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.

Cancer Immunology Research
|November 19, 2021
PubMed

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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