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Streptococcus anginosus mediates CD8+ T cell dysfunction via upregulating PD-L1 in gastric cancer cells
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Huilin PAN1, Jiayi JIANG1, Linyu WU1, Xipeng ZHENG1, Yongying HOU2, Junyu XIANG1, Zhongyi QIN1, Dongfeng CHEN1, Qiaoqiao ZHANG3, Zengjie LEI4, Xiaoyuan CHU4, Bin WANG1, Lei WANG1, Qiang MA2, Tao WANG1
Journal of Army Medical University | 2026, 48(6) : 745 - 756
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Journal of Army Medical University | 2026, 48(6): 745-756
• Basic Medicine •
Streptococcus anginosus mediates CD8+ T cell dysfunction via upregulating PD-L1 in gastric cancer cells
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Huilin PAN1, Jiayi JIANG1, Linyu WU1, Xipeng ZHENG1, Yongying HOU2, Junyu XIANG1, Zhongyi QIN1, Dongfeng CHEN1, Qiaoqiao ZHANG3, Zengjie LEI4, Xiaoyuan CHU4, Bin WANG1, Lei WANG1, Qiang MA2, Tao WANG1
Affiliations
  • 1Department of Gastroenterology, Chongqing Key Laboratory of Precise Prevention and Treatment of Digestive Malignancies,
  • 2Department of Pathology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing
  • 3Jinfeng Laboratory, Chongqing
  • 4Department of Medical Oncology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University (General Hospital of the Eastern Theater Command of the People’s Liberation Army), Nanjing, Jiangsu Province, China
Published: 2026-03-30 doi: 10.16016/j.2097-0927.202601002
Outline
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Objective

Recent evidence shows that Streptococcus anginosus (S.a) promotes the development of gastric cancer (GC). However, its role in GC progression, particularly its impact on tumor immune microenvironment (TIME), remains unclear. This study aims to investigate the role of S. a in advanced GC and test the hypothesis that S. a upregulates PD-L1 expression in GC cells, thereby inhibiting CD8+ T cell function.

Methods

Based on in-house RNA sequencing (RNA-seq) raw data (n=98), a computational pipeline was established to determine the relative abundance of S.a (S.a score). In parallel, a machine learning-based signature gene model was constructed to infer S. a abundance from gene expression matrices of public cohorts. Using these approaches, GC patients were stratified into S.a-high (S.ahigh) and S.a-low (S.alow) groups according to the median abundance. Single-cell RNA sequencing (scRNA-seq) data (n=23) were integrated to analyze differences in cellular composition within the TIME between the 2 groups. For in vitro validation, human (NUGC-3) and murine (TKM) GC cell lines were treated with S.a for 8 h, followed by quantification of PD-L1 expression via qPCR and Western blotting. Cytotoxic function of CD8+ T cells against S.a-pretreated GC cells was evaluated by flow cytometry in co-culture systems. where S.a-pretreated cancer cells were incubated with CD8⁺ T cells, and cytotoxicity was measured by flow cytometry. For in vivo validation, a C57BL/6 mouse orthotopic GC model was established; the experimental group received S.a bacterial suspension via oral gavage, while the control group received sterile culture medium, with continuous intervention for 6 weeks (n=6). Tumor burden was evaluated by in vivo imaging, tumor volume, and stomach weight.

Results

The abundance of S. a was significantly higher in GC tissues than in normal gastric mucosa (P=0.000 850), and high abundance was associated with poor prognosis (HR=1.49, 95%CI: 1.09 to 2.04, P=0.013 9). Analysis of the TIME using scRNA-seq data revealed distinct cellular compositions between GC tissues with varying S.a levels. Notably, S.ahigh GC tissues exhibited a significant increase in CD8+ T cell infiltration (P<0.000 1), yet these cells predominantly displayed an exhausted phenotype (P<0.000 1). Further analysis identified a subset of GC cells whose abundance is correlated positively with both S.a levels (Spearman’s rho=0.288, P<0.000 1) and proportion of exhausted CD8⁺ T cells (Spearman’s rho=0.522, P<0.000 1), suggesting their potential roles in modulating CD8⁺ T cell function. Mechanistically, S.a treatment significantly upregulated PD-L1 expression in GC cells (P<0.000 1). In co-culture assays, S.a-pretreated cancer cells impaired the cytotoxic function of CD8⁺ T cells (P=0.000 526). In vivo results demonstrated that the mice in the S. a gavage group exhibited significantly higher tumor bioluminescence intensity (P=0.030 6), larger tumor volume (P=0.045 3), and increased stomach weight (P=0.030 6) compared to the control group.

Conclusion

Enriched S.a abundance not only reshapes the TIME of GC, but also mediates CD8+ T cell exhaustion and facilitates tumor immune evasion by inducing high PD-L1 expression in GC cells.

gastric cancer  /  Streptococcus anginosus  /  tumor immune microenvironment  /  exhausted CD8⁺ T cells
潘惠琳, 蒋佳艺, 吴林育, 郑喜鹏, 侯永英, 向俊宇, 覃中毅, 陈东风, 张巧巧, 雷增杰, 褚晓源, 王斌, 王磊, 马强, 王涛. 咽峡炎链球菌通过上调胃癌细胞PD-L1表达介导CD8⁺ T细胞功能抑制. 陆军军医大学学报, 2026 , 48 (6) : 745 -756 . DOI: 10.16016/j.2097-0927.202601002
Huilin PAN, Jiayi JIANG, Linyu WU, Xipeng ZHENG, Yongying HOU, Junyu XIANG, Zhongyi QIN, Dongfeng CHEN, Qiaoqiao ZHANG, Zengjie LEI, Xiaoyuan CHU, Bin WANG, Lei WANG, Qiang MA, Tao WANG. Streptococcus anginosus mediates CD8+ T cell dysfunction via upregulating PD-L1 in gastric cancer cells[J]. Journal of Army Medical University, 2026 , 48 (6) : 745 -756 . DOI: 10.16016/j.2097-0927.202601002
Year 2026 volume 48 Issue 6
78
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Article Info
doi: 10.16016/j.2097-0927.202601002
  • Receive Date:2026-01-02
  • Online Date:2026-10-23
  • Published:2026-03-30
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History
  • Received:2026-01-02
  • Revised:2026-01-26
Affiliations
    1Department of Gastroenterology, Chongqing Key Laboratory of Precise Prevention and Treatment of Digestive Malignancies,
    2Department of Pathology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing
    3Jinfeng Laboratory, Chongqing
    4Department of Medical Oncology, Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University (General Hospital of the Eastern Theater Command of the People’s Liberation Army), Nanjing, Jiangsu Province, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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