Tumor-intrinsic programmed cell death 1 (PD-1) has been shown to activate the mesenchymal epithelial transition factor (MET) pathway via its phosphorylation in pancreatic ductal adenocarcinoma (PDAC). However, the immunoregulatory consequences of MET activation remain poorly understood. Herein, a significant positive correlation between phosphorylated MET (p-MET) and tumor-intrinsic PD-1 is verified, both of which are independently associated with adverse prognosis. Elevated p-MET levels correlated with diminished CD8+ T cell cytotoxicity and increased regulatory T cell (Treg) infiltration. Single-cell RNA sequencing revealed MET activation selectively drives the accumulation of intratumoral GITR(+) Tregs-a distinct effector Treg subset with potent immunosuppressive function and high prognostic relevance. Compared to KLF2(+) na & iuml;ve Tregs, GITR(+) Tregs exhibited an activated phenotype and enhanced expression of immunoregulatory markers. Subgroup analysis further demonstrated that elevated GITR(+) Treg infiltration diminished the prognostic utility of serum CA19-9, underscoring the immunosuppressive dominance of this Treg subset. Mechanistically, MET-IL-23-STAT4 axis orchestrates GITR(+) Treg-mediated immune evasion in PDAC. In vivo, MET inhibition and GITR agonism synergize to enhance antitumor immunity in an orthotopic PDAC model. Collectively, these findings highlight MET signaling and GITR(+) Tregs as actionable targets to counteract immune evasion and improve the efficacy of immunotherapeutic strategies in PDAC.
基金:
National Natural Science Foundation of China; Program of Shanghai Academic/Technology Research Leader [23XD1400600]; Shanghai Science and Technology Commission Innovative Pharmaceutical Products Application Demonstration Project [24SF1900300]; Shanghai Municipal Health Commission [20244Y0023, 201940019]; Beijing Xisike Clinical Oncology Research Foundation [Y-2022METAZQN-0003, Y-Gilead2024-PT-0002, Y-HR2022MS-0251, Y-HR2022QN-0085]; Open Research Fund of Key Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education [FMUGIC-202301]; Fund of Fujian Provincial Key Laboratory of Translational Cancer Medicine [TCM2024-2]; Science and Technology Planning Project of Yunnan Province [202305AF150148]; [82103409]; [82103417]; [82273382]; [82272929]; [82303443]; [82473459]
第一作者机构:[1]Fudan Univ, Zhongshan Hosp, Dept Pancreat Surg, Shanghai 200032, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Fudan Univ, Zhongshan Hosp, Dept Pancreat Surg, Shanghai 200032, Peoples R China[2]Fudan Univ, Zhongshan Hosp, Canc Ctr, Shanghai 200032, Peoples R China[7]Fujian Med Univ, Sch Basic Med Sci, Key Lab Gastrointestinal Canc, Minist Educ, 1 Xue Fu North Rd, Fuzhou 350122, Peoples R China
推荐引用方式(GB/T 7714):
Han Jiande,Yin Hanlin,He Taochen,et al.The Evolutionary Trajectory and Prognostic Value of GITR plus Tregs Reprogramed by Tumor-Intrinsic PD-1/c-MET Signaling in Pancreatic Cancer[J].ADVANCED SCIENCE.2025,doi:10.1002/advs.202500806.
APA:
Han, Jiande,Yin, Hanlin,He, Taochen,He, Junyi,Jiang, Zhenlai...&Liu, Liang.(2025).The Evolutionary Trajectory and Prognostic Value of GITR plus Tregs Reprogramed by Tumor-Intrinsic PD-1/c-MET Signaling in Pancreatic Cancer.ADVANCED SCIENCE,,
MLA:
Han, Jiande,et al."The Evolutionary Trajectory and Prognostic Value of GITR plus Tregs Reprogramed by Tumor-Intrinsic PD-1/c-MET Signaling in Pancreatic Cancer".ADVANCED SCIENCE .(2025)