Alterations of tumor microenvironment by carbon monoxide impedes lung cancer growth

Zsuzsanna Nemeth1,2, Eva Csizmadia1, Lisa Vikstrom1

  • 1Department of Surgery, Transplant Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Oncotarget
|March 20, 2016
PubMed

Insights

Carbon monoxide (CO) controls tumor-associated macrophages (TAMs), reprogramming them to an anti-tumoral phenotype. This mechanism involves reactive oxygen species (ROS) and the MAPK/Erk1/2 pathway, impacting lung cancer progression.

Area of Science:

  • Immunology
  • Oncology
  • Biochemistry

Background:

  • Tumor-associated macrophages (TAMs) play a crucial role in tumor progression.
  • The role of diffusible gases in modulating TAMs remains incompletely understood.

Purpose of the Study:

  • To investigate the role of carbon monoxide (CO) in controlling TAMs and their anti-tumoral effects.
  • To elucidate the molecular mechanisms underlying CO-mediated TAM reprogramming in lung cancer.

Main Methods:

  • Treatment of lung tumors with low doses of CO.
  • Analysis of CD86 expression and MAPK/Erk1/2 pathway activation in the tumor microenvironment.
  • Assessment of CO's anti-tumoral effects in A549 xenografts.
  • Investigation of ROS-dependent and Notch 1-dependent pathways.
  • Correlation analysis in human lung cancer specimens.

Main Results:

  • Low-dose CO induces apoptosis in lung tumors, correlating with increased CD86 expression and MAPK/Erk1/2 activation.
  • CD86-positive cells are essential for CO's anti-tumoral effects.
  • CO reprograms macrophages via ROS-dependent MAPK/Erk1/2-c-myc and Notch 1-dependent HO-1 pathways.
  • A negative correlation between HO-1 and active MAPK-Erk1/2 was observed in human lung cancer.

Conclusions:

  • CO acts as a non-cell autonomous regulator of the tumor microenvironment by modulating macrophages.
  • The study reveals novel mechanisms involving ROS, MAPK/Erk1/2, and Notch 1 pathways in CO-mediated anti-tumoral effects.
  • Findings suggest CO as a potential therapeutic agent for lung cancer through immune modulation.

Related Concept Videos

The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
8.1K
The Tumor Microenvironment02:17

The Tumor Microenvironment

3.0K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
7.3K
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

4.2K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.6K
Regulation of Angiogenesis and Blood Supply01:24

Regulation of Angiogenesis and Blood Supply

Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits.  Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
3.9K