Therapeutic modulation of phagocytosis in glioblastoma can activate both innate and adaptive antitumour immunity

CA von Roemeling, Y Wang, Y Qie, H Yuan… - Nature …, 2020 - nature.com
CA von Roemeling, Y Wang, Y Qie, H Yuan, H Zhao, X Liu, Z Yang, M Yang, W Deng
Nature communications, 2020nature.com
Tumour cell phagocytosis by antigen presenting cells (APCs) is critical to the generation of
antitumour immunity. However, cancer cells can evade phagocytosis by upregulating anti-
phagocytosis molecule CD47. Here, we show that CD47 blockade alone is inefficient in
stimulating glioma cell phagocytosis. However, combining CD47 blockade with
temozolomide results in a significant pro-phagocytosis effect due to the latter's ability to
induce endoplasmic reticulum stress response. Increased tumour cell phagocytosis …
Abstract
Tumour cell phagocytosis by antigen presenting cells (APCs) is critical to the generation of antitumour immunity. However, cancer cells can evade phagocytosis by upregulating anti-phagocytosis molecule CD47. Here, we show that CD47 blockade alone is inefficient in stimulating glioma cell phagocytosis. However, combining CD47 blockade with temozolomide results in a significant pro-phagocytosis effect due to the latter’s ability to induce endoplasmic reticulum stress response. Increased tumour cell phagocytosis subsequently enhances antigen cross-presentation and activation of cyclic GMP-AMP synthase–stimulator of interferon genes (cGAS–STING) in APCs, resulting in more efficient T cell priming. This bridging of innate and adaptive responses inhibits glioma growth, but also activates immune checkpoint. Sequential administration of an anti-PD1 antibody overcomes this potential adaptive resistance. Together, these findings reveal a dynamic relationship between innate and adaptive immune regulation in tumours and support further investigation of phagocytosis modulation as a strategy to enhance cancer immunotherapy responses.
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