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Therapeutic modulation of phagocytosis in glioblastoma can activate both innate and adaptive antitumour immunity.

Abstract
Tumour cell phagocytosis by antigen presenting cells (APCs) is critical to the generation of antitumour immunity. However, cancer cells can evade phagocytosis by upregulating anti-phagocytosis molecule CD47. Here, we show that CD47 blockade alone is inefficient in stimulating glioma cell phagocytosis. However, combining CD47 blockade with temozolomide results in a significant pro-phagocytosis effect due to the latter's ability to induce endoplasmic reticulum stress response. Increased tumour cell phagocytosis subsequently enhances antigen cross-presentation and activation of cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING) in APCs, resulting in more efficient T cell priming. This bridging of innate and adaptive responses inhibits glioma growth, but also activates immune checkpoint. Sequential administration of an anti-PD1 antibody overcomes this potential adaptive resistance. Together, these findings reveal a dynamic relationship between innate and adaptive immune regulation in tumours and support further investigation of phagocytosis modulation as a strategy to enhance cancer immunotherapy responses.
AuthorsChristina A von Roemeling, Yifan Wang, Yaqing Qie, Hengfeng Yuan, Hai Zhao, Xiujie Liu, Zhaogang Yang, Mingming Yang, Weiye Deng, Katelyn A Bruno, Charles K Chan, Andrew S Lee, Stephen S Rosenfeld, Kyuson Yun, Aaron J Johnson, Duane A Mitchell, Wen Jiang, Betty Y S Kim
JournalNature communications (Nat Commun) Vol. 11 Issue 1 Pg. 1508 (03 20 2020) ISSN: 2041-1723 [Electronic] England
PMID32198351 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • CD47 Antigen
  • CD47 protein, human
  • Nucleotidyltransferases
  • cGAS protein, human
  • Temozolomide
Topics
  • Adaptive Immunity
  • Animals
  • Antigen Presentation
  • Apoptosis
  • CD47 Antigen (drug effects, metabolism)
  • Cell Line, Tumor
  • Cell Proliferation
  • Disease Models, Animal
  • Endoplasmic Reticulum (metabolism)
  • Glioblastoma (immunology, pathology)
  • Glioma (immunology)
  • Humans
  • Immunity, Innate
  • Immunotherapy (methods)
  • Mice
  • Mice, Inbred C57BL
  • Monitoring, Immunologic
  • Nucleotidyltransferases (metabolism)
  • Phagocytosis (immunology)
  • T-Lymphocytes (immunology)
  • Temozolomide (pharmacology)

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