or using the Bcl-2 inhibitor ABT-199 (venetoclax), increased the proportion of activated CD8+ T cells in mouse pancreatic carcinomas, whereas induction of CAF senescence had the opposite effect. Combining ABT-199 with an immune checkpoint therapy regimen significantly reduced mouse tumor burden. These results indicate that senescent CAFs in PDAC stroma limit the numbers of activated cytotoxic CD8+ T cells, and suggest that their targeted elimination through senolytic treatment may enhance immunotherapy.

Original languageEnglish
Article number6162
JournalNature communications
Volume15
Issue number1
DOIs
StatePublished - Dec 2024

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