Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity

IntroductionAnti-CD40 agonistic antibody (αCD40), an activator of dendritic cells (DC) can enhance antigen presentation and activate cytotoxic T-cells against poorly immunogenic tumors. However, cancer immunotherapy trials also suggest that αCD40 is only moderately effective in patients, falling sho...

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Main Authors: Akansha Singh, Ashish Ranjan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1141712/full
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author Akansha Singh
Ashish Ranjan
author_facet Akansha Singh
Ashish Ranjan
author_sort Akansha Singh
collection DOAJ
description IntroductionAnti-CD40 agonistic antibody (αCD40), an activator of dendritic cells (DC) can enhance antigen presentation and activate cytotoxic T-cells against poorly immunogenic tumors. However, cancer immunotherapy trials also suggest that αCD40 is only moderately effective in patients, falling short of achieving clinical success. Identifying factors that decrease αCD40 immune-stimulating effects can aid the translation of this agent to clinical reality.Method/ResultsHere, we reveal that β-adrenergic signaling on DCs directly interferes with αCD40 efficacy in immunologically cold head and neck tumor model. We discovered that β-2 adrenergic receptor (β2AR) activation rewires CD40 signaling in DCs by directly inhibiting the phosphorylation of IκBα and indirectly by upregulating levels of phosphorylated-cAMP response element-binding protein (pCREB). Importantly, the addition of propranolol, a pan β-Blocker reprograms the CD40 pathways, inducing superior tumor regressions, increased infiltration of cytotoxic T-cells, and a reduced burden of regulatory T-cells in tumors compared to monotherapy.ConclusionOur study highlights an important mechanistic link between stress-induced β2AR signaling and reduced αCD40 efficacy in cold tumors, providing a new combinatorial approach to improve clinical outcomes in patients.
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spelling doaj.art-c4d574c765cb45b4bf407fe733126eed2023-04-26T07:48:54ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11417121141712Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunityAkansha SinghAshish RanjanIntroductionAnti-CD40 agonistic antibody (αCD40), an activator of dendritic cells (DC) can enhance antigen presentation and activate cytotoxic T-cells against poorly immunogenic tumors. However, cancer immunotherapy trials also suggest that αCD40 is only moderately effective in patients, falling short of achieving clinical success. Identifying factors that decrease αCD40 immune-stimulating effects can aid the translation of this agent to clinical reality.Method/ResultsHere, we reveal that β-adrenergic signaling on DCs directly interferes with αCD40 efficacy in immunologically cold head and neck tumor model. We discovered that β-2 adrenergic receptor (β2AR) activation rewires CD40 signaling in DCs by directly inhibiting the phosphorylation of IκBα and indirectly by upregulating levels of phosphorylated-cAMP response element-binding protein (pCREB). Importantly, the addition of propranolol, a pan β-Blocker reprograms the CD40 pathways, inducing superior tumor regressions, increased infiltration of cytotoxic T-cells, and a reduced burden of regulatory T-cells in tumors compared to monotherapy.ConclusionOur study highlights an important mechanistic link between stress-induced β2AR signaling and reduced αCD40 efficacy in cold tumors, providing a new combinatorial approach to improve clinical outcomes in patients.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1141712/fullimmunotherapyAnti-CD40 agonist antibodypropranaloladrenergic signalinganti-tumor immunity
spellingShingle Akansha Singh
Ashish Ranjan
Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
Frontiers in Immunology
immunotherapy
Anti-CD40 agonist antibody
propranalol
adrenergic signaling
anti-tumor immunity
title Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
title_full Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
title_fullStr Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
title_full_unstemmed Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
title_short Adrenergic receptor signaling regulates the CD40-receptor mediated anti-tumor immunity
title_sort adrenergic receptor signaling regulates the cd40 receptor mediated anti tumor immunity
topic immunotherapy
Anti-CD40 agonist antibody
propranalol
adrenergic signaling
anti-tumor immunity
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1141712/full
work_keys_str_mv AT akanshasingh adrenergicreceptorsignalingregulatesthecd40receptormediatedantitumorimmunity
AT ashishranjan adrenergicreceptorsignalingregulatesthecd40receptormediatedantitumorimmunity