The P2X7 receptor modulates immune cells infiltration, ectonucleotidases expression and extracellular ATP levels in

Elena De Marchi1, Elisa Orioli1, Anna Pegoraro1

  • 1Department of Morphology, Surgery and Experimental Medicine, Section of Pathology, Oncology and Experimental Biology, University of Ferrara, Via Luigi Borsari, 46, 44121, Ferrara, Italy.

Oncogene
|January 19, 2019
PubMed

Insights

Genetic deficiency of the P2X7 receptor alters tumor microenvironment immunity, increasing regulatory T cells (Tregs). P2X7 receptor antagonism has different immune effects, highlighting its complex role in cancer.

Area of Science:

  • Immunology
  • Cancer Biology
  • Molecular Biology

Background:

  • The tumor microenvironment (TME) is crucial for cancer progression.
  • ATP and its receptor P2X7 significantly influence cancer growth and tumor-host interactions.
  • Understanding the differential effects of P2X7 modulation is key to cancer therapy.

Purpose of the Study:

  • To analyze the distinct effects of P2X7 genetic deficiency versus antagonism on P2X7-expressing tumors.
  • To investigate the role of immune cell ectonucleotidases (CD39, CD73) and TME ATP levels.
  • To elucidate the impact on immune cell infiltrate and function within the TME.

Main Methods:

  • Comparison of tumor growth and immune infiltrate in P2X7 null mice versus wild-type mice treated with a P2X7 antagonist (A740003).
  • Flow cytometry analysis of immune cells (CD8+, Tregs, CD4+ effector cells) and their marker expression (OX40, PD-1, CD73, CD39).
  • Measurement of ATP levels in the TME and assessment of cytokine profiles (INF-γ, TGF-β).

Main Results:

  • P2X7 deficiency led to decreased CD8+ T cells and increased Tregs with an exhausted phenotype in the TME.
  • P2X7 antagonism in wild-type mice increased CD4+ effector cells and decreased their ectonucleotidase expression.
  • P2X7 deficiency reduced TME ATP and nucleotide secretion, while antagonism did not alter TME ATP levels due to cancer cell release and altered immune cell ectonucleotidase activity.

Conclusions:

  • P2X7 receptor genetic deficiency profoundly reshapes the TME immune landscape, favoring immunosuppression.
  • P2X7 receptor antagonism elicits distinct immune responses, impacting effector cell function and ectonucleotidase activity.
  • The P2X7 receptor is a critical regulator of TME composition, influencing immune cell infiltrate, ectonucleotidases, and ATP dynamics.

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