1. Transcription factor c-Maf is a checkpoint that programs macrophages in lung cancer
- Author
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Michito Hamada, Shouzhen Wu, Sabrin Albeituni, Goetz Kloecker, Min Liu, Liqing He, Jun Yan, Huang-Ge Zhang, Zan Tong, Satoru Takahashi, Michael Bousamra, Bradford G. Hill, Chuanlin Ding, Andrew A. Gibb, Xiaoling Hu, Xiang Zhang, Eric C. Rouchka, David Tieri, Fengling Luo, and Caijun Wu
- Subjects
0301 basic medicine ,Lung Neoplasms ,T cell ,medicine.medical_treatment ,Cell ,Macrophage polarization ,Tumor initiation ,Biology ,03 medical and health sciences ,0302 clinical medicine ,Carcinoma, Non-Small-Cell Lung ,Tumor Microenvironment ,medicine ,Transcriptional regulation ,Humans ,MafF Transcription Factor ,Transcription factor ,Macrophages ,General Medicine ,Immunotherapy ,030104 developmental biology ,medicine.anatomical_structure ,Tumor progression ,030220 oncology & carcinogenesis ,Cancer research ,Research Article - Abstract
Macrophages have been linked to tumor initiation, progression, metastasis, and treatment resistance. However, the transcriptional regulation of macrophages driving the protumor function remains elusive. Here, we demonstrate that the transcription factor c-Maf is a critical controller for immunosuppressive macrophage polarization and function in cancer. c-Maf controls many M2-related genes and has direct binding sites within a conserved noncoding sequence of the Csf-1r gene and promotes M2-like macrophage–mediated T cell suppression and tumor progression. c-Maf also serves as a metabolic checkpoint regulating the TCA cycle and UDP-GlcNAc biosynthesis, thus promoting M2-like macrophage polarization and activation. Additionally, c-Maf is highly expressed in tumor-associated macrophages (TAMs) and regulates TAM immunosuppressive function. Deletion of c-Maf specifically in myeloid cells results in reduced tumor burden with enhanced antitumor T cell immunity. Inhibition of c-Maf partly overcomes resistance to anti–PD-1 therapy in a subcutaneous LLC tumor model. Similarly, c-Maf is expressed in human M2 and tumor-infiltrating macrophages/monocytes as well as circulating monocytes of human non–small cell lung carcinoma (NSCLC) patients and critically regulates their immunosuppressive activity. The natural compound β-glucan downregulates c-Maf expression on macrophages, leading to enhanced antitumor immunity in mice. These findings establish a paradigm for immunosuppressive macrophage polarization and transcriptional regulation by c-Maf and suggest that c-Maf is a potential target for effective tumor immunotherapy.
- Published
- 2020
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