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Isolation of Primary Cancer-Associated Fibroblasts from a Syngeneic Murine Model of Breast Cancer for the Study of Targeted Nanoparticles
Published on: May 14, 2021
CD73-Mediated Immunosuppression Is Linked to a Specific Fibroblast Population That Paves the Way for New Therapy in
Ilaria Magagna1,2,3, Nicolas Gourdin3, Yann Kieffer1,2
1Equipe labellisée Ligue Nationale Contre le Cancer, Stress and Cancer Laboratory, Institut Curie, PSL Research University, 26, rue d'Ulm, 75005 Paris, France.
Background:
Cancer-associated fibroblasts (CAF) are heterogeneous with multiple functions in breast cancer. Recently, we identified a specific CAF subpopulation (referred to as CAF-S1), which promotes immunosuppression and immunotherapy resistance.
Methods And Results:
Here, by studying a large collection of human samples, we highlight the key function of CD73/NT5E in CAF-S1-mediated immunosuppression in breast cancer. We first reveal that CD73 protein level specifically accumulates in CAF-S1 in breast cancer patients. Interestingly, infiltration of regulatory T lymphocytes (Tregs) is significantly correlated with CD73 expression in stroma but not in epithelium, indicating that CD73 contributes to immunosuppression when expressed in CAF-S1 and not in tumor cells. By performing functional assays based on relevant systems using primary CAF-S1 isolated from patients, we demonstrate that CAF-S1 increase the content in both PD-1+ and CTLA-4+ Tregs. Importantly, the use of a blocking anti-CD73 antibody on CAF-S1 reduces CAF-S1-mediated immunosuppression by preventing expression of these immune checkpoints on Tregs.
Conclusions:
Our data support the potential clinical benefit of using both anti-CD73 and immune-checkpoint inhibitors in breast cancer patients for inhibiting CAF-S1-mediated immunosuppression and enhancing anti-tumor immune response.
Insights
Cancer-associated fibroblasts (CAF), specifically CAF-S1, promote breast cancer immunosuppression via CD73. Targeting CD73 may enhance immunotherapy by reducing regulatory T lymphocytes (Tregs) and immune checkpoint expression.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Cancer-associated fibroblasts (CAF) are a heterogeneous cell population with diverse roles in breast cancer.
- A specific CAF subpopulation, CAF-S1, has been identified as a promoter of immunosuppression and resistance to immunotherapy.
Purpose of the Study:
- To investigate the role of CD73/NT5E in CAF-S1-mediated immunosuppression within the breast cancer microenvironment.
- To explore the potential of targeting CD73 for enhancing anti-tumor immunity.
Main Methods:
- Analysis of human breast cancer samples to assess CD73 protein levels in CAF-S1.
- Correlation analysis between CD73 expression and regulatory T lymphocyte (Treg) infiltration.
- Functional assays using primary CAF-S1 and blocking anti-CD73 antibodies in relevant systems.
Main Results:
- CD73 protein specifically accumulates in CAF-S1 within breast cancer stroma.
- CD73 expression in CAF-S1 correlates with increased Treg infiltration.
- CAF-S1 promotes the accumulation of PD-1+ and CTLA-4+ Tregs.
- Blocking CD73 on CAF-S1 reduces immunosuppression and prevents immune checkpoint expression on Tregs.
Conclusions:
- CD73 plays a critical role in CAF-S1-mediated immunosuppression in breast cancer.
- Targeting CD73, in combination with immune-checkpoint inhibitors, shows potential for clinical benefit in breast cancer patients.
- This therapeutic strategy may enhance anti-tumor immune responses by overcoming CAF-S1-driven immunosuppression.
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