Li Jiaxin, Wang Zhaoyu, Qin Xiaogan, Zhong Ming-Chao, Tang Zhenghai, Qian Jin, Dou Jiayu, Hussell Tracy, King Philip D, Nunès Jacques A, Yamanashi Yuji, Davidson Dominique, Veillette André
Laboratory of Molecular Oncology, Institut de recherches cliniques de Montréal (IRCM), Montréal, QC, Canada.
Department of Medicine, McGill University, Montréal, QC, Canada.
Nat Commun. 2025 Jun 3;16(1):5145. doi: 10.1038/s41467-025-60456-3.
Targeting macrophage inhibitory receptors like signal regulatory protein α (SIRPα) is a promising avenue in cancer treatment. Whereas the ligand of SIRPα, CD47, is widely expressed on tumor cells, its simultaneous presence on all normal cells raises concerns about toxicity and efficacy. This study identifies CD200R1, which binds CD200 on specific tumor types and limited normal cells, as an alternative inhibitory checkpoint for phagocytosis. Blocking or removing CD200R1 from macrophages or CD200 from tumor cells increases phagocytosis and suppresses tumor growth. In humans, CD200R1 is mainly expressed in immunosuppressive macrophages and is induced by interleukin-4. Unlike SIRPα that utilizes phosphatases Src homology 2 domain phosphatase (SHP)-1 and SHP-2, CD200R1 mediates its inhibitory effect via the kinase Csk. Combined CD200R1-CD200 and SIRPα-CD47 blockade further boosts phagocytosis and reduces tumor growth of CD200-expressing tumors, compared to either blockade alone. Thus, targeting CD200R1-CD200 is a promising strategy for immune checkpoint blockade in macrophages, either alone or alongside blockade of other checkpoints.
靶向巨噬细胞抑制受体,如信号调节蛋白α(SIRPα),是癌症治疗中一条很有前景的途径。虽然SIRPα的配体CD47在肿瘤细胞上广泛表达,但其在所有正常细胞上同时存在引发了对毒性和疗效的担忧。本研究确定了CD200R1,它在特定肿瘤类型和有限的正常细胞上与CD200结合,是吞噬作用的另一个抑制性检查点。从巨噬细胞中阻断或去除CD200R1或从肿瘤细胞中去除CD200可增强吞噬作用并抑制肿瘤生长。在人类中,CD200R1主要在免疫抑制性巨噬细胞中表达,并由白细胞介素-4诱导。与利用磷酸酶Src同源2结构域磷酸酶(SHP)-1和SHP-2的SIRPα不同,CD200R1通过激酶Csk介导其抑制作用。与单独阻断任一检查点相比,联合阻断CD200R1-CD200和SIRPα-CD47可进一步增强吞噬作用并减少表达CD200的肿瘤的生长。因此,靶向CD200R1-CD200是巨噬细胞免疫检查点阻断的一种有前景的策略,可单独使用或与其他检查点阻断联合使用。