PMID- 32075803 OWN - NLM STAT- MEDLINE DCOM- 20201109 LR - 20211204 IS - 2326-6074 (Electronic) IS - 2326-6066 (Linking) VI - 8 IP - 4 DP - 2020 Apr TI - Cancer-Associated Fibroblasts Promote Immunosuppression by Inducing ROS-Generating Monocytic MDSCs in Lung Squamous Cell Carcinoma. PG - 436-450 LID - 10.1158/2326-6066.CIR-19-0507 [doi] AB - Cancer-associated fibroblasts (CAF) represent a functionally heterogeneous population of activated fibroblasts that constitutes a major component of tumor stroma. Although CAFs have been shown to promote tumor growth and mediate resistance to chemotherapy, the mechanisms by which they may contribute to immune suppression within the tumor microenvironment (TME) in lung squamous cell carcinoma (LSCC) remain largely unexplored. Here, we identified a positive correlation between CAF and monocytic myeloid cell abundances in 501 primary LSCCs by mining The Cancer Genome Atlas data sets. We further validated this finding in an independent cohort using imaging mass cytometry and found a significant spatial interaction between CAFs and monocytic myeloid cells in the TME. To delineate the interplay between CAFs and monocytic myeloid cells, we used chemotaxis assays to show that LSCC patient-derived CAFs promoted recruitment of CCR2(+) monocytes via CCL2, which could be reversed by CCR2 inhibition. Using a three-dimensional culture system, we found that CAFs polarized monocytes to adopt a myeloid-derived suppressor cell (MDSC) phenotype, characterized by robust suppression of autologous CD8(+) T-cell proliferation and IFNgamma production. We further demonstrated that inhibiting IDO1 and NADPH oxidases, NOX2 and NOX4, restored CD8(+) T-cell proliferation by reducing reactive oxygen species (ROS) generation in CAF-induced MDSCs. Taken together, our study highlights a pivotal role of CAFs in regulating monocyte recruitment and differentiation and demonstrated that CCR2 inhibition and ROS scavenging abrogate the CAF-MDSC axis, illuminating a potential therapeutic path to reversing the CAF-mediated immunosuppressive microenvironment. CI - (c)2020 American Association for Cancer Research. FAU - Xiang, Handan AU - Xiang H AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. phil.brandish@bicycletx.com handan.xiang@merck.com. FAU - Ramil, Carlo P AU - Ramil CP AUID- ORCID: 0000-0002-1036-855X AD - Chemical Biology, Merck & Co., Inc., Boston, Massachusetts. FAU - Hai, Josephine AU - Hai J AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Zhang, Chunsheng AU - Zhang C AD - Informatics, Merck & Co., Inc., Boston, Massachusetts. FAU - Wang, Huijun AU - Wang H AD - Modeling and Informatics, Merck & Co., Inc., Kenilworth, New Jersey. FAU - Watkins, Amanda A AU - Watkins AA AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. FAU - Afshar, Roshi AU - Afshar R AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. FAU - Georgiev, Peter AU - Georgiev P AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. FAU - Sze, Marc A AU - Sze MA AUID- ORCID: 0000-0002-3532-9653 AD - Informatics, Merck & Co., Inc., Boston, Massachusetts. FAU - Song, Xuelei S AU - Song XS AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Curran, Patrick J AU - Curran PJ AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Cheng, Mangeng AU - Cheng M AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Miller, J Richard AU - Miller JR AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Sun, Dongyu AU - Sun D AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Loboda, Andrey AU - Loboda A AD - Informatics, Merck & Co., Inc., Boston, Massachusetts. FAU - Jia, Yanlin AU - Jia Y AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. FAU - Moy, Lily Y AU - Moy LY AD - Pharmacology, Merck & Co., Inc., Boston, Massachusetts. FAU - Chi, An AU - Chi A AD - Chemical Biology, Merck & Co., Inc., Boston, Massachusetts. FAU - Brandish, Philip E AU - Brandish PE AD - Discovery Oncology, Merck & Co., Inc., Boston, Massachusetts. phil.brandish@bicycletx.com handan.xiang@merck.com. LA - eng PT - Journal Article DEP - 20200219 PL - United States TA - Cancer Immunol Res JT - Cancer immunology research JID - 101614637 RN - 0 (CCR2 protein, human) RN - 0 (Indoleamine-Pyrrole 2,3,-Dioxygenase) RN - 0 (Reactive Oxygen Species) RN - 0 (Receptors, CCR2) RN - EC 1.6.3.- (NADPH Oxidase 2) RN - EC 1.6.3.- (NADPH Oxidase 4) RN - EC 1.6.3.- (NOX4 protein, human) SB - IM MH - Aged MH - Aged, 80 and over MH - CD8-Positive T-Lymphocytes/immunology MH - Cancer-Associated Fibroblasts/*immunology/metabolism/pathology MH - Carcinoma, Squamous Cell/*immunology/metabolism/pathology MH - Cell Proliferation MH - Cells, Cultured MH - Female MH - Humans MH - Immunosuppression Therapy MH - Indoleamine-Pyrrole 2,3,-Dioxygenase/immunology/metabolism MH - Lung Neoplasms/*immunology/metabolism/pathology MH - Male MH - Middle Aged MH - Monocytes/*immunology MH - Myeloid-Derived Suppressor Cells/*immunology MH - NADPH Oxidase 2/immunology/metabolism MH - NADPH Oxidase 4/immunology/metabolism MH - Reactive Oxygen Species/*metabolism MH - Receptors, CCR2/immunology/metabolism MH - Signal Transduction MH - Tumor Microenvironment EDAT- 2020/02/23 06:00 MHDA- 2020/11/11 06:00 CRDT- 2020/02/21 06:00 PHST- 2019/07/03 00:00 [received] PHST- 2019/11/14 00:00 [revised] PHST- 2020/02/13 00:00 [accepted] PHST- 2020/02/23 06:00 [pubmed] PHST- 2020/11/11 06:00 [medline] PHST- 2020/02/21 06:00 [entrez] AID - 2326-6066.CIR-19-0507 [pii] AID - 10.1158/2326-6066.CIR-19-0507 [doi] PST - ppublish SO - Cancer Immunol Res. 2020 Apr;8(4):436-450. doi: 10.1158/2326-6066.CIR-19-0507. Epub 2020 Feb 19.