1. NF-κB and TET2 promote macrophage reprogramming in hypoxia that overrides the immunosuppressive effects of the tumor microenvironment.
- Author
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de la Calle-Fabregat C, Calafell-Segura J, Gardet M, Dunsmore G, Mulder K, Ciudad L, Silvin A, Moreno-Càceres J, Corbí ÁL, Muñoz-Pinedo C, Michels J, Gouy S, Dutertre CA, Rodríguez-Ubreva J, Ginhoux F, and Ballestar E
- Subjects
- Humans, Cell Hypoxia, Cell Line, Tumor, DNA Methylation, Gene Expression Regulation, Neoplastic, Hypoxia-Inducible Factor 1, alpha Subunit metabolism, Hypoxia-Inducible Factor 1, alpha Subunit genetics, Ovarian Neoplasms pathology, Ovarian Neoplasms immunology, Ovarian Neoplasms metabolism, Ovarian Neoplasms genetics, Urinary Bladder Neoplasms pathology, Urinary Bladder Neoplasms immunology, Urinary Bladder Neoplasms metabolism, Urinary Bladder Neoplasms genetics, Cellular Reprogramming, Dioxygenases, DNA-Binding Proteins metabolism, DNA-Binding Proteins genetics, Macrophages metabolism, Macrophages immunology, NF-kappa B metabolism, Proto-Oncogene Proteins metabolism, Proto-Oncogene Proteins genetics, Tumor Microenvironment immunology
- Abstract
Macrophages orchestrate tissue homeostasis and immunity. In the tumor microenvironment (TME), macrophage presence is largely associated with poor prognosis because of their reprogramming into immunosuppressive cells. We investigated the effects of hypoxia, a TME-associated feature, on the functional, epigenetic, and transcriptional reprogramming of macrophages and found that hypoxia boosts their immunogenicity. Hypoxic inflammatory macrophages are characterized by a cluster of proinflammatory genes undergoing ten-eleven translocation-mediated DNA demethylation and overexpression. These genes are regulated by NF-κB, while HIF1α dominates the transcriptional reprogramming, demonstrated through ChIP-seq and pharmacological inhibition. In bladder and ovarian carcinomas, hypoxic inflammatory macrophages are enriched in immune-infiltrated tumors, correlating with better patient prognoses. Coculture assays and cell-cell communication analyses support that hypoxic-activated macrophages enhance T cell-mediated responses. The NF-κB-associated hypomethylation signature is displayed by a subset of hypoxic inflammatory macrophages, isolated from ovarian tumors. Our results challenge paradigms regarding the effects of hypoxia on macrophages and highlight actionable target cells to modulate anticancer immune responses.
- Published
- 2024
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