2023
DOI: 10.1038/s41420-023-01392-3
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Midkine inhibition enhances anti-PD-1 immunotherapy in sorafenib-treated hepatocellular carcinoma via preventing immunosuppressive MDSCs infiltration

Abstract: Sorafenib, a multiple-target tyrosine kinase inhibitor, is the standard of care for patients with advanced hepatocellular carcinoma (HCC), but provides limited benefits. Emerging evidences suggest that prolonged sorafenib treatment induces an immunosuppressive HCC microenvironment, but the underling mechanism is undetermined. In the present study, the potential function of midkine, a heparin-binding growth factor/cytokine, was evaluated in sorafenib-treated HCC tumors. Infiltrating immune cells of orthotopic H… Show more

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Cited by 11 publications
(8 citation statements)
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“…These results were in line with a recent report that alveolar macrophages accumulate close to tumor cells early during tumor formation to promote epithelial-mesenchymal transition and invasiveness in tumor cells, also induce a potent suppressive Treg response 21 . We also found the expression level of immune suppressive modulators MDK and LGALS9 were upregulated in PC4, indicating an immune suppression phenotype (Figure 5J) [46][47][48] . Spatial analysis of immune cell types and states of leading edge of tumor regions reveals a local suppressive immune environment involved in promoting cancer cell invasion.…”
Section: Phenotypic Clusters From Heterogeneous Malignant Cells Are A...mentioning
confidence: 70%
“…These results were in line with a recent report that alveolar macrophages accumulate close to tumor cells early during tumor formation to promote epithelial-mesenchymal transition and invasiveness in tumor cells, also induce a potent suppressive Treg response 21 . We also found the expression level of immune suppressive modulators MDK and LGALS9 were upregulated in PC4, indicating an immune suppression phenotype (Figure 5J) [46][47][48] . Spatial analysis of immune cell types and states of leading edge of tumor regions reveals a local suppressive immune environment involved in promoting cancer cell invasion.…”
Section: Phenotypic Clusters From Heterogeneous Malignant Cells Are A...mentioning
confidence: 70%
“…However, the immunosuppressive cytokine IL-10 produced by DCs can inhibit immune activation and lead to immune tolerance, facilitating viral persistence. Additionally, DCs can interact with other immune cells, such as NK cells and regulatory T cells (Tregs), influencing their activity and contributing to the delicate balance between immune control and tolerance[ 44 , 45 ]. Further research is necessary to investigate the mechanisms underlying DC impairment resulting from HBV reactivation.…”
Section: Possible Immunological Mechanisms Of Hbv Reactivationmentioning
confidence: 99%
“…Nf1-/- SCs overexpress pleiotropin and midkine, homologous ligands that bind to receptor tyrosine kinases, serve as potent mitogens for neurofibroma derived cells [ 59 ], and are known to increase in response to inflammation and NF-κB-dependent signaling [ 60 ]. Evidence suggests that midkine may also stimulate inflammatory responses and promote the recruitment of multiple immune cell types, including T cells, B cells, and macrophages, to the tumor microenvironment [ 61 , 62 , 63 , 64 ]. PNF arising in Dhh-Cre;Nf1 flox/flox mice exhibit increased immune cell infiltration and dynamic changes in immune cell proportions over time [ 60 ].…”
Section: Neurofibromin Governs Sc–immune Cell Interactionsmentioning
confidence: 99%