Frontiers in Oncology (Sep 2022)

B cell deficiency promotes the initiation and progression of lung cancer

  • Han Wu,
  • Han Wu,
  • Chen Chen,
  • Lixing Gu,
  • Lixing Gu,
  • Lixing Gu,
  • Jiapeng Li,
  • Jiapeng Li,
  • Jiapeng Li,
  • Yunqiang Yue,
  • Yunqiang Yue,
  • Mengqing Lyu,
  • Mengqing Lyu,
  • Yeting Cui,
  • Yeting Cui,
  • Xiaoyu Zhang,
  • Xiaoyu Zhang,
  • Yu Liu,
  • Yu Liu,
  • Haichuan Zhu,
  • Haichuan Zhu,
  • Xinghua Liao,
  • Xinghua Liao,
  • Tongcun Zhang,
  • Tongcun Zhang,
  • Fan Sun,
  • Fan Sun,
  • Weidong Hu

DOI
https://doi.org/10.3389/fonc.2022.1006477
Journal volume & issue
Vol. 12

Abstract

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Currently commercialized CAR-T cell therapies targeting CD19 and BCMA show great efficacy to cure B cell malignancies. However, intravenous infusion of these CAR-T cells severely destroys both transformed and normal B cells in most tissues and organs, in particular lung, leading to a critical question that what the impact of normal B cell depletion on pulmonary diseases and lung cancer is. Herein, we find that B cell frequency is remarkably reduced in both smoking carcinogen-treated lung tissues and lung tumors, which is associated with advanced cancer progression and worse patient survival. B cell depletion by anti-CD20 antibody significantly accelerates the initiation and progression of lung tumors, which is mediated by repressed tumor infiltration of T cells and macrophage elimination of tumor cells. These findings unveil the overall antitumor activity of B cells in lung cancer, providing novel insights into both mechanisms underlying lung cancer pathogenesis and clinical prevention post CAR-T cell therapy.

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