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Published on: November 28, 2019
Macrophage-Targeted Therapy Unlocks Antitumoral Cross-talk between IFNγ-Secreting Lymphocytes and IL12-Producing
Christina Pfirschke1, Rapolas Zilionis2,3, Camilla Engblom1
1Center for Systems Biology, Massachusetts General Hospital Research Institute and Harvard Medical School, Boston, Massachusetts.
Abstract:
Macrophages often abound within tumors, express colony-stimulating factor 1 receptor (CSF1R), and are linked to adverse patient survival. Drugs blocking CSF1R signaling have been used to suppress tumor-promoting macrophage responses; however, their mechanisms of action remain incompletely understood. Here, we assessed the lung tumor immune microenvironment in mice treated with BLZ945, a prototypical small-molecule CSF1R inhibitor, using single-cell RNA sequencing and mechanistic validation approaches. We showed that tumor control was not caused by CSF1R+ cell depletion; instead, CSF1R targeting reshaped the CSF1R+ cell landscape, which unlocked cross-talk between antitumoral CSF1R- cells. These cells included IFNγ-producing natural killer and T cells, and an IL12-producing dendritic cell subset, denoted as DC3, which were all necessary for CSF1R inhibitor-mediated lung tumor control. These data indicate that CSF1R targeting can activate a cardinal cross-talk between cells that are not macrophages and that are essential to mediate the effects of T cell-targeted immunotherapies and promote antitumor immunity.See related Spotlight by Burrello and de Visser, p. 4.
Insights
Colony-stimulating factor 1 receptor (CSF1R) inhibitors control tumors not by depleting macrophages, but by enabling communication between other immune cells, including natural killer cells, T cells, and dendritic cells, to promote antitumor immunity.
Area of Science:
- Immunology
- Cancer Biology
- Pharmacology
Background:
- Macrophages expressing colony-stimulating factor 1 receptor (CSF1R) are prevalent in tumors and associated with poor patient outcomes.
- CSF1R-targeting drugs aim to suppress pro-tumorigenic macrophage functions, but their precise mechanisms are not fully understood.
Purpose of the Study:
- To investigate the impact of CSF1R inhibition on the lung tumor immune microenvironment.
- To elucidate the mechanisms by which CSF1R inhibitors mediate tumor control.
Main Methods:
- Single-cell RNA sequencing was employed to analyze the murine lung tumor immune microenvironment after treatment with the CSF1R inhibitor BLZ945.
- Mechanistic validation approaches were used to confirm observed cellular interactions and functions.
Main Results:
- Tumor control was not achieved through the depletion of CSF1R-expressing cells.
- CSF1R inhibition reshaped the tumor immune landscape, fostering cross-talk between antitumoral CSF1R-negative cells.
- Key effector cells included IFNγ-producing natural killer and T cells, and IL12-producing dendritic cell subset 3 (DC3).
Conclusions:
- CSF1R targeting activates crucial cross-talk between non-macrophage immune cells, rather than solely targeting macrophages.
- This activated cellular communication is essential for mediating the effects of T cell-targeted immunotherapies.
- The findings highlight a novel mechanism for promoting antitumor immunity through CSF1R inhibition.
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