PMID- 37967215 OWN - NLM STAT- MEDLINE DCOM- 20231127 LR - 20240214 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 120 IP - 47 DP - 2023 Nov 21 TI - NMDAR antagonists suppress tumor progression by regulating tumor-associated macrophages. PG - e2302126120 LID - 10.1073/pnas.2302126120 [doi] LID - e2302126120 AB - Neurotransmitter receptors are increasingly recognized to play important roles in anti-tumor immunity. The expression of the ion channel N-methyl-D-aspartate receptor (NMDAR) on macrophages was reported, but the role of NMDAR on macrophages in the tumor microenvironment (TME) remains unknown. Here, we show that the activation of NMDAR triggered calcium influx and reactive oxygen species production, which fueled immunosuppressive activities in tumor-associated macrophages (TAMs) in the hepatocellular sarcoma and fibrosarcoma tumor settings. NMDAR antagonists, MK-801, memantine, and magnesium, effectively suppressed these processes in TAMs. Single-cell RNA sequencing analysis revealed that blocking NMDAR functionally and metabolically altered TAM phenotypes, such that they could better promote T cell- and Natural killer (NK) cell-mediated anti-tumor immunity. Treatment with NMDAR antagonists in combination with anti-PD-1 antibody led to the elimination of the majority of established preclinical liver tumors. Thus, our study uncovered an unknown role for NMDAR in regulating macrophages in the TME of hepatocellular sarcoma and provided a rationale for targeting NMDAR for tumor immunotherapy. FAU - Yuan, Dongchen AU - Yuan D AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Hu, Jing AU - Hu J AUID- ORCID: 0000-0001-6072-5597 AD - Department of Bioinformatics, School of Life Sciences, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. AD - Department of Genetics, Xuzhou Engineering Research Center of Medical Genetics and Transformation, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Ju, Xiaoman AU - Ju X AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Putz, Eva Maria AU - Putz EM AUID- ORCID: 0000-0002-9990-4477 AD - St. Anna Children's Cancer Research Institute, Medical University of Vienna, Vienna 1210, Austria. FAU - Zheng, Simin AU - Zheng S AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Koda, Stephane AU - Koda S AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Sun, Guowei AU - Sun G AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Deng, Xiaoran AU - Deng X AD - Jiangsu Province Key Laboratory in Anesthesiology, School of Anesthesiology, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Xu, Zhipeng AU - Xu Z AUID- ORCID: 0000-0002-8853-5303 AD - Department of Pathogen Biology, Jiangsu Province Key Laboratory of Modern Pathogen Biology, Nanjing Medical University, Nanjing, Jiangsu 211166, China. FAU - Nie, Wei AU - Nie W AD - Department of Pulmonary Medicine, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200240, China. FAU - Zhao, Yang AU - Zhao Y AUID- ORCID: 0000-0001-8814-7004 AD - Jiangsu Key Laboratory for Pharmacology and Safety Evaluation of Chinese Materia Medica, School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China. AD - Department of Biochemistry and Molecular Biology, School of Medicine and Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210023, China. FAU - Li, Xianyang AU - Li X AD - Department of Research and Development, OriCell Therapeutics Co. Ltd, Shanghai 200131, China. FAU - Dougall, William C AU - Dougall WC AD - Translational Oncology Discovery Group, QIMR Berghofer Medical Research Institute, Brisbane 4702, Australia. FAU - Shao, Simin AU - Shao S AUID- ORCID: 0000-0002-9662-367X AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Chen, Yan AU - Chen Y AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Tang, Renxian AU - Tang R AUID- ORCID: 0000-0002-4205-1071 AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Zheng, Kuiyang AU - Zheng K AUID- ORCID: 0000-0002-1896-7485 AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. FAU - Yan, Juming AU - Yan J AUID- ORCID: 0000-0003-0857-8870 AD - Department of Pathogen Biology and Immunology, Jiangsu Key Laboratory of Immunity and Metabolism, Jiangsu International Laboratory of Immunity and Metabolism, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China. LA - eng GR - P 32001/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article DEP - 20231115 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 RN - W8O17SJF3T (Memantine) SB - IM MH - Humans MH - Tumor-Associated Macrophages MH - Neoplastic Processes MH - Memantine MH - *Liver Neoplasms MH - *Sarcoma MH - Tumor Microenvironment PMC - PMC10666127 OTO - NOTNLM OT - NMDA receptor OT - ROS OT - macrophages OT - tumor OT - tumor microenvironment COIS- X.L. is an employee of OriCell Therapeutics. W.C.D. is a member of the EpimAb Biotherapeutics scientific advisory board and holds patents related to the Receptor Activator of Nuclear Factor-kappa B Ligand (RANKL) pathway. No potential conflicts of interest were disclosed by the other authors. EDAT- 2023/11/15 18:41 MHDA- 2023/11/27 12:42 PMCR- 2024/05/15 CRDT- 2023/11/15 14:13 PHST- 2024/05/15 00:00 [pmc-release] PHST- 2023/11/27 12:42 [medline] PHST- 2023/11/15 18:41 [pubmed] PHST- 2023/11/15 14:13 [entrez] AID - 202302126 [pii] AID - 10.1073/pnas.2302126120 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2023 Nov 21;120(47):e2302126120. doi: 10.1073/pnas.2302126120. Epub 2023 Nov 15.