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New tools to prevent cancer growth and spread: a 'Clever' approach
Maija Hollmén1, Carlos R Figueiredo1, Sirpa Jalkanen2
1MediCity Research Laboratory and Institute of Biomedicine, University of Turku, Turku, Finland.
Abstract:
Clever-1 (also known as Stabilin-1 and FEEL-1) is a scavenger receptor expressed on lymphatic endothelial cells, sinusoidal endothelial cells and immunosuppressive monocytes and macrophages. Its role in cancer growth and spread first became evident in Stab1-/- knockout mice, which have smaller primary tumours and metastases. Subsequent studies in mice and humans have shown that immunotherapeutic blockade of Clever-1 can activate T-cell responses, and that this response is mainly mediated by a phenotypic change in macrophages and monocytes from immunosuppressive to pro-inflammatory following Clever-1 inhibition. Analyses of human cancer cohorts have revealed marked associations between the number of Clever-1-positive macrophages and patient outcome. As hardly any reports to date have addressed the role of Clever-1 in immunotherapy resistance and T-cell dysfunction, we performed data mining using several published cancer cohorts, and observed a remarkable correlation between Clever-1 positivity and resistance to immune checkpoint therapies. This result provides impetus and potential for the ongoing clinical trial targeting Clever-1 in solid tumours, which has so far shown a shift towards immune activation when a particular epitope of Clever-1 is blocked.
Insights
Clever-1 blockade shifts immunosuppressive cells to a pro-inflammatory state, enhancing T-cell responses. This finding is crucial for overcoming immunotherapy resistance in solid tumors.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Clever-1 (Stabilin-1/FEEL-1) is a scavenger receptor on immunosuppressive cells.
- Clever-1 expression correlates with poor patient outcomes and tumor growth.
- Its role in immunotherapy resistance and T-cell dysfunction requires further investigation.
Purpose of the Study:
- To investigate the association between Clever-1 expression and resistance to immune checkpoint therapies.
- To explore the impact of Clever-1 blockade on T-cell responses and macrophage phenotype in cancer.
Main Methods:
- Data mining of published human cancer cohorts.
- Analysis of Clever-1 expression and its correlation with treatment outcomes.
- Evaluation of Clever-1 blockade effects on immune cell phenotypes.
Main Results:
- A significant correlation was observed between high Clever-1 positivity and resistance to immune checkpoint therapies.
- Clever-1 blockade induced a phenotypic switch in macrophages and monocytes from immunosuppressive to pro-inflammatory.
- This switch was associated with enhanced T-cell responses.
Conclusions:
- Clever-1 plays a critical role in mediating tumor-induced immunosuppression and immunotherapy resistance.
- Targeting Clever-1 represents a promising strategy to overcome resistance and enhance anti-tumor immunity.
- Ongoing clinical trials targeting Clever-1 are supported by these findings.
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