Targeting CXCR2 in prostate cancer cells can block CD47-SIRPα interaction and reverse M2 macrophage polarization in

Yi Sun1, Shangqing Ren2, Wei Wen3

  • 1Department of Urology, Guangdong Provincial Key Laboratory of Urological Diseases, Guangdong Engineering Research Center of Urinary Minimally Invasive Surgery Robot and Intelligent Equipment, The First Affiliated Hospital of Guangzhou Medical University, 151 West Yanjiang Road, Guangzhou, Guangdong, 510230, China.

Molecular Cancer
|October 30, 2025
PubMed

Insights

The IL-8/CXCR2 pathway drives neuroendocrine prostate cancer (NEPC) immune evasion by increasing CD47 expression and M2 macrophage infiltration. Targeting CXCR2 restores anti-tumor immunity and reduces tumor growth in preclinical models.

Area of Science:

  • Oncology
  • Immunology
  • Metabolic Reprogramming

Background:

  • Neuroendocrine prostate cancer (NEPC) is characterized by immune evasion and metabolic reprogramming.
  • High CD36+ M2 tumor-associated macrophage (TAM) infiltration and elevated CD47 expression in NEPC cells correlate with poor patient survival.
  • Understanding the regulation of TAM infiltration and CD47 expression in the prostate cancer tumor microenvironment (TME) is crucial.

Purpose of the Study:

  • To elucidate the mechanisms regulating CD36+ M2 TAM infiltration and CD47 expression in NEPC.
  • To investigate the role of the IL-8/CXCR2 pathway in NEPC progression and immune evasion.
  • To evaluate the therapeutic potential of targeting the IL-8/CXCR2 pathway in prostate cancer.

Main Methods:

  • Utilized cell models and two distinct animal models (NSG and C57BL/6) for investigation.
  • Analyzed the IL-8/CXCR2 pathway's impact on acetyl-CoA levels, CD47 expression, and palmitoylation.
  • Assessed the pathway's influence on the TME metabolic landscape and M2 TAM recruitment.

Main Results:

  • The IL-8/CXCR2 pathway enhances acetyl-CoA levels via metabolic reprogramming, increasing CD47 expression through acetylation.
  • This pathway promotes CD47 membrane localization via palmitic acid secretion and palmitoylation, protecting tumor cells from phagocytosis.
  • The IL-8/CXCR2 pathway alters the TME, increasing polyunsaturated fatty acids (PUFAs) and promoting CD36+ M2 TAM infiltration.
  • Targeting CXCR2 in preclinical models restored TAM phagocytic activity and significantly inhibited tumor growth.

Conclusions:

  • The IL-8/CXCR2 pathway is a key regulator of immune evasion and metabolic reprogramming in NEPC.
  • CD47 expression and M2 TAM infiltration are mechanistically linked to the IL-8/CXCR2 pathway.
  • CXCR2-targeted immunotherapy presents a promising therapeutic strategy for prostate cancer, with significant translational potential.