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Published on: July 20, 2019
Stanniocalcin 1 is a phagocytosis checkpoint driving tumor immune resistance
Heng Lin1, Ilona Kryczek1, Shasha Li2
1Department of Surgery, University of Michigan School of Medicine, Ann Arbor, MI, USA; Center of Excellence for Cancer Immunology and Immunotherapy, University of Michigan Rogel Cancer Center, University of Michigan School of Medicine, Ann Arbor, MI, USA.
Abstract:
Immunotherapy induces durable clinical responses in a fraction of patients with cancer. However, therapeutic resistance poses a major challenge to current immunotherapies. Here, we identify that expression of tumor stanniocalcin 1 (STC1) correlates with immunotherapy efficacy and is negatively associated with patient survival across diverse cancer types. Gain- and loss-of-function experiments demonstrate that tumor STC1 supports tumor progression and enables tumor resistance to checkpoint blockade in murine tumor models. Mechanistically, tumor STC1 interacts with calreticulin (CRT), an "eat-me" signal, and minimizes CRT membrane exposure, thereby abrogating membrane CRT-directed phagocytosis by antigen-presenting cells (APCs), including macrophages and dendritic cells. Consequently, this impairs APC capacity of antigen presentation and T cell activation. Thus, tumor STC1 inhibits APC phagocytosis and contributes to tumor immune evasion and immunotherapy resistance. We suggest that STC1 is a previously unappreciated phagocytosis checkpoint and targeting STC1 and its interaction with CRT may sensitize to cancer immunotherapy.
Insights
Tumor stanniocalcin 1 (STC1) hinders cancer immunotherapy by blocking phagocytosis. Targeting STC1 may improve treatment responses by restoring immune cell function and overcoming therapeutic resistance.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immunotherapy offers durable responses in some cancer patients but faces challenges with therapeutic resistance.
- Tumor stanniocalcin 1 (STC1) expression is linked to immunotherapy efficacy and patient survival across various cancers.
Purpose of the Study:
- To investigate the role of tumor STC1 in tumor progression and resistance to cancer immunotherapy.
- To elucidate the mechanism by which STC1 influences anti-tumor immunity and phagocytosis.
Main Methods:
- Utilized gain- and loss-of-function experiments in murine tumor models.
- Investigated the interaction between STC1 and calreticulin (CRT) in tumor immune evasion.
- Assessed the impact of STC1 on antigen-presenting cell (APC) function and T cell activation.
Main Results:
- Tumor STC1 expression correlates with reduced immunotherapy efficacy and poorer patient survival.
- STC1 promotes tumor progression and resistance to checkpoint blockade therapy.
- STC1 inhibits phagocytosis by APCs by minimizing membrane exposure of the 'eat-me' signal CRT.
- This abrogates APC-mediated antigen presentation and T cell activation, leading to tumor immune evasion.
Conclusions:
- Tumor STC1 acts as a novel phagocytosis checkpoint, contributing to immune evasion and immunotherapy resistance.
- Targeting STC1 and its interaction with CRT presents a potential strategy to enhance cancer immunotherapy efficacy.
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