Department of Biomedicine, University Hospital and University of Basel, 4031 Basel, Switzerland.
Bloomberg-Kimmel Institute for Cancer Immunotherapy at Johns Hopkins, Baltimore, MD 21287, USA.
Sci Transl Med. 2022 Nov 2;14(669):eabj1270. doi: 10.1126/scitranslmed.abj1270.
Immune checkpoint blockade (ICB) has substantially improved the prognosis of patients with cancer, but the majority experiences limited benefit, supporting the need for new therapeutic approaches. Up-regulation of sialic acid-containing glycans, termed hypersialylation, is a common feature of cancer-associated glycosylation, driving disease progression and immune escape through the engagement of Siglec receptors on tumor-infiltrating immune cells. Here, we show that tumor sialylation correlates with distinct immune states and reduced survival in human cancers. The targeted removal of Siglec ligands in the tumor microenvironment, using an antibody-sialidase conjugate, enhanced antitumor immunity and halted tumor progression in several murine models. Using single-cell RNA sequencing, we revealed that desialylation repolarized tumor-associated macrophages (TAMs). We also identified Siglec-E as the main receptor for hypersialylation on TAMs. Last, we found that genetic and therapeutic desialylation, as well as loss of Siglec-E, enhanced the efficacy of ICB. Thus, therapeutic desialylation represents an immunotherapeutic approach to reshape macrophage phenotypes and augment the adaptive antitumor immune response.
免疫检查点阻断(ICB)显著改善了癌症患者的预后,但大多数患者获益有限,这支持需要新的治疗方法。唾液酸化糖蛋白的上调,称为高唾液酸化,是癌症相关糖基化的一个常见特征,通过肿瘤浸润免疫细胞上的 Siglec 受体的参与,驱动疾病进展和免疫逃逸。在这里,我们表明肿瘤唾液酸化与人类癌症中的不同免疫状态和降低的生存率相关。使用抗体-唾液酸酶缀合物靶向去除肿瘤微环境中的 Siglec 配体,增强了几种小鼠模型中的抗肿瘤免疫并阻止了肿瘤进展。通过单细胞 RNA 测序,我们揭示了去唾液酸化使肿瘤相关巨噬细胞(TAMs)重新极化。我们还确定 Siglec-E 是 TAMs 上高唾液酸化的主要受体。最后,我们发现遗传和治疗性去唾液酸化以及 Siglec-E 的缺失增强了 ICB 的疗效。因此,治疗性去唾液酸化代表了一种重塑巨噬细胞表型和增强适应性抗肿瘤免疫反应的免疫治疗方法。