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IL-1 receptor–associated kinase-3 acts as an immune checkpoint in myeloid cells to limit cancer immunotherapy
Gürcan Tunalı, … , Irineos Papakyriacou, Yumeng Mao
Gürcan Tunalı, … , Irineos Papakyriacou, Yumeng Mao
Published February 9, 2023
Citation Information: J Clin Invest. 2023;133(7):e161084. https://doi.org/10.1172/JCI161084.
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Research Article Immunology Oncology

IL-1 receptor–associated kinase-3 acts as an immune checkpoint in myeloid cells to limit cancer immunotherapy

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Abstract

Inflammatory mediators released by cancer cells promote the induction of immune suppression and tolerance in myeloid cells. IL-1 receptor–associated kinase-3 (IRAK3) is a pseudokinase that inhibits IL-1/TLR signaling, but its role in patients treated with immune checkpoint blockade (ICB) therapy remains unclear. Using RNA-Seq data from the IMvigor210 trial, we found that tumors with high IRAK3 expressions showed enriched antiinflammatory pathways and worse clinical response to ICB therapy. Upon IRAK3 protein deletion with CRISPR/Cas9, primary human monocytes displayed altered global protein expression and phosphorylation in quantitative proteomics and released more proinflammatory cytokines in response to stimulation. Bone marrow–derived macrophages from an IRAK3 CRISPR KO mouse model demonstrated a proinflammatory phenotype and enhanced sensitivity to TLR agonists compared with WT cells. IRAK3 deficiency delayed the growth of carcinogen-induced and oncogene-driven murine cancer cells and induced enhanced activation in myeloid cells and T cells. Upon ICB treatment, IRAK3-KO mice showed enrichment of TCF1+PD-1+ stem-like memory CD8+ T cells and resulted in superior growth inhibition of immunologically cold tumors in vivo. Altogether, our study demonstrated what we believe to be a novel cancer-driven immune tolerance program controlled by IRAK3 in humans and mice and proposed its suitability as an immunotherapy target.

Authors

Gürcan Tunalı, Marta Rúbies Bedós, Divya Nagarajan, Patrik Fridh, Irineos Papakyriacou, Yumeng Mao

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Figure 6

Concurrent changes in innate and adaptive immunity are regulated by IRAK3 in vivo.

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Concurrent changes in innate and adaptive immunity are regulated by IRAK...
(A) Experimental design to compare tumor growth and immunological changes in WT and IRAK3-KO mice. (B) Syngeneic breast cancer cell line EO771 (400,000 cells per mouse, WT = 9, KO = 11, mean ± SEM) or lung cancer cell line LLC1 (200,000 cells per mouse, WT = 5, KO = 4) were injected subcutaneously in WT or IRAK3-KO mice. Tumor growth and survival of the animals were shown in a representative experiment of 2 repeats. (C) Oncogene-driven murine Ret melanoma cells (50,000 cells per mouse, WT = 7, KO = 10, mean ± SEM) or MYCN-amplified 9464D neuroblastoma cells (600,000 cells per mouse, WT = 7, KO = 6, mean ± SEM) were injected s.c. in WT or IRAK3-KO mice. Tumor growth of individual mouse and tumor size distribution at the study endpoints were shown. Representative experiment of 3 repeats. (D) Rat IgG2a isotype or a CSF-1R depleting antibody was i.p. injected into WT or IRAK3-KO mice in 100 μL PBS 3 days prior to implantation of Ret melanoma cancer cells (50,000 cells per mouse s.c.). Tumor volumes of individual mice were shown as mean ± SEM. The effect of CSF-1R antibody (clone AFS98) on tumor-bearing IRAK3-KO mice was observed in 3 individual experiments. (E) To study the immunological changes in size-matched tumors, EO771 cells (200,000 per mouse) were injected s.c. in WT or IRAK3-KO mice. Mice bearing comparable sizes of tumors (WT = 3 and KO = 4) on day 39 after injection were selected for FACS analysis. (F and G) Immunological changes and (H) correlation between PD-1+CD38+ cytotoxic T cells and MHCII on dendritic cells in tumor tissues were shown in tumor-bearing KO mice (n = 4). (I) Changes of CD4+ T cell subsets in spleens of the tumor-bearing mice were shown. All studies used age-matched female WT or IRAK3-KO mice. Statistical tests were performed using unpaired t tests. *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

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