State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, 510060, P. R. China.
Key Laboratory of Molecular Biophysics, the Ministry of Education, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, Hubei, 430074, P. R. China.
Adv Sci (Weinh). 2024 Sep;11(36):e2403019. doi: 10.1002/advs.202403019. Epub 2024 Jul 25.
The main challenge for immune checkpoint blockade (ICB) therapy lies in immunosuppressive tumor microenvironment (TME). Repolarizing M2-like tumor-associated macrophages (TAMs) into inflammatory M1 phenotype is a promising strategy for cancer immunotherapy. Here, this study shows that the tumor suppressive protein SHISA3 regulates the antitumor functions of TAMs. Local delivery of mRNA encoding Shisa3 enables cancer immunotherapy by reprogramming TAMs toward an antitumoral phenotype, thus enhancing the efficacy of programmed cell death 1 (PD-1) antibody. Enforced expression of Shisa3 in TAMs increases their phagocytosis and antigen presentation abilities and promotes CD8 T cell-mediated antitumor immunity. The expression of SHISA3 is induced by damage/pathogen-associated molecular patterns (DAMPs/PAMPs) in macrophages via nuclear factor-κB (NF-κB) transcription factors. Reciprocally, SHISA3 forms a complex with heat shock protein family A member 8 (HSPA8) to activate NF-κB signaling thus maintaining M1 polarization of macrophages. Knockout Shisa3 largely abolishes the antitumor efficacy of combination immunotherapy with Toll-like receptor 4 (TLR4) agonist monophosphoryl lipid A (MPLA) and PD-1 antibody. It further found that higher expression of SHISA3 in antitumoral TAMs is associated with better overall survival in lung cancer patients. Taken together, the findings describe the role of SHISA3 in reprogramming TAMs that ameliorate cancer immunotherapy.
免疫检查点阻断 (ICB) 治疗的主要挑战在于免疫抑制性肿瘤微环境 (TME)。将 M2 样肿瘤相关巨噬细胞 (TAMs) 重极化为炎症性 M1 表型是癌症免疫治疗的一种有前途的策略。本研究表明,肿瘤抑制蛋白 SHISA3 调节 TAMs 的抗肿瘤功能。通过将 mRNA 编码的 Shisa3 局部递送至肿瘤中,可通过将 TAMs 重编程为抗肿瘤表型来实现癌症免疫治疗,从而增强程序性细胞死亡 1 (PD-1) 抗体的疗效。在 TAMs 中强制表达 Shisa3 可增加其吞噬和抗原呈递能力,并促进 CD8 T 细胞介导的抗肿瘤免疫。SHISA3 的表达是通过巨噬细胞中的核因子-κB (NF-κB) 转录因子诱导的损伤/病原体相关分子模式 (DAMPs/PAMPs) 诱导的。反过来,SHISA3 与热休克蛋白家族 A 成员 8 (HSPA8) 形成复合物,激活 NF-κB 信号通路,从而维持巨噬细胞的 M1 极化。敲除 Shisa3 会大大削弱 Toll 样受体 4 (TLR4) 激动剂单磷酰脂质 A (MPLA) 和 PD-1 抗体联合免疫治疗的抗肿瘤疗效。进一步发现,抗肿瘤 TAMs 中 SHISA3 的高表达与肺癌患者的总生存率提高有关。总之,这些发现描述了 SHISA3 在重编程 TAMs 以改善癌症免疫治疗中的作用。