Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression

Abstract Chronic kidney disease (CKD) affects kidney cancer patients’ mortality. However, the underlying mechanism remains unknown. M2-like macrophages have pro-tumor functions, also exist in injured kidney, and promote kidney fibrosis. Thus, it is suspected that M2-like macrophages in injured kidne...

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Main Authors: Taisuke Ishii, Imari Mimura, Koji Nagaoka, Akihiro Naito, Takehito Sugasawa, Ryohei Kuroda, Daisuke Yamada, Yasuharu Kanki, Haruki Kume, Tetsuo Ushiku, Kazuhiro Kakimi, Tetsuhiro Tanaka, Masaomi Nangaku
Format: Article
Language:English
Published: Nature Publishing Group 2022-12-01
Series:Cell Death Discovery
Online Access:https://doi.org/10.1038/s41420-022-01255-3
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author Taisuke Ishii
Imari Mimura
Koji Nagaoka
Akihiro Naito
Takehito Sugasawa
Ryohei Kuroda
Daisuke Yamada
Yasuharu Kanki
Haruki Kume
Tetsuo Ushiku
Kazuhiro Kakimi
Tetsuhiro Tanaka
Masaomi Nangaku
author_facet Taisuke Ishii
Imari Mimura
Koji Nagaoka
Akihiro Naito
Takehito Sugasawa
Ryohei Kuroda
Daisuke Yamada
Yasuharu Kanki
Haruki Kume
Tetsuo Ushiku
Kazuhiro Kakimi
Tetsuhiro Tanaka
Masaomi Nangaku
author_sort Taisuke Ishii
collection DOAJ
description Abstract Chronic kidney disease (CKD) affects kidney cancer patients’ mortality. However, the underlying mechanism remains unknown. M2-like macrophages have pro-tumor functions, also exist in injured kidney, and promote kidney fibrosis. Thus, it is suspected that M2-like macrophages in injured kidney induce the pro-tumor microenvironment leading to kidney cancer progression. We found that M2-like macrophages present in the injured kidney promoted kidney cancer progression and induced resistance to anti-PD1 antibody through its pro-tumor function and inhibition of CD8+ T cell infiltration. RNA-seq revealed Slc7a11 was upregulated in M2-like macrophages. Inhibition of Slc7a11 with sulfasalazine inhibited the pro-tumor function of M2-like macrophages and synergized with anti-PD1 antibody. Moreover, SLC7A11-positive macrophages were associated with poor prognosis among kidney cancer patients. Collectively, this study dissects the characteristic microenvironment in the injured kidney that contributed to kidney cancer progression and anti-PD1 antibody resistance. This insight offers promising combination therapy with anti-PD1 antibody and macrophage targeted therapy.
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spelling doaj.art-fea4fd389da749cf83f77efa217dce652022-12-22T04:40:08ZengNature Publishing GroupCell Death Discovery2058-77162022-12-018111810.1038/s41420-022-01255-3Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progressionTaisuke Ishii0Imari Mimura1Koji Nagaoka2Akihiro Naito3Takehito Sugasawa4Ryohei Kuroda5Daisuke Yamada6Yasuharu Kanki7Haruki Kume8Tetsuo Ushiku9Kazuhiro Kakimi10Tetsuhiro Tanaka11Masaomi Nangaku12Division of Nephrology and Endocrinology, The University of Tokyo Graduate School of MedicineDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of MedicineDepartment of Immunotherapeutics, The University of Tokyo HospitalDivision of Urology, The University of Tokyo Graduate School of MedicineLaboratory of Clinical Examination/Sports Medicine, Division of Clinical Medicine, Faculty of Medicine, University of TsukubaDepartment of Pathology, The University of Tokyo Graduate School of MedicineDivision of Urology, The University of Tokyo Graduate School of MedicineLaboratory of Clinical Examination/Sports Medicine, Division of Clinical Medicine, Faculty of Medicine, University of TsukubaDivision of Urology, The University of Tokyo Graduate School of MedicineDepartment of Pathology, The University of Tokyo Graduate School of MedicineDepartment of Immunotherapeutics, The University of Tokyo HospitalDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of MedicineDivision of Nephrology and Endocrinology, The University of Tokyo Graduate School of MedicineAbstract Chronic kidney disease (CKD) affects kidney cancer patients’ mortality. However, the underlying mechanism remains unknown. M2-like macrophages have pro-tumor functions, also exist in injured kidney, and promote kidney fibrosis. Thus, it is suspected that M2-like macrophages in injured kidney induce the pro-tumor microenvironment leading to kidney cancer progression. We found that M2-like macrophages present in the injured kidney promoted kidney cancer progression and induced resistance to anti-PD1 antibody through its pro-tumor function and inhibition of CD8+ T cell infiltration. RNA-seq revealed Slc7a11 was upregulated in M2-like macrophages. Inhibition of Slc7a11 with sulfasalazine inhibited the pro-tumor function of M2-like macrophages and synergized with anti-PD1 antibody. Moreover, SLC7A11-positive macrophages were associated with poor prognosis among kidney cancer patients. Collectively, this study dissects the characteristic microenvironment in the injured kidney that contributed to kidney cancer progression and anti-PD1 antibody resistance. This insight offers promising combination therapy with anti-PD1 antibody and macrophage targeted therapy.https://doi.org/10.1038/s41420-022-01255-3
spellingShingle Taisuke Ishii
Imari Mimura
Koji Nagaoka
Akihiro Naito
Takehito Sugasawa
Ryohei Kuroda
Daisuke Yamada
Yasuharu Kanki
Haruki Kume
Tetsuo Ushiku
Kazuhiro Kakimi
Tetsuhiro Tanaka
Masaomi Nangaku
Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
Cell Death Discovery
title Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
title_full Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
title_fullStr Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
title_full_unstemmed Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
title_short Effect of M2-like macrophages of the injured-kidney cortex on kidney cancer progression
title_sort effect of m2 like macrophages of the injured kidney cortex on kidney cancer progression
url https://doi.org/10.1038/s41420-022-01255-3
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