1. High-grade serous ovarian cancer development and anti-PD-1 resistance is driven by IRE1α activity in neutrophils.
- Author
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Emmanuelli A, Salvagno C, Hwang SM, Awasthi D, Sandoval TA, Chae CS, Cheong JG, Tan C, Iwawaki T, and Cubillos-Ruiz JR
- Subjects
- Female, Animals, Mice, Humans, Drug Resistance, Neoplasm, Immune Checkpoint Inhibitors pharmacology, Immune Checkpoint Inhibitors therapeutic use, Cystadenocarcinoma, Serous pathology, Cystadenocarcinoma, Serous immunology, Cystadenocarcinoma, Serous metabolism, Cell Line, Tumor, Neoplasm Grading, Tumor Escape drug effects, Mice, Inbred C57BL, Mice, Knockout, Ovarian Neoplasms immunology, Ovarian Neoplasms pathology, Ovarian Neoplasms genetics, Ovarian Neoplasms metabolism, Neutrophils immunology, Neutrophils metabolism, Protein Serine-Threonine Kinases metabolism, Protein Serine-Threonine Kinases genetics, Endoribonucleases metabolism, Endoribonucleases genetics, Endoplasmic Reticulum Stress immunology, Programmed Cell Death 1 Receptor metabolism, Programmed Cell Death 1 Receptor antagonists & inhibitors
- Abstract
High-grade serious ovarian cancer (HGSOC) is an aggressive malignancy that remains refractory to current immunotherapies. While advanced stage disease has been extensively studied, the cellular and molecular mechanisms that promote early immune escape in HGSOC remain largely unexplored. Here, we report that primary HGSO tumors program neutrophils to inhibit T cell anti-tumor function by activating the endoplasmic reticulum (ER) stress sensor IRE1α. We found that intratumoral neutrophils exhibited overactivation of ER stress response markers compared with their counterparts at non-tumor sites. Selective deletion of IRE1α in neutrophils delayed primary ovarian tumor growth and extended the survival of mice with HGSOC by enabling early T cell-mediated tumor control. Notably, loss of IRE1α in neutrophils sensitized tumor-bearing mice to PD-1 blockade, inducing HGSOC regression and long-term survival in ~ 50% of the treated hosts. Hence, neutrophil-intrinsic IRE1α facilitates early adaptive immune escape in HGSOC and targeting this ER stress sensor might be used to unleash endogenous and immunotherapy-elicited immunity that controls metastatic disease., Competing Interests: J.R.C.-R. holds patents on the targeting of ER stress responses for the treatment of disease, as well as on the use of immune modulators for ovarian cancer therapy. J.R.C.-R serves as scientific consultant for Moderna, Immagene B.V., Autoimmunity Biologic Solutions, Inc., and Emerald Bioventures, LLC, and holds stock options in Vescor Therapeutics. All other authors declare no potential conflicts of interest., (© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.)
- Published
- 2024
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