Heme catabolism by tumor-associated macrophages controls metastasis formation

FM Consonni, A Bleve, MG Totaro, M Storto… - Nature …, 2021 - nature.com
FM Consonni, A Bleve, MG Totaro, M Storto, P Kunderfranco, A Termanini, F Pasqualini…
Nature immunology, 2021nature.com
Although the pathological significance of tumor-associated macrophage (TAM)
heterogeneity is still poorly understood, TAM reprogramming is viewed as a promising
anticancer therapy. Here we show that a distinct subset of TAMs (F4/
80hiCD115hiC3aRhiCD88hi), endowed with high rates of heme catabolism by the stress-
responsive enzyme heme oxygenase-1 (HO-1), plays a critical role in shaping a
prometastatic tumor microenvironment favoring immunosuppression, angiogenesis and …
Abstract
Although the pathological significance of tumor-associated macrophage (TAM) heterogeneity is still poorly understood, TAM reprogramming is viewed as a promising anticancer therapy. Here we show that a distinct subset of TAMs (F4/80hiCD115hiC3aRhiCD88hi), endowed with high rates of heme catabolism by the stress-responsive enzyme heme oxygenase-1 (HO-1), plays a critical role in shaping a prometastatic tumor microenvironment favoring immunosuppression, angiogenesis and epithelial-to-mesenchymal transition. This population originates from F4/80+HO-1+ bone marrow (BM) precursors, accumulates in the blood of tumor bearers and preferentially localizes at the invasive margin through a mechanism dependent on the activation of Nrf2 and coordinated by the NF-κB1–CSF1R–C3aR axis. Inhibition of F4/80+HO-1+ TAM recruitment or myeloid-specific deletion of HO-1 blocks metastasis formation and improves anticancer immunotherapy. Relative expression of HO-1 in peripheral monocyte subsets, as well as in tumor lesions, discriminates survival among metastatic melanoma patients. Overall, these results identify a distinct cancer-induced HO-1+ myeloid subgroup as a new antimetastatic target and prognostic blood marker.
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