Targeting SIGLEC15 as an emerging immunotherapy for anaplastic thyroid cancer

Lisha Bao1, Ying Li2, Xiaoping Hu3

  • 1Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, 310014, Hangzhou, China.

PubMed

Insights

Anaplastic thyroid carcinoma (ATC) is aggressive, but targeting SIGLEC15 shows promise. Blocking SIGLEC15 enhances T cell activity and inhibits tumor growth, offering a new immunotherapy approach for ATC.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Anaplastic thyroid carcinoma (ATC) is a highly aggressive thyroid cancer with limited treatment options.
  • Existing immunotherapies targeting PD-1/PD-L1 have shown limited efficacy in ATC due to restricted druggable immune checkpoints.
  • Sialic acid-binding Ig-like lectins (Siglecs) represent a potential area for novel immunotherapeutic strategies in ATC.

Purpose of the Study:

  • To investigate the anti-tumor potential of Siglecs in anaplastic thyroid carcinoma.
  • To identify specific Siglec family members overexpressed in ATC and assess their role in tumor progression and immune evasion.

Main Methods:

  • Integrated analysis of microarray datasets (216 thyroid-cancer tissues) and single-cell RNA-sequencing to screen for Siglec expression.
  • Characterization of SIGLEC15-high ATC cells and their interactions with the tumor microenvironment.
  • In vitro and in vivo experiments using anti-SIGLEC15 antibody treatment in co-culture models, zebrafish xenografts, and immunocompetent murine ATC models.

Main Results:

  • SIGLEC15 was significantly overexpressed in ATC, particularly on cancer cells, and associated with PRSS23 and CD44 expression.
  • SIGLEC15-high ATC cells exhibited increased interactions with tumor microenvironment cells, including T cells, via immunosuppressive signals (MIF-TNFRSF14, CXCL12-CXCR4).
  • Anti-SIGLEC15 antibody treatment enhanced CD8+ T cell cytotoxicity, inhibited tumor growth, prolonged survival in mice, and modulated immune cell populations (increased M1/M2, NK, CD8+ T cells; decreased MDSCs).

Conclusions:

  • SIGLEC15 is a promising therapeutic target for anaplastic thyroid carcinoma immunotherapy.
  • Blocking SIGLEC15 can overcome immune suppression by enhancing T cell activation and effector functions.
  • Targeting SIGLEC15 represents a novel strategy to improve treatment outcomes for patients with ATC.

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