Phenotypes and cytokines of NK cells in triple-negative breast cancer resistant to checkpoint blockade immunotherapy
Neoadjuvant checkpoint blockade immunotherapy (NATI) significantly prolonged outcomes for triple-negative breast cancer (TNBC). Residual tumor cells that survive NATI represent high-risk cell populations with metastatic potential and usually evade immunosurveillance by NK cells. Using an 82-protein panel, we here profiled single-cell membrane proteomics of CD56+ (NCAM1+) NK cells from tumor, peri-cancerous tissue, as well as peripheral blood from 28 TNBC patients post-NATI of residual cancer burden II/III. Unsupervised clustering resulted in several distinct clusters: 2 tumor-infiltrating NK (TINK) clusters with divergent functions of immune activation (TNFRSF7+) and suppression (SELL+); 2 immuno-suppressive peri-cancerous clusters; and 1 periphery-specific cluster. Considering the contradiction of the 2 TINK clusters, we further tested cytokine functions of SELL + and TNFRSF7 + TINKs by single-cell secreting proteomics using a 32-cytokine panel. Consistently, SELL + TINK clusters were characterized by immuno-suppressive secretion patterns (IL10+). A low proportion of SELL + TINK cluster and low proportion of IL10 + secreting SELL + TINK cluster (single-cell secreting proteomics) were both associated with better progression-free survival time. These findings were validated in an independent cohort of 15 patients during 16-month follow-up. Overall, we identified a distinct immuno-suppressive TINK cell group, featuring IL10 + secreting and SELL expression with a strong relation to poor survival prognosis in TNBC patients post-NATI.
Authors
- Xin Qi (ORCID: https://orcid.org/0000-0003-1124-2374)
- Guanqing Zhong
- Yu Si Niu
- Xiajie Lyu
- Jiling Zeng
- Yifei Ma (ORCID: https://orcid.org/0000-0003-1305-3577)
- Fadian Ding (ORCID: https://orcid.org/0000-0002-9868-3094)
- Jiacai Lin (ORCID: https://orcid.org/0000-0002-2921-7954)
- Hong-Jun Zheng
- Bocen Chen
- Pengfei Zhu (ORCID: https://orcid.org/0000-0003-2141-8636)
- Yongluo Jiang (ORCID: https://orcid.org/0000-0002-3456-0570)
- Xinjia Wang (ORCID: https://orcid.org/0000-0003-1016-4669)
- Weidong Wang (ORCID: https://orcid.org/0000-0003-2257-0314)
- Li Jin (ORCID: https://orcid.org/0000-0003-0932-3415)
- Jun Lü (ORCID: https://orcid.org/0000-0002-9361-6087)
- Yue Ma (ORCID: https://orcid.org/0009-0009-5934-4207)
- Jinjian Li (ORCID: https://orcid.org/0009-0008-3366-3448)
- Tong Huang (ORCID: https://orcid.org/0000-0001-5710-8846)
- Tingting He (ORCID: https://orcid.org/0000-0002-6127-852X)
- Yi-Wei Xu (ORCID: https://orcid.org/0009-0002-8816-6971)
- Youlong Wang (ORCID: https://orcid.org/0000-0002-0289-7005)
Institutions
- Fujian Medical University (CN)
- Sun Yat-sen University (CN)
- Shanxi Medical University (CN)
- Dallas County (US)
- BirdLife International (KE)
- Jacobi Medical Center (US)
- Chinese PLA General Hospital (CN)
- Shantou University (CN)
- Cancer Hospital of Shantou University Medical College (CN)
- First Affiliated Hospital of Shantou University Medical College (CN)
- Second Affiliated Hospital of Shantou University Medical College (CN)
- First Affiliated Hospital of Fujian Medical University (CN)
- Hainan General Hospital (CN)
- Hainan 301 Hospital (CN)
- Sun Yat-sen University Cancer Center (CN)
- Urumqi General Hospital of PLA (CN)
- First Affiliated Hospital of Zhengzhou University (CN)
- Shanxi Academy of Medical Sciences (CN)
- Hainan 301 Hospital (CN)
- Hainan Medical University (CN)
Publication Details
- Journal
- Breast Cancer Research
- Published
- 2025-04-03
- DOI
- https://doi.org/10.1186/s13058-025-02003-y
- Citations
- 2
- Primary Topic
- Immune Cell Function and Interaction
- Type
- article
- Field-Weighted Citation Impact
- 1.59
Funders
- Basic and Applied Basic Research Foundation of Guangdong Province