Disruption of tumor-intrinsic PGAM5 increases anti-PD-1 efficacy through the CCL2 signaling pathway

Xiaoying Wei1,2, Hong Wang1,2,3, Huiquan Liu1,2

  • 1Department of Radiation Oncology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China.

Abstract

Insights

Tumor-intrinsic PGAM5 promotes M2 TAMs in hepatocellular carcinoma (HCC), hindering immunotherapy. Inhibiting PGAM5 enhances CD8+ T cell activation and improves anti-PD-1 therapy efficacy in HCC models.

Area of Science:

  • Mitochondrial dynamics in cancer biology
  • Immunology and cancer immunotherapy

Background:

  • Immunosuppressive tumor microenvironments limit hepatocellular carcinoma (HCC) immunotherapy effectiveness.
  • Tumor cell mitochondrial dynamics influence the extracellular microenvironment via mtDNA stress.
  • PGAM5, a mitochondrial protein, regulates mitochondrial functions and is explored for its role in HCC.

Purpose of the Study:

  • To investigate if tumor-intrinsic PGAM5 affects mitochondria and tumor-infiltrating immune cells in HCC.
  • To determine if targeting tumor-intrinsic PGAM5 can enhance HCC immunotherapy efficacy.

Main Methods:

  • Correlation analysis of PGAM5 expression and immune cell infiltration using GEO and TCGA-LIHC datasets.
  • Validation in subcutaneous and orthotopic mouse HCC models with tumor-intrinsic Pgam5 deficiency.
  • In vitro co-culture systems, proteomics, immunofluorescence, and ChIP assays to elucidate molecular mechanisms.
  • Macrophage depletion studies to assess immunotherapy efficacy.

Main Results:

  • PGAM5 expression positively correlates with M2 TAM infiltration in HCC patients and models.
  • High PGAM5 correlates with poor prognosis; Pgam5 deficiency reduces M2 TAMs and inhibits tumor growth.
  • PGAM5 deficiency alters mitochondrial dynamics, reduces mtDNA stress, attenuates TLR9 activation, and decreases CCL2 secretion.
  • Disruption of PGAM5 enhances CD8+ T cell activation and improves anti-PD-1 therapy, though macrophage depletion affects synergistic response.

Conclusions:

  • Tumor mitochondria dynamics significantly impact TAMs within the tumor microenvironment.
  • Tumor-intrinsic PGAM5 represents a potential therapeutic target for enhancing HCC immunotherapy.

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