Suppressing MDSC Infiltration in Tumor Microenvironment Serves as an Option for Treating Ovarian Cancer Metastasis

Yichen Li1,2, Qian Zhang3, Mandi Wu1,2

  • 1Department of Biomedical Sciences, JCC College of Veterinary Medicine and Life Science, City University of Hong Kong, Hong Kong SAR, China.

Insights

This study identifies a novel long non-coding RNA (LncOVM) that promotes ovarian cancer metastasis by stabilizing PPIP5K2 and increasing complement C5 secretion. Targeting this axis inhibits myeloid-derived suppressor cells (MDSCs) and tumor progression.

Area of Science:

  • Oncology
  • Molecular Biology
  • Immunology

Background:

  • Ovarian cancer metastasis is a major cause of mortality in gynecological malignancies.
  • The role of the tumor microenvironment (TME) and lymphocyte infiltration in ovarian cancer metastasis remains incompletely understood.
  • Identifying novel molecular mechanisms driving metastasis is crucial for developing effective therapies.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which ovarian cancer cells and the TME promote metastasis.
  • To identify novel long non-coding RNAs (lncRNAs) involved in ovarian cancer progression.
  • To investigate potential therapeutic targets for suppressing ovarian cancer metastasis.

Main Methods:

  • Genome-wide lncRNA microarray analysis to identify metastasis-associated lncRNAs.
  • Investigated the interaction between LncOVM, PPIP5K2, and complement C5.
  • Utilized xenograft models to assess the impact of LncOVM and PPIP5K2 knockdown on tumor progression.
  • Evaluated the efficacy of C5aR antibody or inhibitor (CCX168) in blocking myeloid-derived suppressor cells (MDSCs) infiltration and tumor metastasis.

Main Results:

  • A novel lncRNA, LncOVM, was identified and found to be highly correlated with poor prognosis and survival in ovarian cancer patients.
  • LncOVM stabilizes PPIP5K2, leading to increased complement C5 secretion from ovarian cancer cells.
  • The secreted complement C5 attracts MDSCs into the TME, promoting metastasis.
  • Knockdown of LncOVM or PPIP5K2, or inhibition of C5aR, significantly suppressed tumor progression, MDSC recruitment, and metastasis in vivo.

Conclusions:

  • The LncOVM-PPIP5K2-complement C5 axis plays a critical role in promoting ovarian cancer metastasis by facilitating MDSC infiltration in the TME.
  • Targeting this axis, specifically by inhibiting MDSC recruitment, offers a promising therapeutic strategy for ovarian cancer treatment.
  • Disrupting the LncOVM-PPIP5K2-complement axis presents a novel therapeutic option for patients with ovarian cancer.