T cell branched glycosylation as a mediator of colitis-associated colorectal cancer progression: a potential new risk biomarker in Inflammatory Bowel Disease.

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Tác giả: Mariana C Silva, Tania de Alda Catalá, Guilherme Faria, Ângela Fernandes, Henrique Fernandes-Mendes, Maria J Fernandez-Aceñero, Paula Lago, Eduarda Leite-Gomes, Julian López Portero, Catarina M Azevedo, Ana M Dias, Ricardo Marcos-Pinto, Rafaela Nogueira, Salomé S Pinho, Joana Raposo, Isadora Rosa, Beatriz Santos-Pereira, Carlos Taxonera

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Journal of Crohn's & colitis , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 712995

Inflammatory Bowel Disease (IBD) is a chronic inflammatory disorder of the gastrointestinal tract, established as a risk factor for Colorectal Cancer (CRC) development. Long-standing inflammation appears to play a central role in Colitis-associated Colorectal Cancer (CAC). However, the molecular mechanism underlying CAC progression is still elusive. Previous evidence showed that levels of branched glycosylation regulate T cell-mediated immune response associated with IBD severity. Here, we revealed that colonic T cells from IBD patients are dynamically regulated by branched N-glycosylation and associated with the risk of CAC development. The combined analysis of human IBD and CAC clinical samples, together with glycoengineered mouse model susceptible to CAC, revealed a gradual and dynamic increase of branched N-glycans in T cells from colitis to dysplasia and cancer. This glycosylation switch was shown to impose inhibitory properties in T cells, precluding an effective anti-tumor immune response. Mechanistically, we demonstrated that the deletion of branched N-glycans in Mgat5 KO mice led to CAC suppression due to increased infiltration of CD8+ and γδ T cells, contributing to an effective anti-tumor immune response. From the clinical standpoint, we demonstrated that branched N-glycosylation levels detected in inflamed lesions from IBD patients predicted CAC progression with a sensitivity of 83.3% and specificity of 67.9%, when assessed together with age at diagnosis. Overall, we here disclosed a new mechanism underlying CAC development, identifying a potential clinical biomarker plausible to improve the efficacy of cancer surveillance programs through the early identification of high risk IBD patients, for preventive clinical and therapeutic strategies.
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