Cancer immunotherapy targeting murine myeloid cells requires endosomal pattern recognition

Yueyun Pan1, Shengduo Pei1, Heng Liang1

  • 1Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Solna Campus, Stockholm, Sweden.

Nature Communications
|July 27, 2026
PubMed

Insights

Intracellular Toll-like receptor (TLR) signaling is crucial for effective cancer immunotherapy. Targeting TLRs can sensitize tumor-associated macrophages (TAMs) to treatments like anti-MARCO and anti-PD-L1 antibodies, improving patient outcomes.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Immunotherapy is a key cancer treatment, but resistance limits efficacy.
  • Understanding resistance mechanisms is vital for developing improved therapies.
  • Tumor-associated macrophages (TAMs) are critical players in the tumor microenvironment and immunotherapy response.

Purpose of the Study:

  • To investigate the role of intracellular pattern recognition machinery in immunotherapy resistance.
  • To explore the potential of targeting TAMs using anti-MARCO and anti-PD-L1 antibodies.
  • To identify mechanisms that sensitize TAMs to immunotherapeutic agents.

Main Methods:

  • Utilized mouse models to study immunotherapy targeting TAMs.
  • Investigated the function of endosomal Toll-like receptors (TLRs), specifically TLR9.
  • Assessed the impact of TLR signaling on macrophage response to anti-MARCO treatment.

Main Results:

  • Effective immunotherapy requires functional endosomal pattern recognition machinery.
  • Endosomal TLR9 signaling preconditions macrophages for anti-MARCO treatment by regulating inflammasome components.
  • Absence of TLRs results in unresponsive, immunosuppressive TAMs, hindering treatment efficacy.

Conclusions:

  • Intracellular TLR signaling is essential for sensitizing TAMs to immunotherapy.
  • Targeting TLRs presents a potential strategy to enhance immunotherapeutic outcomes in cancer patients.
  • This study highlights the importance of the endosomal TLR pathway in overcoming immunotherapy resistance.

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