Macrophage PABPC4-SPP1 Axis Orchestrates Immunosuppression in Colorectal Cancer

Meng Wang1,2,3, Fang Yang1,4, Yuan Gao1,3

  • 1Department of Pathophysiology, College of High Altitude Military Medicine, Third Military Medical University (Army Medical University), Chongqing, China.

Insights

Poly(A)-binding protein C4 (PABPC4) promotes cancer by suppressing antitumor immunity in macrophages. Inhibiting the PABPC4-SPP1 axis enhances immune responses and tumor suppression, offering a new cancer therapy strategy.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Poly(A)-binding proteins (PABPs) are implicated in cancer, but their specific roles are unclear.
  • PABPC4 dysregulation is observed in various cancers, correlating with poor patient prognosis.

Purpose of the Study:

  • To investigate the role of PABPC4 in colorectal cancer (CRC) progression and the tumor microenvironment (TME).
  • To elucidate the molecular mechanisms by which PABPC4 influences antitumor immunity.
  • To evaluate the therapeutic potential of targeting the PABPC4-SPP1 axis.

Main Methods:

  • Single-cell transcriptomics to identify PABPC4 expression in the TME.
  • Conditional knockout of Pabpc4 in macrophages (C4cKO) in mouse cancer models.
  • Analysis of immune cell populations (M1/M2 macrophages, CD8+ T cells, MDSCs) in C4cKO mice.
  • mRNA stabilization assays and SPP1 restoration experiments.
  • Clinical correlation analysis of PABPC4-SPP1 axis activity in human CRC tissues.

Main Results:

  • PABPC4 is upregulated in CRC and predominantly expressed in tumor-associated macrophages.
  • Macrophage-specific knockout of PABPC4 (C4cKO) significantly inhibited CRC, melanoma, and ovarian cancer progression.
  • C4cKO enhanced antitumor immunity by increasing M1 macrophages and CD8+ T cells while decreasing M2 macrophages and MDSCs.
  • PABPC4 stabilizes SPP1 mRNA, and SPP1 restoration reversed the antitumor effects of C4cKO.
  • Elevated macrophage PABPC4-SPP1 axis activity in human CRC correlates with immunosuppression and poor survival.

Conclusions:

  • The PABPC4-SPP1 axis in macrophages promotes tumor progression by inducing immunosuppressive phenotypes and impairing CD8+ T cell function.
  • Targeting the PABPC4-SPP1 axis is a promising therapeutic strategy for enhancing antitumor immunity and treating cancer.