Related Experiment Video
Updated: Aug 5, 2026

Co-Culture In Vitro Systems to Reproduce the Cancer-Immunity Cycle
Published on: June 7, 2024
Tumor cell-released autophagosome (TRAP) programs inflammatory CAFs to drive the immune-excluded TIME through C3a
Xuru Wang1,2, Yiting Wei1, Chengdong Wu1
1Department of Microbiology and Immunology, Jiangsu Provincial Key Laboratory of Critical Care Medicine, Zhongda Hospital, Southeast University School of Medicine, Nanjing, Jiangsu, China.
Abstract:
The immune-excluded tumor immune microenvironment (TIME) limits responses to ICIs. Cancer-associated fibroblasts are the most abundant stromal population and key regulators of immune suppression; however, the upstream cues that program pathogenic CAF states and the mechanisms of the immune-excluded TIME remain poorly defined. Here, by combining single-cell RNA sequencing and functional validation, we report that tumor cell-released autophagosome (TRAP) programs inflammatory CAFs (iCAFs) and triggers cathepsin L-dependent intracellular cleavage of C3 into C3a via the HSP70-TLR4-MyD88-ERK/p38 pathway. iCAF-derived C3a affects C3a on TAMs, promotes TAM accumulation in the iCAF-rich stroma, limits TIL trafficking into tumor nests, and reinforces an immune-excluded TIME. Disrupting the TRAP-iCAF-C3a/C3aR axis remodels the immune-excluded TIME and sensitizes tumors to anti-PD-L1 therapy. In clinical cohorts, plasma TRAP and C3a levels increased with disease stage, and their combination improved the discrimination of patients with breast cancer from controls (AUC = 0.96). These data define a TRAP-driven stromal-immune circuit that promotes immune exclusion and suggest that the C3a-C3aR axis is a potential target for enhancing ICI efficacy.
Insights
Tumor cells release autophagosomes (TRAP) that program cancer-associated fibroblasts (CAFs) to suppress anti-tumor immunity. Targeting this TRAP-CAF-C3a pathway can remodel the tumor microenvironment and improve immunotherapy response.
Area of Science:
- Oncology
- Immunology
- Cell Biology
Background:
- The immune-excluded tumor immune microenvironment (TIME) hinders responses to immune checkpoint inhibitors (ICIs).
- Cancer-associated fibroblasts (CAFs) are key regulators of immune suppression within the TIME, but the signals that program their pathogenic states are unclear.
Purpose of the Study:
- To define the upstream cues and mechanisms driving immune exclusion in the TIME.
- To investigate the role of tumor cell-released autophagosomes (TRAP) in programming CAFs and shaping the TIME.
Main Methods:
- Single-cell RNA sequencing to identify cellular interactions and pathways.
- Functional validation experiments to confirm molecular mechanisms.
- Analysis of clinical cohorts to assess biomarker potential.
Main Results:
- Tumor cell-released autophagosomes (TRAP) program inflammatory CAFs (iCAFs).
- iCAFs, via cathepsin L and the HSP70-TLR4-MyD88-ERK/p38 pathway, generate C3a, which attracts TAMs and limits T cell infiltration, reinforcing immune exclusion.
- Disrupting the TRAP-iCAF-C3a axis remodels the TIME and sensitizes tumors to anti-PD-L1 therapy.
- Plasma TRAP and C3a levels correlate with disease stage and can discriminate breast cancer patients from controls.
Conclusions:
- A TRAP-driven stromal-immune circuit promotes immune exclusion.
- The C3a-C3aR axis is a potential therapeutic target for enhancing ICI efficacy in cancer.
More Related Videos
Related Concept Videos
Phagocytosis of Apoptotic Cells
Normal cells contain receptors that prevent them from being recognized by phagocytes.
Cytotoxic T Cells-mediated Immune Response
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
The Extrinsic Apoptotic Pathway
Tumor Immunotherapy
Autophagy
An autophagic pathway consists of a series of signaling events activated in response to diverse stress and physiological conditions such as food deprivation,...
Cells of the Innate Immune Response
Phagocytes
Phagocytes police the peripheral tissues by removing cellular debris and responding to the invasion of foreign substances or pathogens. Many phagocytes attack and remove microorganisms even before lymphocytes detect them. The human body has two general...

