Lactate-induced metabolic reprogramming of TAMs impairs antigen presentation capacity via C/EBPα-CD74 axis in oral

Mengyao Wang1,2,3, Mengqi Wang1,2,3, Zizhen Gong1,2,3

  • 1Department of Basic Science of Stomatology, The Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing, China.

Abstract

Insights

Lactate accumulation in oral tumors suppresses CD74 expression in macrophages, impairing their anti-tumor function and promoting cancer progression. This highlights a key pathway for oral squamous cell carcinoma (OSCC) immunotherapy.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Metabolism

Background:

  • Tumor-associated macrophages (TAMs) in oral squamous cell carcinoma (OSCC) lose anti-tumor functions during disease progression.
  • The precise mechanisms behind TAM dysfunction in OSCC remain unclear.
  • CD74 is crucial for antigen presentation, but its specific role in TAM immune function is under-investigated.

Purpose of the Study:

  • To elucidate the role of CD74 in TAMs during OSCC progression.
  • To investigate the mechanisms by which lactate influences CD74 expression and TAM function in the tumor microenvironment (TME).

Main Methods:

  • Integrated single-cell transcriptomic analysis.
  • Clinical cohort validation.
  • CD74 conditional knockout mouse models.
  • Metabolomic analysis and mechanistic studies.

Main Results:

  • Lactate accumulation in the TME reprograms TAM metabolism, leading to C/EBPα acetylation and suppressed CD74 expression.
  • Downregulation of CD74 impairs TAM antigen-presenting capacity and suppresses T cell activation.
  • Reduced CD74 expression in TAMs correlates with OSCC progression and poorer patient prognosis.

Conclusions:

  • The lactate-C/EBPα-CD74 axis critically regulates TAM function in OSCC.
  • Targeting this axis offers a potential therapeutic strategy for OSCC immunotherapy.