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Updated: Jun 15, 2025

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Platelet-activating factor (PAF) promotes immunosuppressive neutrophil differentiation within tumors
Ankit Dahal1, Yeonsun Hong1, Jocelyn S Mathew1
1Department of Microbiology and Immunology, David H. Smith Center for Vaccine Biology and Immunology, University of Rochester, Rochester, NY.
Abstract:
Chronic inflammatory milieu in the tumor microenvironment (TME) leads to the recruitment and differentiation of myeloid-derived suppressor cells (MDSCs). Polymorphonuclear (PMN)-MDSCs, which are phenotypically and morphologically defined as a subset of neutrophils, cause major immune suppression in the TME, posing a significant challenge in the development of effective immunotherapies. Despite recent advances in our understanding of PMN-MDSC functions, the mechanism that gives rise to immunosuppressive neutrophils within the TME remains elusive. Both in vivo and in vitro, newly recruited neutrophils into the tumor sites remained activated and highly motile for several days and developed immunosuppressive phenotypes, as indicated by increased arginase 1 (Arg1) and dcTrail-R1 expression and suppressed anticancer CD8 T cell cytotoxicity. The strong suppressive function was successfully recapitulated by incubating naive neutrophils with cancer cell culture supernatant in vitro. Cancer metabolite secretome analyses of the culture supernatant revealed that both murine and human cancers released lipid mediators to induce the differentiation of immunosuppressive neutrophils. Liquid chromatography-mass spectrometry (LC-MS) lipidomic analysis identified platelet-activation factor (PAF; 1-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine) as a common tumor-derived lipid mediator that induces neutrophil differentiation. Lysophosphatidylcholine acyltransferase 2 (LPCAT2), the PAF biosynthetic enzyme, is up-regulated in human pancreatic ductal adenocarcinoma (PDAC) and shows an unfavorable correlation with patient survival across multiple cancer types. Our study identifies PAF as a lipid-driven mechanism of MDSC differentiation in the TME, providing a potential target for cancer immunotherapy.
Insights
Tumor cells release lipid mediators, like platelet-activating factor (PAF), that transform neutrophils into immunosuppressive myeloid-derived suppressor cells (MDSCs). This discovery offers a new target for cancer immunotherapy by blocking this lipid-driven differentiation pathway.
Area of Science:
- Immunology
- Cancer Biology
- Molecular Medicine
Background:
- Chronic inflammation in the tumor microenvironment (TME) promotes myeloid-derived suppressor cells (MDSCs), particularly polymorphonuclear (PMN)-MDSCs, which are neutrophils that suppress anti-cancer immunity.
- The precise mechanisms driving neutrophil immunosuppression within the TME are not fully understood, hindering effective cancer immunotherapy development.
Purpose of the Study:
- To elucidate the molecular mechanisms by which neutrophils acquire immunosuppressive functions within the TME.
- To identify specific tumor-derived factors responsible for inducing immunosuppressive phenotypes in neutrophils.
Main Methods:
- In vitro co-culture of naive neutrophils with cancer cell supernatant.
- Analysis of neutrophil phenotype, including arginase 1 (Arg1) and dcTrail-R1 expression, and CD8 T cell cytotoxicity assays.
- Liquid chromatography-mass spectrometry (LC-MS) lipidomic analysis of cancer cell secretomes.
- Correlation analysis of lysophosphatidylcholine acyltransferase 2 (LPCAT2) expression with patient survival in pancreatic ductal adenocarcinoma (PDAC) and other cancers.
Main Results:
- Newly recruited neutrophils in the TME exhibit activated, motile, and immunosuppressive characteristics.
- Incubating naive neutrophils with cancer cell supernatant in vitro successfully induced immunosuppressive phenotypes.
- Cancer cell secretomes contain lipid mediators that drive neutrophil differentiation into immunosuppressive cells.
- Platelet-activating factor (PAF) was identified as a key tumor-derived lipid mediator inducing neutrophil differentiation.
- Lysophosphatidylcholine acyltransferase 2 (LPCAT2), an enzyme in PAF biosynthesis, is upregulated in PDAC and linked to poorer patient survival.
Conclusions:
- Tumor-derived platelet-activating factor (PAF) is a critical lipid mediator driving the differentiation of immunosuppressive neutrophils (PMN-MDSCs) within the TME.
- This lipid-driven mechanism represents a significant pathway for immune suppression in cancer.
- Targeting PAF or its biosynthetic pathway presents a promising strategy for developing novel cancer immunotherapies.
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