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.

Nature
|April 19, 2019
PubMed

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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