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Antagonizing Integrin β3 Increases Immunosuppression in Cancer
Xinming Su1, Alison K Esser1, Sarah R Amend1
1Department of Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri.
Abstract:
Integrin β3 is critical for tumor invasion, neoangiogenesis, and inflammation, making it a promising cancer target. However, preclinical and clinical data of integrin β3 antagonists have demonstrated no benefit or worse outcomes. We hypothesized that integrin β3 could affect tumor immunity and evaluated tumors in mice with deletion of integrin β3 in macrophage lineage cells (β3KOM). β3KOM mice had increased melanoma and breast cancer growth with increased tumor-promoting M2 macrophages and decreased CD8(+) T cells. Integrin β3 antagonist, cilengitide, also enhanced tumor growth and increased M2 function. We uncovered a negative feedback loop in M2 myeloid cells, wherein integrin β3 signaling favored STAT1 activation, an M1-polarizing signal, and suppressed M2-polarizing STAT6 activation. Finally, disruption of CD8(+) T cells, macrophages, or macrophage integrin β3 signaling blocked the tumor-promoting effects of integrin β3 antagonism. These results suggest that effects of integrin β3 therapies on immune cells should be considered to improve outcomes. Cancer Res; 76(12); 3484-95. ©2016 AACR.
Insights
Integrin β3 antagonists may worsen cancer by promoting M2 macrophages and reducing CD8(+) T cells. Targeting integrin β3 in immune cells could improve cancer therapy outcomes.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Integrin β3 is a target for cancer therapy due to its role in tumor invasion, angiogenesis, and inflammation.
- Previous studies on integrin β3 antagonists have yielded disappointing or negative clinical results.
Purpose of the Study:
- To investigate the role of integrin β3 in tumor immunity.
- To determine the impact of integrin β3 deletion in macrophages on cancer progression.
- To evaluate the effects of integrin β3 antagonism on the tumor immune microenvironment.
Main Methods:
- Generated mice with integrin β3 deleted in macrophage lineage cells (β3KOM).
- Assessed tumor growth, immune cell infiltration (M2 macrophages, CD8(+) T cells), and signaling pathways (STAT1, STAT6) in mouse models.
- Administered integrin β3 antagonist cilengitide to evaluate its effects on tumor growth and immunity.
Main Results:
- β3KOM mice exhibited increased melanoma and breast cancer growth, characterized by more M2 macrophages and fewer CD8(+) T cells.
- Cilengitide treatment also enhanced tumor growth and M2 macrophage function.
- Integrin β3 signaling was found to promote M1 polarization (via STAT1) and suppress M2 polarization (via STAT6) in M2 myeloid cells.
- Disrupting CD8(+) T cells, macrophages, or macrophage integrin β3 signaling counteracted the tumor-promoting effects of integrin β3 antagonism.
Conclusions:
- Integrin β3 plays a crucial role in regulating the tumor immune microenvironment.
- Integrin β3 antagonism can promote tumor growth by altering macrophage polarization and T cell responses.
- Considering the impact of integrin β3 therapies on immune cells is essential for improving cancer treatment outcomes.
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