PMID- 28894087 OWN - NLM STAT- MEDLINE DCOM- 20180222 LR - 20181113 IS - 2041-1723 (Electronic) IS - 2041-1723 (Linking) VI - 8 IP - 1 DP - 2017 Sep 11 TI - Hypoxia inducible factor HIF-1 promotes myeloid-derived suppressor cells accumulation through ENTPD2/CD39L1 in hepatocellular carcinoma. PG - 517 LID - 10.1038/s41467-017-00530-7 [doi] LID - 517 AB - Myeloid-derived suppressor cells (MDSCs) possess immunosuppressive activities, which allow cancers to escape immune surveillance and become non-responsive to immune checkpoints blockade. Here we report hypoxia as a cause of MDSC accumulation. Using hepatocellular carcinoma (HCC) as a cancer model, we show that hypoxia, through stabilization of hypoxia-inducible factor-1 (HIF-1), induces ectoenzyme, ectonucleoside triphosphate diphosphohydrolase 2 (ENTPD2/CD39L1), in cancer cells, causing its overexpression in HCC clinical specimens. Overexpression of ENTPD2 is found as a poor prognostic indicator for HCC. Mechanistically, we demonstrate that ENTPD2 converts extracellular ATP to 5'-AMP, which prevents the differentiation of MDSCs and therefore promotes the maintenance of MDSCs. We further find that ENTPD2 inhibition is able to mitigate cancer growth and enhance the efficiency and efficacy of immune checkpoint inhibitors. Our data suggest that ENTPD2 may be a good prognostic marker and therapeutic target for cancer patients, especially those receiving immune therapy.Myeloid-derived suppressor cells (MDSCs) promote tumor immune escape. Here, the authors show that in hepatocellular carcinoma, hypoxia induces the expression of ENTPD2 on cancer cells leading to elevated extracellular 5'-AMP, which in turn promote the maintenance of MDSCs by preventing their differentiation. FAU - Chiu, David Kung-Chun AU - Chiu DK AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Tse, Aki Pui-Wah AU - Tse AP AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Xu, Iris Ming-Jing AU - Xu IM AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Di Cui, Jane AU - Di Cui J AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Lai, Robin Kit-Ho AU - Lai RK AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Li, Lynna Lan AU - Li LL AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Koh, Hui-Yu AU - Koh HY AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Tsang, Felice Ho-Ching AU - Tsang FH AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Wei, Larry Lai AU - Wei LL AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Wong, Chun-Ming AU - Wong CM AUID- ORCID: 0000-0002-2497-7858 AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. AD - State Key Laboratory for Liver Research, The University of Hong Kong, Hong Kong, Hong Kong. FAU - Ng, Irene Oi-Lin AU - Ng IO AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. iolng@hku.hk. AD - State Key Laboratory for Liver Research, The University of Hong Kong, Hong Kong, Hong Kong. iolng@hku.hk. FAU - Wong, Carmen Chak-Lui AU - Wong CC AD - Department of Pathology, The University of Hong Kong, Hong Kong, Hong Kong. carmencl@pathology.hku.hk. AD - State Key Laboratory for Liver Research, The University of Hong Kong, Hong Kong, Hong Kong. carmencl@pathology.hku.hk. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170911 PL - England TA - Nat Commun JT - Nature communications JID - 101528555 RN - 0 (Hypoxia-Inducible Factor 1) RN - EC 3.6.1.- (Adenosine Triphosphatases) RN - EC 3.6.1.- (ectoATPase) SB - IM MH - Adenosine Triphosphatases/genetics/*metabolism MH - Carcinoma, Hepatocellular/*enzymology/genetics/metabolism/physiopathology MH - Cell Differentiation MH - Cell Proliferation MH - Humans MH - Hypoxia/enzymology/genetics/metabolism/physiopathology MH - Hypoxia-Inducible Factor 1/genetics/*metabolism MH - Liver Neoplasms/*enzymology/genetics/metabolism/physiopathology MH - Myeloid-Derived Suppressor Cells/cytology/*enzymology/metabolism PMC - PMC5593860 COIS- The authors declare no competing financial interests. EDAT- 2017/09/13 06:00 MHDA- 2018/02/23 06:00 PMCR- 2017/09/11 CRDT- 2017/09/13 06:00 PHST- 2016/11/10 00:00 [received] PHST- 2017/07/06 00:00 [accepted] PHST- 2017/09/13 06:00 [entrez] PHST- 2017/09/13 06:00 [pubmed] PHST- 2018/02/23 06:00 [medline] PHST- 2017/09/11 00:00 [pmc-release] AID - 10.1038/s41467-017-00530-7 [pii] AID - 530 [pii] AID - 10.1038/s41467-017-00530-7 [doi] PST - epublish SO - Nat Commun. 2017 Sep 11;8(1):517. doi: 10.1038/s41467-017-00530-7.