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CD52 signaling via macrophage Siglec-G represents a therapeutic target for cancer immunotherapy
Xueting Qin1,2, Yixin Chang2, Yuanyuan Qiu3
1School of Medicine, Nankai University, Tianjin, China.
Abstract:
Triple-negative breast cancer (TNBC) remains a lethal malignancy with limited targeted therapies and high metastatic rates. Cancer cells evade macrophage clearance by overexpressing anti-phagocytic cell surface proteins, termed "don't eat me" signals. Blocking antibodies (e.g., anti-CD47) against these signals show therapeutic promise in multiple cancers, yet variable responses and limited durability of efficacy to such agents imply additional unknown "don't eat me" signals exist. Here, we detected positive CD52 expression in tumors from TNBC patients and demonstrated that CD52 on TNBC cells facilitates immune evasion by engaging the inhibitory receptor sialic acid-binding Ig-like lectin G (Siglec-G) on tumor-associated macrophages. Genetic ablation of either CD52 or Siglec-G, as well as antibody-mediated blockade of their interaction restored macrophage phagocytic activity both in vitro and in vivo. This consequently suppressed tumor progression, improved survival, and promoted an immunologically active tumor microenvironment in TNBC mouse models. Additionally, cotreatment with anti-CD52 sensitized tumor cells to PD-1 blockade therapy in the spontaneous MMTV-PyMT TNBC model. Our findings identify CD52 as a prominently expressed anti-phagocytic checkpoint in TNBC and reveal the therapeutic potential of dual PD-1/CD52 blockade as a novel immunotherapeutic strategy.
Insights
Researchers identified CD52 as a novel "don't eat me" signal in triple-negative breast cancer (TNBC). Blocking CD52 restores macrophage clearance of cancer cells, offering a new immunotherapy strategy for TNBC.
Area of Science:
- Immunology
- Oncology
- Cell Biology
Background:
- Triple-negative breast cancer (TNBC) is aggressive with limited treatment options.
- Cancer cells use "don't eat me" signals to evade immune cells like macrophages.
- Existing therapies targeting these signals show variable efficacy, suggesting unknown mechanisms exist.
Purpose of the Study:
- To identify novel anti-phagocytic checkpoints in TNBC.
- To investigate the role of CD52 in TNBC immune evasion.
- To evaluate the therapeutic potential of targeting the CD52-Siglec-G axis.
Main Methods:
- Detected CD52 expression in TNBC patient tumors.
- Utilized genetic ablation and antibody blockade of CD52 and Siglec-G.
- Assessed macrophage phagocytic activity in vitro and in vivo.
- Evaluated tumor progression, survival, and immune microenvironment in TNBC mouse models.
- Tested combination therapy with anti-CD52 and PD-1 blockade.
Main Results:
- CD52 is expressed on TNBC cells and engages Siglec-G on macrophages, inhibiting phagocytosis.
- Blocking CD52 or Siglec-G restored macrophage phagocytosis, suppressed tumor growth, and improved survival in TNBC models.
- Targeting CD52 promoted an immunologically active tumor microenvironment.
- Combined anti-CD52 and PD-1 blockade enhanced therapeutic efficacy in a spontaneous TNBC model.
Conclusions:
- CD52 is a key anti-phagocytic checkpoint in TNBC, contributing to immune evasion.
- Targeting the CD52-Siglec-G pathway offers a promising therapeutic strategy for TNBC.
- Dual PD-1/CD52 blockade represents a novel and potentially effective immunotherapy for TNBC.
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