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FPR2 Shapes an Immune-Excluded Pancreatic Tumor Microenvironment and Drives T-cell Exhaustion in a Sex-Dependent Manner
Division of Pathology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm (SWE); Department of Urology, Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou (CHN).ORCID iD: 0000-0003-2453-3648
Department of Biological Science, Nanyang Technological University, Singapore (SGP); Department of Oncology–Pathology, Karolinska Institute, Stockholm(SWE).ORCID iD: 0000-0002-0600-6599
Department of Immunology, Genetics, and Pathology, Clinical Immunology, Uppsala (SWE).ORCID iD: 0000-0001-8366-5320
Division of Pathology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm (SWE).ORCID iD: 0000-0002-3638-1031
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2023 (English)In: Cancer Research, ISSN 0008-5472, E-ISSN 1538-7445, Vol. 83, no 10, p. 1628-1645Article in journal (Refereed) Published
Abstract [en]

Sex-driven immune differences can affect tumor progression and the landscape of the tumor microenvironment. Deeper understanding of these differences in males and females can inform patient selection to improve sex-optimized immunotherapy treatments. In this study, single-cell RNA sequencing and protein analyses uncovered a subpopulation of myeloid cells in pancreatic lesions associated with an immune-excluded tumor phenotype and effector T-cell exhaustion exclusively in females. This myeloid subpopulation was positively correlated with poor survival and genetic signatures of M2-like macrophages and T-cell exhaustion in females. The G-protein coupled receptor formyl peptide receptor 2 (FPR2) mediated these immunosuppressive effects. In vitro, treatment of myeloid cells with a specific FPR2 antagonist prevented exhaustion and enhanced cytotoxicity of effector cells. Proteomic analysis revealed high expression of immunosuppressive secretory proteins PGE2 and galectin-9, enriched integrin pathway, and reduced proinflammatory signals like TNFα and IFNγ in female M2-like macrophages upon FPR2 agonist treatment. In addition, myeloid cells treated with FPR2 agonists induced TIM3 and PD-1 expression only in female T cells. Treatment with anti-TIM3 antibodies reversed T-cell exhaustion and stimulated their ability to infiltrate and kill pancreatic spheroids. In vivo, progression of syngeneic pancreatic tumors was significantly suppressed in FPR2 knockout (KO) female mice compared with wild-type (WT) female mice and to WT and FPR2 KO male mice. In female mice, inoculation of tumors with FPR2 KO macrophages significantly reduced tumor growth compared with WT macrophages. Overall, this study identified an immunosuppressive function of FPR2 in females, highlighting a potential sex-specific precision immunotherapy strategy.

Place, publisher, year, edition, pages
2023. Vol. 83, no 10, p. 1628-1645
Keywords [en]
Pancreatic Tumor Microenvironment, T-cell Exhaustion, Sex-Dependent Manner
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:hv:diva-21403DOI: 10.1158/0008-5472.can-22-2932ISI: 000995702800001PubMedID: 36919330Scopus ID: 2-s2.0-85159737771OAI: oai:DiVA.org:hv-21403DiVA, id: diva2:1844283
Funder
Swedish Cancer Society, 200169FSwedish Cancer Society, 222045PjSwedish Cancer Society, 201356PjEU, Horizon 2020, NEUTROCURE 861878Karolinska Institute, 2020-01829Available from: 2024-03-13 Created: 2024-03-13 Last updated: 2024-09-19Bibliographically approved

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Olofsson-Sahl, Peter

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