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Shaping Tumor Microenvironment by Amplifying the Complement Cascade for Improved Immune Response in Pancreatic Cancer
Menghan Gao1, Soultana Kechagia1, Mohanraj Ramachandran1
1Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
This study shows that membrane-anchored properdin (mFP) enhances anti-αGal antibody responses in pancreatic cancer, delaying tumor growth by altering the tumor microenvironment (TME). This novel approach boosts complement activation for potential cancer immunotherapy.
Area of Science:
- Immunology
- Oncology
- Biochemistry
Background:
- Natural antibodies against αGal are abundant in humans and crucial for cancer immunotherapy via complement activation.
- Properdin (FP) is the sole known positive regulator of the complement system.
- Enhancing complement activation is a potential strategy to improve cancer immunotherapy efficacy.
Purpose of the Study:
- To investigate the potential of membrane-anchored properdin (mFP) to enhance αGal-mediated complement activation for cancer immunotherapy.
- To assess the impact of mFP expression on pancreatic cancer growth and the tumor microenvironment (TME).
- To develop and evaluate a novel, engineered mFP for improved complement activation.
Main Methods:
- Ectopic expression of mFP on mouse and human pancreatic cancer cells (Panc02).
- Assessment of αGal-mediated complement activation, C3 deposition, and complement-dependent cytotoxicity (CDC) in vitro.
- In vivo studies using an immunized Ggta1 knockout mouse model to evaluate tumor growth and TME changes.
- Development of a reconfigured mFP with an artificial C3 convertase binding site and intracellular oligomerization domain for functional testing in a human whole blood loop model.
Main Results:
- mFP expression on Panc02 cells increased C3 deposition and CDC in the presence of human complement.
- In vivo, mFP expression significantly delayed tumor growth in the Ggta1 knockout mouse model.
- mFP altered the TME, increasing conventional type 1 dendritic cells, reducing pro-tumorigenic monocytes/macrophages, and shifting CD8+ T cells to a progenitor-exhausted state.
- The engineered mFP demonstrated improved target cell killing and phagocytosis in a human whole blood loop model.
Conclusions:
- Amplifying complement activation via mFP can delay tumor growth and beneficially modulate the TME in a pancreatic cancer model.
- The developed membrane-bound, oligomerized FP functional unit effectively elicits robust complement activation.
- This strategy holds promise for enhancing cancer immunotherapy by leveraging the complement system.
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