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The Expression of Adenosine A2B Receptor on Antigen-Presenting Cells Suppresses CD8+ T-cell Responses and Promotes
Siqi Chen1, Imran Akdemir2, Jie Fan1
1Robert H. Lurie Comprehensive Cancer Center, Department of Medicine-Division of Hematology/Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Abstract:
Accumulating evidence suggests that inhibiting adenosine-generating ecto-enzymes (CD39 and CD73) and/or adenosine A2A or A2B receptors (R) stimulates antitumor immunity and limits tumor progression. Although activating A2ARs or A2BRs causes similar immunosuppressive and protumoral functions, few studies have investigated the distinct role of A2BR in cancer. Here, we showed that A2BR expression by hematopoietic cells was primarily responsible for promoting tumor growth. Deletion of A2BR profoundly enhanced anticancer T-cell immunity. Although T-cell A2BR plays an insignificant role for A2BR-mediated immunosuppression and tumor promotion, A2BR deficiency in tumor-bearing mice caused increased infiltration of myeloid and CD103+ dendritic cells, which was associated with more effective cross-priming of adoptively transferred tumor antigen-specific CD8+ T cells. A2BR deletion also intrinsically favored accumulation of myeloid and CD11bdim antigen-presenting cells (APC) in the tumor microenvironment. Both myeloid-specific or CD11c-specific conditional deletion of A2BR delayed primary tumor growth. Myeloid, but not CD11c-specific conditional, depletion delayed lung metastasis. Pharmacologic blockade of A2BR improved the antitumor effect of adoptive T-cell therapy. Overall, these results suggested that A2BR expression on myeloid cells and APCs indirectly suppressed CD8+ T-cell responses and promoted metastasis. These data provide a strong rationale to combine A2BR inhibition with T-cell-based immunotherapy for the treatment of tumor growth and metastasis.
Insights
Blocking adenosine A2B receptors (A2BR) on myeloid cells enhances anti-tumor T-cell immunity and limits tumor growth and metastasis. This suggests A2BR inhibition is a promising strategy for cancer immunotherapy.
Area of Science:
- Immunology
- Cancer Biology
- Pharmacology
Background:
- Adenosine receptor signaling, particularly via A2A and A2B receptors (A2AR/A2BR), plays a role in regulating antitumor immunity.
- While A2AR and A2BR share immunosuppressive functions, the specific role of A2BR in cancer progression remains less understood.
Purpose of the Study:
- To elucidate the distinct role of A2BR in tumor growth, metastasis, and immune response.
- To evaluate the therapeutic potential of A2BR inhibition in cancer treatment.
Main Methods:
- Utilized genetically modified mice with A2BR deletion in specific cell types (hematopoietic, myeloid, CD11c-expressing cells).
- Assessed tumor growth, metastasis, and immune cell infiltration (T cells, myeloid cells, dendritic cells) in vivo.
- Analyzed antigen-presenting cell (APC) function and cross-priming of tumor antigen-specific CD8+ T cells.
- Investigated the efficacy of pharmacologic A2BR blockade in combination with adoptive T-cell therapy.
Main Results:
- A2BR expression on hematopoietic cells significantly promoted tumor growth.
- A2BR deficiency enhanced anticancer T-cell immunity, increasing CD8+ T cell responses.
- A2BR deletion in myeloid or CD11c+ cells delayed primary tumor growth.
- Myeloid-specific A2BR deletion, but not CD11c-specific deletion, delayed lung metastasis.
- Pharmacologic A2BR blockade augmented the antitumor effects of adoptive T-cell therapy.
Conclusions:
- A2BR on myeloid cells and APCs suppresses antitumor CD8+ T cell responses and promotes tumor metastasis.
- Targeting A2BR, particularly on myeloid cells, represents a viable strategy to enhance cancer immunotherapy.
- Combining A2BR inhibition with T-cell-based therapies holds promise for treating cancer growth and metastasis.
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