Upregulation of exosome secretion from tumor-associated macrophages plays a key role in the suppression of anti-tumor immunity

Wenqun Zhong, Youtao Lu, Xuexiang Han, Jingbo Yang, Zhiyuan Qin, Wei Zhang, Ziyan Yu, Bin Wu, Shujing Liu, Wei Xu, Cathy Zheng, Lynn M. Schuchter, Giorgos C. Karakousis, Tara C. Mitchell, Ravi Amaravadi, Ahron J. Flowers, Phyllis A. Gimotty, Min Xiao, Gordon Mills, Meenhard HerlynHaidong Dong, Michael J. Mitchell, Junhyong Kim, Xiaowei Xu, Wei Guo

Research output: Contribution to journalArticlepeer-review

Abstract

Macrophages play a pivotal role in tumor immunity. We report that reprogramming of macrophages to tumor-associated macrophages (TAMs) promotes the secretion of exosomes. Mechanistically, increased exosome secretion is driven by MADD, which is phosphorylated by Akt upon TAM induction and activates Rab27a. TAM exosomes carry high levels of programmed death-ligand 1 (PD-L1) and potently suppress the proliferation and function of CD8+ T cells. Analysis of patient melanoma tissues indicates that TAM exosomes contribute significantly to CD8+ T cell suppression. Single-cell RNA sequencing analysis showed that exosome-related genes are highly expressed in macrophages in melanoma; TAM-specific RAB27A expression inversely correlates with CD8+ T cell infiltration. In a murine melanoma model, lipid nanoparticle delivery of small interfering RNAs (siRNAs) targeting macrophage RAB27A led to better T cell activation and sensitized tumors to anti-programmed cell death protein 1 (PD-1) treatment. Our study demonstrates tumors use TAM exosomes to combat CD8 T cells and suggests targeting TAM exosomes as a potential strategy to improve immunotherapies.

Original languageEnglish (US)
Article number113224
JournalCell reports
Volume42
Issue number10
DOIs
StatePublished - Oct 31 2023

Keywords

  • CP: Cancer
  • CP: Immunology
  • exosome
  • immunotherapy
  • programmed cell death ligand 1
  • tumor-associated macrophages

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology

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