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Published on: April 9, 2021
Fatty acid transport protein 2 reprograms neutrophils in cancer
Filippo Veglia1, Vladimir A Tyurin2, Maria Blasi3
1Immunology, Microenvironment and Metastasis Program, The Wistar Institute, Philadelphia, PA, USA.
Abstract:
Polymorphonuclear myeloid-derived suppressor cells (PMN-MDSCs) are pathologically activated neutrophils that are crucial for the regulation of immune responses in cancer. These cells contribute to the failure of cancer therapies and are associated with poor clinical outcomes. Despite recent advances in the understanding of PMN-MDSC biology, the mechanisms responsible for the pathological activation of neutrophils are not well defined, and this limits the selective targeting of these cells. Here we report that mouse and human PMN-MDSCs exclusively upregulate fatty acid transport protein 2 (FATP2). Overexpression of FATP2 in PMN-MDSCs was controlled by granulocyte-macrophage colony-stimulating factor, through the activation of the STAT5 transcription factor. Deletion of FATP2 abrogated the suppressive activity of PMN-MDSCs. The main mechanism of FATP2-mediated suppressive activity involved the uptake of arachidonic acid and the synthesis of prostaglandin E2. The selective pharmacological inhibition of FATP2 abrogated the activity of PMN-MDSCs and substantially delayed tumour progression. In combination with checkpoint inhibitors, FATP2 inhibition blocked tumour progression in mice. Thus, FATP2 mediates the acquisition of immunosuppressive activity by PMN-MDSCs and represents a target to inhibit the functions of PMN-MDSCs selectively and to improve the efficiency of cancer therapy.
Insights
Fatty acid transport protein 2 (FATP2) drives immunosuppressive functions in polymorphonuclear myeloid-derived suppressor cells (PMN-MDSCs). Inhibiting FATP2 selectively targets these cells, enhancing cancer therapy efficacy and delaying tumor progression.
Area of Science:
- Immunology
- Cancer Biology
- Cellular Metabolism
Background:
- Polymorphonuclear myeloid-derived suppressor cells (PMN-MDSCs) are neutrophils implicated in cancer immune evasion and therapeutic resistance.
- The precise mechanisms driving PMN-MDSC pathological activation remain incompletely understood, hindering targeted therapeutic strategies.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying PMN-MDSC immunosuppressive function.
- To identify and validate a selective therapeutic target for PMN-MDSCs.
Main Methods:
- Comparative analysis of gene expression in mouse and human PMN-MDSCs.
- Investigated the role of fatty acid transport protein 2 (FATP2) in PMN-MDSC function using genetic deletion and pharmacological inhibition.
- Assessed the impact of FATP2 modulation on tumor progression in preclinical models, including combination therapy with checkpoint inhibitors.
Main Results:
- PMN-MDSCs exclusively upregulate FATP2, controlled by GM-CSF and STAT5 signaling.
- FATP2 deletion abolished PMN-MDSC suppressive activity, primarily through regulating arachidonic acid uptake and prostaglandin E2 synthesis.
- Pharmacological FATP2 inhibition abrogated PMN-MDSC function and significantly delayed tumor growth, with synergistic effects when combined with checkpoint inhibitors.
Conclusions:
- FATP2 is essential for the immunosuppressive phenotype of PMN-MDSCs.
- Selective FATP2 inhibition represents a promising strategy to disarm PMN-MDSCs and enhance cancer immunotherapy outcomes.
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