Molecular analysis of Annexin expression in cancer

Tobias Hein1,2, Peter H Krammer1, Heiko Weyd3

  • 1Division of Immunogenetics, Tumour Immunology Program, German Cancer Research Centre, 69120, Heidelberg, Germany.

BMC Cancer
|September 19, 2022
PubMed
Abstract

Insights

Cancer cells expose Annexins on their surface during apoptosis, potentially promoting immune tolerance and hindering anti-tumor responses. This study comprehensively analyzes Annexin expression and presentation in various cancer types.

Area of Science:

  • Immunology
  • Cancer Biology
  • Molecular Biology

Background:

  • Apoptotic cell uptake by phagocytes induces immune tolerance.
  • The Annexin core domain, exposed on apoptotic cells, signals through Dectin-1, promoting tolerance.
  • Surface-exposed Annexins on tumor cells may inhibit anti-tumor immunity by inducing tolerance.

Purpose of the Study:

  • To comprehensively analyze the expression, distribution, and presentation of Annexins in cancer cells.
  • To investigate the role of Annexins in tumor cell apoptosis and potential immune evasion strategies.

Main Methods:

  • Cancer cell line expression analysis (mRNA and protein) for all Annexin family members.
  • Investigation of Annexin cell surface presentation during apoptosis using surface washes and immunoblotting.
  • Analysis of human expression data from the GEO database to compare Annexin levels in malignant versus healthy tissues.

Main Results:

  • Six or more Annexins were consistently detected at mRNA and protein levels in all investigated cancer cell lines.
  • Annexin A1 (AnxA1), Annexin A2 (AnxA2), and Annexin A5 (AnxA5) were the predominant Annexins.
  • All detected Annexins translocated to the cell surface upon apoptosis induction, and higher Annexin expression correlated with immune infiltration in malignant tissues.

Conclusions:

  • This study provides the first comprehensive analysis of Annexin expression, distribution, and presentation in cancer.
  • Annexin exposure on apoptotic cancer cells is a conserved phenomenon across diverse cancer types.
  • Understanding Annexin presentation is crucial for developing novel cancer immunotherapies.

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