TREM2 macrophages drive NK cell paucity and dysfunction in lung cancer

Matthew D Park1,2,3, Ivan Reyes-Torres1,2,3, Jessica LeBerichel1,2,3

  • 1Marc and Jennifer Lipschultz Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Nature Immunology
|April 20, 2023
PubMed

Insights

Tumor-associated macrophages suppress natural killer (NK) cells via TREM2 signaling. Blocking this pathway enhances NK cell activity and promotes tumor regression, suggesting dual targeting for cancer immunotherapy.

Area of Science:

  • Immunology
  • Cancer Biology
  • Tumor Microenvironment

Background:

  • Natural killer (NK) cells are crucial for tumor surveillance but are often depleted in the tumor microenvironment.
  • Monocyte-derived macrophages (mo-macs) are frequently found in tumors and can influence immune cell activity.

Purpose of the Study:

  • To identify factors within the tumor microenvironment that modulate NK cell activity.
  • To investigate the role of monocyte-derived macrophages (mo-macs) in suppressing NK cell function in lung cancer.

Main Methods:

  • Analysis of NK cell and mo-mac correlation in human lung cancer samples.
  • Utilized a murine model of lung adenocarcinoma.
  • Investigated the role of triggering receptor expressed on myeloid cells 2 (TREM2) in mo-macs and its impact on NK cells.
  • Assessed the effects of genetic deletion of Trem2 and TREM2 blockade on tumor growth and NK cell activity.

Main Results:

  • A negative correlation was observed between NK cells and mo-macs in human lung cancer.
  • Engulfment of tumor debris by TREM2+ mo-macs induced a pro-tumorigenic program in a murine lung adenocarcinoma model.
  • Genetic deletion of Trem2 led to NK cell accumulation and tumor regression.
  • TREM2+ mo-macs suppressed NK cell activity by altering IL-18/IL-18BP interactions and IL-15 production.
  • TREM2 blockade combined with an NK cell activator inhibited tumor growth.

Conclusions:

  • A novel axis involving TREM2+ mo-macs suppressing NK cell accumulation and cytolytic activity was identified.
  • Targeting both macrophages and NK cells presents a promising strategy for enhancing antitumor immunity.

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