Objective:
Pancreatic ductal adenocarcinoma (PDAC) is characterised by an
abundant desmoplastic stroma composed of cancer-associated fibroblasts
(CAF) and interspersed immune cells. A non-canonical CD8+
T-cell subpopulation producing IL-17A (Tc17) promotes autoimmunity and
has been identified in tumours. Here, we evaluated the Tc17 role in
PDAC.
Design:
Infiltration of Tc17 cells in PDAC tissue was correlated with
patient overall survival and tumour stage. Wild-type (WT) or Il17ra-/-
quiescent pancreatic stellate cells (qPSC) were exposed to conditional
media obtained from Tc17 cells (Tc17-CM); moreover, co-culture of
Tc17-CM-induced inflammatory (i)CAF (Tc17-iCAF) with tumour cells was
performed. IL-17A/F-, IL-17RA-, RAG1-deficient and Foxn1nu/nu mice were used to study the Tc17 role in subcutaneous and orthotopic PDAC mouse models.
Results:
Increased abundance of Tc17 cells highly correlated with reduced
survival and advanced tumour stage in PDAC. Tc17-CM induced iCAF
differentiation as assessed by the expression of iCAF-associated genes
via synergism of IL-17A and TNF. Accordingly, IL-17RA controlled the
responsiveness of qPSC to Tc17-CM. Pancreatic tumour cells co-cultured
with Tc17-iCAF displayed enhanced proliferation and increased expression
of genes implicated in proliferation, metabolism and protection from
apoptosis. Tc17-iCAF accelerated growth of mouse and human tumours in Rag1-/- and Foxn1nu/nu mice, respectively. Finally, Il17ra-expressed by fibroblasts was required for Tc17-driven tumour growth in vivo.
Conclusions:
We identified Tc17 as a novel protumourigenic CD8+
T-cell subtype in PDAC, which accelerated tumour growth via
IL-17RA-dependent stroma modification. We described a crosstalk between
three cell types, Tc17, fibroblasts and tumour cells, promoting PDAC
progression, which resulted in poor prognosis for patients.