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Cathepsin-D-mediated MHC class I degradation contributes to immune evasion in colorectal cancer.

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Cell reports. Medicine 📖 저널 OA 99.2% 2021: 1/1 OA 2024: 9/9 OA 2025: 45/46 OA 2026: 73/73 OA 2021~2026 2026 Vol.7(1) p. 102534
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Zhan W, Fu Y, Liu Y, Cai R, Bai F, Guo C, Cheng Y, Wu Z, Qin G, Xie Y, Zhang J, Deng Y

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Microsatellite stable (MSS) colorectal cancer (CRC) is often considered a "cold" tumor with limited response to programmed death-1 (PD-1) antibody monotherapy.

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APA Zhan W, Fu Y, et al. (2026). Cathepsin-D-mediated MHC class I degradation contributes to immune evasion in colorectal cancer.. Cell reports. Medicine, 7(1), 102534. https://doi.org/10.1016/j.xcrm.2025.102534
MLA Zhan W, et al.. "Cathepsin-D-mediated MHC class I degradation contributes to immune evasion in colorectal cancer.." Cell reports. Medicine, vol. 7, no. 1, 2026, pp. 102534.
PMID 41483803 ↗

Abstract

Microsatellite stable (MSS) colorectal cancer (CRC) is often considered a "cold" tumor with limited response to programmed death-1 (PD-1) antibody monotherapy. The mechanisms underlying its intrinsic resistance to immunotherapy remain unclear. Here, we show that cathepsin D (CTSD) is highly expressed in MSS CRC and contributes significantly to immunotherapy resistance. Mechanistically, CTSD, acting as a protease, interacts with the α2 domain of the major histocompatibility complex (MHC) class I via the light chain of its catalytic domain, promoting MHC class I degradation through lysosomal pathways and impairing its recycling to the cell surface. This mechanism shields tumor cells from cytotoxic T-cell-mediated killing and facilitates immune evasion. Notably, genetic deletion or pharmacological inhibition of CTSD using pepstatin A prevents immune escape and enhances anti-PD-1 efficacy. These findings identify CTSD as a key mediator of immune evasion in MSS CRC and support the development of a combination therapy comprising CTSD inhibition and anti-PD-1 immunotherapy.

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