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Inducible CCR2+ nonclassical monocytes mediate the regression of cancer metastasis
Xianpeng Liu, … , G.R. Scott Budinger, Ankit Bharat
Xianpeng Liu, … , G.R. Scott Budinger, Ankit Bharat
Published November 15, 2024
Citation Information: J Clin Invest. 2024;134(22):e179527. https://doi.org/10.1172/JCI179527.
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Research Article Immunology

Inducible CCR2+ nonclassical monocytes mediate the regression of cancer metastasis

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Abstract

A major limitation of immunotherapy is the development of resistance resulting from cancer-mediated inhibition of host lymphocytes. Cancer cells release CCL2 to recruit classical monocytes expressing its receptor CCR2 for the promotion of metastasis and resistance to immunosurveillance. In the circulation, some CCR2-expressing classical monocytes lose CCR2 and differentiate into intravascular nonclassical monocytes that have anticancer properties but are unable to access extravascular tumor sites. We found that in mice and humans, an ontogenetically distinct subset of naturally underrepresented CCR2-expressing nonclassical monocytes was expanded during inflammatory states such as organ transplant and COVID-19 infection. These cells could be induced during health by treatment of classical monocytes with small-molecule activators of NOD2. The presence of CCR2 enabled these inducible nonclassical monocytes to infiltrate both intra- and extravascular metastatic sites of melanoma, lung, breast, and colon cancer in murine models, and they reversed the increased susceptibility of Nod2–/– mutant mice to cancer metastasis. Within the tumor colonies, CCR2+ nonclassical monocytes secreted CCL6 to recruit NK cells that mediated tumor regression, independent of T and B lymphocytes. Hence, pharmacological induction of CCR2+ nonclassical monocytes might be useful for immunotherapy-resistant cancers.

Authors

Xianpeng Liu, Ziyou Ren, Can Tan, Félix L. Núñez-Santana, Megan E. Kelly, Yuanqing Yan, Haiying Sun, Hiam Abdala-Valencia, Wenbin Yang, Qiang Wu, Takahide Toyoda, Marija Milisav, S. Marina Casalino-Matsuda, Emilia Lecuona, Emily Jeong Cerier, Lena J. Heung, Mohamed E. Abazeed, Harris Perlman, Ruli Gao, Navdeep S. Chandel, G.R. Scott Budinger, Ankit Bharat

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Figure 5

Retention of CCR2 on I-NCMs is crucial for their migration to tumor metastasis.

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Retention of CCR2 on I-NCMs is crucial for their migration to tumor meta...
(A and B) Intravascular and extravascular distribution of established B16F10-GFP clusters in mouse lung. (A) Representative confocal images show immunostaining of CD31 (endothelial cell marker, red) and B16-GFP (green) in Nr4a1–/– mice. B16F10-GFP clusters on the lung surface are indicated by dashed white lines. White and yellow arrows indicate the areas of extravascular and intravascular B16F10-GFP cells, respectively. White and yellow scale bars: 100 and 20 μm, respectively. (B) GFP intensity in 10–22 areas from multiple slides from the deeper regions in lung from WT B6, Nod2–/–, and Nr4a1–/– mice (n = 3–4) was determined by use of ImageJ and quantified. Data are presented as mean ± SEM; **P < 0.01; 1-way ANOVA. (C and D) Experimental design (C) and representative 2-photon images (D) showing colocalization of I-NCMs with the established B16F10-GFP metastatic clusters in mouse lung. The I-NCMs were sorted, stained with Hoechst 33342, and adoptively transferred into Nod2–/– mice bearing B10F10-GFP cells in the lung as described in C. Intravital 2-photon imaging was used for tracing I-NCMs. Blue: Hoechst 33342–stained I-NCMs; green: B16F10-GFP; red: Dx-rhodamine–labeled blood vessel. Colocalization of blue and green signals is indicated in the area circled with a dashed white line in D. Scale bars: 50 μm. (E and F) RFP-labeled I-NCMs (3.5 × 105 cells) were sorted and adoptively transferred into Nr4a1–/– Nod2–/– double-mutant mice bearing B10F10-GFP cells in the lung as described for E. Accumulation and distribution of the adoptively transferred RFP–I-NCMs were detected and determined by confocal imaging of lung sections immunostained with CD31 (endothelial cell marker; white), GFP (B16F10-GFP), and RFP (RFP-I-NCMs) in F. Yellow and blue arrows indicate the typical RFP-labeled I-NCMs outside and inside the blood vessel within the B16F10-GFP clusters, respectively. White and yellow scale bars: 50 and 20 μm, respectively. (G and H) Expression of CCL2 in metastatic B16F10 clusters and adjacent areas in mouse lungs. Expression of CCL2 was detected by IHC in the lungs (G) of untreated WT B6 control mice (n = 5, left) and Nr4a1–/– mice bearing B16F10-GFP melanoma cells (n = 4, right). White and yellow scale bars: 100 and 10 μm, respectively. RFP intensity in 34–96 areas from multiple slides was measured by use of ImageJ and quantified (H). FI, fluorescence intensity. The FI data are presented as mean ± SEM; n = 4–5 mice in each group; *P < 0.05; Forsythe’s and Welch’s ANOVA. (I and J) CCR2 deficiency impaired the accumulation and extravasation of MDP-triggering CCR2+ monocytes from blood vessels at the B16F10 metastasis site. Experimental design (I) and representative confocal images (J) showing typical extravasated (J, top row, indicated with white arrows) or intravascular (J, bottom row, indicated with yellow arrows) MDP-triggering CCR2+ monocytes in Nr4a1–/–Nod2–/– mouse lungs. Scale bars: 20 μm.

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