PMID- 37844448 OWN - NLM STAT- MEDLINE DCOM- 20231103 LR - 20231105 IS - 1090-2104 (Electronic) IS - 0006-291X (Linking) VI - 682 DP - 2023 Nov 19 TI - SIRP-alpha-IL-6 axis induces immunosuppressive macrophages in non-small-cell lung cancer. PG - 386-396 LID - S0006-291X(23)01187-7 [pii] LID - 10.1016/j.bbrc.2023.10.035 [doi] AB - Signal regulatory protein-alpha (SIRPalpha) and IL-6 participate in the induction of tumor immune suppressive environment and facilitate tumor growth. In this study, we found that SIRPalpha was significantly elevated in macrophages of non-small cell lung cancer (NSCLC) tissues, which was positively correlated to the expression of CD163, PD-1, IL-6, and lung cancer progression. SIRPalpha in peripheral blood mononuclear cells (PBMCs) of NSCLC patients was also associated with CD163, PD-1, and plasma IL-6. Blockade of SIRPalpha signaling in SIRPalpha (+/-) and SIRPalpha(-/-) mice attenuated lung cancer growth and reduced IL-6 expression in LLC cells-transplanted murine lung cancer model. Co-targeting SIRPalpha and IL-6 additively suppressed the expression of IL-6 and activation of STAT3, accompanied with a reduced population of pro-tumorigenic CD206(+) M2 subtype of macrophages, PD-1(+) tumor-associated macrophages (TAMs), and PD-1(+)CD8(+) T cells in tumor tissues of anti-IL-6 antibody (aIL-6)-treated mice deficient in SIRPalpha. Further in vitro studies showed that blockade of SIRPalpha signaling by anti-SIRPalpha effectively improved phagocytosis of human PBMCs. IL-6 treatment improved polarization of M2 subtypes and the expression of PD-1 in bone marrow-derived macrophages (BMDMs); whereas both aIL-6 and STAT3 inhibitor C188-9 suppressed the expression of PD-1 and SIRPalpha in BMDMs. M2 cell-biased polarization was also reduced in aIL-6 or C188-9 treated BMDMs. Thereby, SIRPalpha and IL-6 form a positive feedback loop and regulate each other through STAT3 signaling in macrophages. The increased SIRPalpha/IL-6 axis may promote immune suppressive environment and lung cancer growth, which may be a potential target for clinical treatment. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Wang, Bin AU - Wang B AD - Cancer Center, Department of Thoracic Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China; Department of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, China. FAU - Pan, Linyue AU - Pan L AD - Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Chen, Mengjie AU - Chen M AD - Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Ma, Yuan AU - Ma Y AD - Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Gao, Jiameng AU - Gao J AD - Department of Pulmonary Medicine, Minhang Hospital, Fudan University, Shanghai, China. FAU - Tang, Dongfang AU - Tang D AD - Department of Thoracic Surgery, Huadong Hospital, Fudan University, Shanghai, China. FAU - Jiang, Zhilong AU - Jiang Z AD - Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, Shanghai, China. Electronic address: jiang.zhilong@zs-hospital.sh.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231010 PL - United States TA - Biochem Biophys Res Commun JT - Biochemical and biophysical research communications JID - 0372516 RN - 0 (Interleukin-6) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (interleukin-6, mouse) RN - 0 (IL6 protein, human) RN - 0 (SIRPA protein, human) RN - 0 (Ptpns1 protein, mouse) SB - IM MH - Animals MH - Humans MH - Mice MH - *Carcinoma, Non-Small-Cell Lung/pathology MH - CD8-Positive T-Lymphocytes/metabolism MH - Interleukin-6/metabolism MH - Leukocytes, Mononuclear/metabolism MH - *Lung Neoplasms/pathology MH - Macrophages/metabolism MH - Programmed Cell Death 1 Receptor/metabolism OTO - NOTNLM OT - IL-6 OT - Macrophages OT - Non-small-cell lung cancer (NSCLC) OT - PD-1 OT - SIRPalpha COIS- Declaration of competing interest The authors declare no competing interests. EDAT- 2023/10/17 00:42 MHDA- 2023/11/01 12:43 CRDT- 2023/10/16 18:06 PHST- 2023/06/17 00:00 [received] PHST- 2023/09/28 00:00 [revised] PHST- 2023/10/09 00:00 [accepted] PHST- 2023/11/01 12:43 [medline] PHST- 2023/10/17 00:42 [pubmed] PHST- 2023/10/16 18:06 [entrez] AID - S0006-291X(23)01187-7 [pii] AID - 10.1016/j.bbrc.2023.10.035 [doi] PST - ppublish SO - Biochem Biophys Res Commun. 2023 Nov 19;682:386-396. doi: 10.1016/j.bbrc.2023.10.035. Epub 2023 Oct 10.