Yang Li, Li Aitian, Yu Weina, Wang Huishang, Zhang Lei, Wang Dan, Wang Ying, Zhang Ru, Lei Qingyang, Liu Zhangnan, Zhen Shanshan, Qin Haiming, Liu Yaqing, Yang Yang, Song Xian-Lu, Zhang Yi
Biotherapy Center and Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China; State Key Laboratory of Esophageal Cancer Prevention & Treatment, Zhengzhou, Henan, China; School of Life Sciences, Zhengzhou University, Zhengzhou, Henan, China.
Biotherapy Center and Cancer Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Drug Resist Updat. 2025 Jan;78:101175. doi: 10.1016/j.drup.2024.101175. Epub 2024 Nov 23.
AIMS: Immune checkpoint blockade therapy is not effective in most patients with non-small cell lung cancer (NSCLC) due to the immunosuppressive tumor microenvironment. Macrophages are key components of tumor-infiltrating immune cells and play a critical role in immunosuppression, which can be mediated by cell-intrinsic metabolism. This study aimed to evaluate whether macrophages regulate NSCLC progression through metabolic crosstalk with cancer cells and affect immunotherapy efficacy. METHODS: The macrophage landscape of NSCLC tissues were analyzed by single-cell sequencing and verified through flow cytometry and immunofluorescence. Multiplex assay, single-cell sequencing data, ELISA, immunofluorescence, and RNA-seq et al. were used to investigate and verify the mechanism of macrophage-mediated metabolic regulation on immunosuppression. The tumor-bearing model was established in C57BL/6 J mice to explore in vivo efficacy. RESULTS: We found that tumor tissue-derived macrophages exhibited an anti-inflammatory phenotype and had a prognostic value for NSCLC. NSCLC cell-secreted CXCL8 recruited macrophages from peritumor tissues to tumor sites and promoted programmed death-ligand 1 (PD-L1) expression by activating purine metabolism with increasing xanthine dehydrogenase and uric acid production. Moreover, purine metabolism-mediated macrophage immunosuppression was dependent on NLRP3/caspase-1/IL-1β signaling. Blockade of purine metabolism signaling enhanced anti-tumor immunity and the efficacy of anti-PD-L1 therapy. CONCLUSIONS: Collectively, our findings reveal a key role of purine metabolism in macrophage immunosuppression and suggest that blockade of purine metabolism combined with immune checkpoint blockade could provide synergistic effects in NSCLC treatment.
目的:由于免疫抑制性肿瘤微环境,免疫检查点阻断疗法对大多数非小细胞肺癌(NSCLC)患者无效。巨噬细胞是肿瘤浸润免疫细胞的关键组成部分,在免疫抑制中起关键作用,这可由细胞内在代谢介导。本研究旨在评估巨噬细胞是否通过与癌细胞的代谢串扰调节NSCLC进展并影响免疫治疗疗效。 方法:通过单细胞测序分析NSCLC组织的巨噬细胞格局,并通过流式细胞术和免疫荧光进行验证。采用多重分析、单细胞测序数据、ELISA、免疫荧光和RNA测序等方法研究并验证巨噬细胞介导的代谢调节免疫抑制的机制。在C57BL/6 J小鼠中建立荷瘤模型以探索体内疗效。 结果:我们发现肿瘤组织来源的巨噬细胞表现出抗炎表型,对NSCLC具有预后价值。NSCLC细胞分泌的CXCL8从肿瘤周围组织募集巨噬细胞至肿瘤部位,并通过增加黄嘌呤脱氢酶和尿酸生成激活嘌呤代谢来促进程序性死亡配体1(PD-L1)表达。此外,嘌呤代谢介导的巨噬细胞免疫抑制依赖于NLRP3/半胱天冬酶-1/白细胞介素-1β信号通路。阻断嘌呤代谢信号增强了抗肿瘤免疫力和抗PD-L1治疗的疗效。 结论:总体而言,我们的研究结果揭示了嘌呤代谢在巨噬细胞免疫抑制中的关键作用,并表明阻断嘌呤代谢与免疫检查点阻断相结合可在NSCLC治疗中提供协同效应。
Cell Mol Immunol. 2025-8-6
Front Immunol. 2025-6-18