Objectives: Signal regulatory protein-alpha (SIRPα) is a transmembrane glycoprotein specifically expressed on myeloid cells. Blockade of SIRPα/CD47 interaction is effective in combinational therapy of some cancers. This study aimed to explore into the role and underlying molecular mechanisms of SIRPα in lung cancer growth.
Materials and Methods: A mouse model with lung cancer in wild-type (WT) and SIRPα-knockout mouse (KO) mice was established by subcutaneous injection of Lewis murine lung cancer cells (LLC). Circulating monocytes and neutrophils were depleted in mice by intraperitoneal administration of clodronate liposomes and anti-Ly6G antibody, respectively. Phenotypes and phagocytosis of macrophages and neutrophils were analysed by flow cytometry. Transwell assay was used to analyse LLC cells migration and invasion. Results: Lack of SIRPα inhibited LLC cells growth in KO mice, associated with reduced infiltrating PD-1 + CD8 + T cells and production of IL-6 from infiltrating macrophages and neutrophils in tumour tissues. Depletion of circulating monocytes and neutrophils reduced LLC cells growth in WT mice, which was abolished in KO mice. Studies in vitro showed that lack of SIRPα increased M1/M2 ratio, and reduced LLC cell migration and invasion via attenuated IL-6 secretion. Lack of SIRPα expression in neutrophils effectively increased the cytotoxic activity to LLC cells in vitro. Conclusions: Lack of SIRPα suppressed lung cancer cell growth in mice, dependent on circulating macrophages and neutrophils, in association with improved phagocytosis and reduced IL-6 expression.
| INTRODUCTIONLung cancer ranks first in mortality and second in the prevalence of malignant cancer worldwide in 2021. 1 To date, targeting immune checkpoints such as programmed death-1 (PD-1), and cytolytic T lymphocyte-associated antigen-4 (CTLA-4), have become effective therapeutic approaches among some lung cancer patients. 2,3 However, cohorts of patients have developed immune resistance to the immune checkpoint inhibitors (ICIs), due to infiltration of tumourassociated macrophages and neutrophils (TAMs and TANs), immunosuppressive myeloid cells and induction of T cell exclusion. [4][5][6] In addition, IL-6 is up-regulated in most of tumour patients and plays an important role in the modulation of these immunosuppressive cells. 7,8 It was previously reported that the combined blockade of IL-6 and Linyue Pan and Bin Wang contributed equally to this study.