Type 2-like polarization and elevated CXCL4 secretion of monocyte derived macrophages upon internalization of plasma-derived exosomes from head and neck cancer patients.


Journal

BMC cancer
ISSN: 1471-2407
Titre abrégé: BMC Cancer
Pays: England
ID NLM: 100967800

Informations de publication

Date de publication:
20 Sep 2024
Historique:
received: 20 06 2024
accepted: 12 09 2024
medline: 21 9 2024
pubmed: 21 9 2024
entrez: 20 9 2024
Statut: epublish

Résumé

Exosomes are closely associated with different aspects of tumor-progression in patients with head and neck squamous cell carcinoma (HNSCC), such as angiogenesis or immune regulation. As extracellular vesicles they are involved in the intercellular communication by transferring their cargo such as proteins and nucleic acids from one cell to another. However, the influence of tumor related plasma-derived exosomes on the polarization and characteristics of monocyte derived macrophages is not fully understood. Exosomes were isolated from plasma samples of healthy donors (HD) and HNSCC patients and further evaluated with regard to morphology, size and protein composition via transmission electron microscopy, nanoparticle tracking, western blot analysis and cytokine assays. Differentiation and characteristics of monocyte derived macrophages upon exosome internalization were analyzed using flow cytometry and fluorescence microscopy. Macrophage cytokine secretion patterns were analyzed by human cytokine antibody arrays and ELISA measurements. Our data revealed elevated overall plasma levels of CTLA-4, PD-L1, and TIM-3 as well as elevated exosome-associated CTLA-4, PD-L2, TIM-3, and LAG-3 levels in HNSCC patients compared to HD. Furthermore, we observed a significant type 2-like polarization and elevated CXCL4 secretion of monocyte derived macrophages upon internalization of plasma-derived exosomes from HNSCC patients, which could be visualized by fluorescence microcopy of membrane stained exosomes. The study provides new insights regarding exosome driven pro-tumorigenic immune regulation in the circulation of patients with head and neck cancer and could help to better understand the individual immunologic situation.

Sections du résumé

BACKGROUND BACKGROUND
Exosomes are closely associated with different aspects of tumor-progression in patients with head and neck squamous cell carcinoma (HNSCC), such as angiogenesis or immune regulation. As extracellular vesicles they are involved in the intercellular communication by transferring their cargo such as proteins and nucleic acids from one cell to another. However, the influence of tumor related plasma-derived exosomes on the polarization and characteristics of monocyte derived macrophages is not fully understood.
METHODS METHODS
Exosomes were isolated from plasma samples of healthy donors (HD) and HNSCC patients and further evaluated with regard to morphology, size and protein composition via transmission electron microscopy, nanoparticle tracking, western blot analysis and cytokine assays. Differentiation and characteristics of monocyte derived macrophages upon exosome internalization were analyzed using flow cytometry and fluorescence microscopy. Macrophage cytokine secretion patterns were analyzed by human cytokine antibody arrays and ELISA measurements.
RESULTS RESULTS
Our data revealed elevated overall plasma levels of CTLA-4, PD-L1, and TIM-3 as well as elevated exosome-associated CTLA-4, PD-L2, TIM-3, and LAG-3 levels in HNSCC patients compared to HD. Furthermore, we observed a significant type 2-like polarization and elevated CXCL4 secretion of monocyte derived macrophages upon internalization of plasma-derived exosomes from HNSCC patients, which could be visualized by fluorescence microcopy of membrane stained exosomes.
CONCLUSIONS CONCLUSIONS
The study provides new insights regarding exosome driven pro-tumorigenic immune regulation in the circulation of patients with head and neck cancer and could help to better understand the individual immunologic situation.

Identifiants

pubmed: 39304856
doi: 10.1186/s12885-024-12948-6
pii: 10.1186/s12885-024-12948-6
doi:

Substances chimiques

Platelet Factor 4 37270-94-3
PF4 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1173

Informations de copyright

© 2024. The Author(s).

Références

Zhang P, Li S, Zhang T, Cui F, Shi JH, Zhao F, et al. Characterization of Molecular subtypes in Head and Neck squamous cell carcinoma with distinct prognosis and treatment responsiveness. Front cell Dev Biology. 2021;9:711348.
doi: 10.3389/fcell.2021.711348
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer statistics 2020: GLOBOCAN estimates of incidence and Mortality Worldwide for 36 cancers in 185 countries. Cancer J Clin. 2021;71:209–49.
doi: 10.3322/caac.21660
Califf RM. Biomarker definitions and their applications. Experimental Biology Med. 2018;243:213–21.
doi: 10.1177/1535370217750088
Alsahafi E, Begg K, Amelio I, Raulf N, Lucarelli P, Sauter T, et al. Clinical update on head and neck cancer: molecular biology and ongoing challenges. Cell Death Dis. 2019;10:540.
pubmed: 31308358 pmcid: 6629629 doi: 10.1038/s41419-019-1769-9
Canning M, Guo G, Yu M, Myint C, Groves MW, Byrd JK, et al. Heterogeneity of the Head and Neck squamous cell Carcinoma Immune Landscape and its impact on Immunotherapy. Front cell Dev Biology. 2019;7:52.
doi: 10.3389/fcell.2019.00052
Jawa Y, Yadav P, Gupta S, Mathan SV, Pandey J, Saxena AK, et al. Current insights and advancements in Head and Neck Cancer: emerging biomarkers and therapeutics with cues from single cell and 3D model Omics Profiling. Front Oncol. 2021;11:676948.
pubmed: 34490084 pmcid: 8418074 doi: 10.3389/fonc.2021.676948
Jayasingam SD, Citartan M, Thang TH, Mat Zin AA, Ang KC, Ch’ng ES. Evaluating the polarization of Tumor-Associated macrophages into M1 and M2 phenotypes in Human Cancer tissue: technicalities and challenges in Routine Clinical Practice. Front Oncol. 2019;9:1512.
pubmed: 32039007 doi: 10.3389/fonc.2019.01512
Heusinkveld M, van der Burg SH. Identification and manipulation of tumor associated macrophages in human cancers. J Translational Med. 2011;9:216.
doi: 10.1186/1479-5876-9-216
Mantovani A, Sozzani S, Locati M, Allavena P, Sica A. Macrophage polarization: tumor-associated macrophages as a paradigm for polarized M2 mononuclear phagocytes. Trends Immunol. 2002;23:549–55.
pubmed: 12401408 doi: 10.1016/S1471-4906(02)02302-5
Murray PJ, Allen JE, Biswas SK, Fisher EA, Gilroy DW, Goerdt S, et al. Macrophage activation and polarization: nomenclature and experimental guidelines. Immunity. 2014;41:14–20.
pubmed: 25035950 pmcid: 4123412 doi: 10.1016/j.immuni.2014.06.008
Evrard D, Szturz P, Tijeras-Raballand A, Astorgues-Xerri L, Abitbol C, Paradis V, et al. Macrophages in the microenvironment of head and neck cancer: potential targets for cancer therapy. Oral Oncol. 2019;88:29–38.
pubmed: 30616794 doi: 10.1016/j.oraloncology.2018.10.040
Bisheshar SK, van der Kamp MF, de Ruiter EJ, Ruiter LN, van der Vegt B, Breimer GE, et al. The prognostic role of tumor associated macrophages in squamous cell carcinoma of the head and neck: a systematic review and meta-analysis. Oral Oncol. 2022;135:106227.
pubmed: 36335818 doi: 10.1016/j.oraloncology.2022.106227
Chohan MH, Perry M, Laurance-Young P, Salih VM, Foey AD. Prognostic role of CD68(+) and CD163(+) Tumour-Associated macrophages and PD-L1 expression in oral squamous cell carcinoma: a Meta-analysis. Br J Biomed Sci. 2023;80:11065.
pubmed: 37397243 pmcid: 10310926 doi: 10.3389/bjbs.2023.11065
Heng Y, Zhu X, Lin H, Jingyu M, Ding X, Tao L, et al. CD206(+) tumor-associated macrophages interact with CD4(+) tumor-infiltrating lymphocytes and predict adverse patient outcome in human laryngeal squamous cell carcinoma. J Translational Med. 2023;21:167.
doi: 10.1186/s12967-023-03910-4
Chen Y, Song Y, Du W, Gong L, Chang H, Zou Z. Tumor-associated macrophages: an accomplice in solid tumor progression. J Biomed Sci. 2019;26:78.
pubmed: 31629410 pmcid: 6800990 doi: 10.1186/s12929-019-0568-z
Hourani T, Holden JA, Li W, Lenzo JC, Hadjigol S, O’Brien-Simpson NM. Tumor Associated macrophages: Origin, Recruitment, phenotypic diversity, and Targeting. Front Oncol. 2021;11:788365.
pubmed: 34988021 pmcid: 8722774 doi: 10.3389/fonc.2021.788365
Whiteside TL. The effect of tumor-derived exosomes on immune regulation and cancer immunotherapy. Future Oncol. 2017;13:2583–92.
pubmed: 29198150 pmcid: 5827821 doi: 10.2217/fon-2017-0343
Whiteside TL. Exosomes carrying immunoinhibitory proteins and their role in cancer. Clin Exp Immunol. 2017;189:259–67.
pubmed: 28369805 pmcid: 5543496 doi: 10.1111/cei.12974
Whiteside TL. Exosomes in Cancer: another mechanism of Tumor-Induced Immune suppression. Adv Exp Med Biol. 2017;1036:81–9.
pubmed: 29275466 doi: 10.1007/978-3-319-67577-0_6
Milane L, Singh A, Mattheolabakis G, Suresh M, Amiji MM. Exosome mediated communication within the tumor microenvironment. J Controlled Release: Official J Controlled Release Soc. 2015;219:278–94.
doi: 10.1016/j.jconrel.2015.06.029
Maia J, Caja S, Strano Moraes MC, Couto N, Costa-Silva B. Exosome-based cell-cell communication in the Tumor Microenvironment. Front cell Dev Biology. 2018;6:18.
doi: 10.3389/fcell.2018.00018
Record M, Subra C, Silvente-Poirot S, Poirot M. Exosomes as intercellular signalosomes and pharmacological effectors. Biochem Pharmacol. 2011;81:1171–82.
pubmed: 21371441 doi: 10.1016/j.bcp.2011.02.011
Theodoraki MN, Yerneni SS, Hoffmann TK, Gooding WE, Whiteside TL. Clinical significance of PD-L1(+) exosomes in plasma of Head and Neck Cancer patients. Clin cancer Research: Official J Am Association Cancer Res. 2018;24:896–905.
doi: 10.1158/1078-0432.CCR-17-2664
Hofmann L, Ludwig S, Schuler PJ, Hoffmann TK, Brunner C, Theodoraki MN. The potential of CD16 on plasma-derived exosomes as a Liquid Biomarker in Head and Neck Cancer. Int J Mol Sci. 2020;21.
Theodoraki MN, Hofmann L, Huber D, Brunner C, Hoffmann TK, Idel C, et al. Plasma–derived CD16 exosomes and peripheral blood monocytes as correlating biomarkers in head and neck cancer. Oncol Lett. 2023;25:200.
pubmed: 37113401 pmcid: 10126691 doi: 10.3892/ol.2023.13786
Sica A, Schioppa T, Mantovani A, Allavena P. Tumour-associated macrophages are a distinct M2 polarised population promoting tumour progression: potential targets of anti-cancer therapy. Eur J Cancer. 2006;42:717–27.
pubmed: 16520032 doi: 10.1016/j.ejca.2006.01.003
Tsuchiya S, Yamabe M, Yamaguchi Y, Kobayashi Y, Konno T, Tada K. Establishment and characterization of a human acute monocytic leukemia cell line (THP-1). Int J Cancer. 1980;26:171–6.
pubmed: 6970727 doi: 10.1002/ijc.2910260208
Thery C, Witwer KW, Aikawa E, Alcaraz MJ, Anderson JD, Andriantsitohaina R, et al. Minimal information for studies of extracellular vesicles 2018 (MISEV2018): a position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines. J Extracell Vesicles. 2018;7:1535750.
pubmed: 30637094 pmcid: 6322352 doi: 10.1080/20013078.2018.1535750
Hong CS, Funk S, Muller L, Boyiadzis M, Whiteside TL. Isolation of biologically active and morphologically intact exosomes from plasma of patients with cancer. J Extracell Vesicles. 2016;5:29289.
pubmed: 27018366 doi: 10.3402/jev.v5.29289
Leemans CR, Snijders PJF, Brakenhoff RH. The molecular landscape of head and neck cancer. Nat Rev Cancer. 2018;18:269–82.
pubmed: 29497144 doi: 10.1038/nrc.2018.11
Puram SV, Tirosh I, Parikh AS, Patel AP, Yizhak K, Gillespie S, et al. Single-cell transcriptomic analysis of primary and metastatic Tumor ecosystems in Head and Neck Cancer. Cell. 2017;171:1611–24. e24.
pubmed: 29198524 pmcid: 5878932 doi: 10.1016/j.cell.2017.10.044
Pries R, Wollenberg B. Cytokines in head and neck cancer. Cytokine Growth Factor Rev. 2006;17:141–6.
pubmed: 16540364 doi: 10.1016/j.cytogfr.2006.02.001
Theodoraki MN, Laban S, Jackson EK, Lotfi R, Schuler PJ, Brunner C, et al. Changes in circulating exosome molecular profiles following surgery/(chemo)radiotherapy: early detection of response in head and neck cancer patients. Br J Cancer. 2021;125:1677–86.
pubmed: 34642463 pmcid: 8651659 doi: 10.1038/s41416-021-01567-8
Liu JY, Yu ZL, Fu QY, Zhang LZ, Li JB, Wu M, et al. Immunosuppressive effect of small extracellular vesicle PD-L1 is restricted by co-expression of CD80. Br J Cancer. 2023;129:925–34.
pubmed: 37532831 pmcid: 10491791 doi: 10.1038/s41416-023-02369-w
Theodoraki MN, Hoffmann TK, Whiteside TL. Separation of plasma-derived exosomes into CD3((+)) and CD3((-)) fractions allows for association of immune cell and tumour cell markers with disease activity in HNSCC patients. Clin Exp Immunol. 2018;192:271–83.
pubmed: 29431869 doi: 10.1111/cei.13113
Cai L, Li Y, Tan J, Xu L, Li Y. Targeting LAG-3, TIM-3, and TIGIT for cancer immunotherapy. J Hematol Oncol. 2023;16:101.
pubmed: 37670328 pmcid: 10478462 doi: 10.1186/s13045-023-01499-1
Liu JF, Wu L, Yang LL, Deng WW, Mao L, Wu H, et al. Blockade of TIM3 relieves immunosuppression through reducing regulatory T cells in head and neck cancer. J Experimental Clin cancer Research: CR. 2018;37:44.
pmcid: 5838931 doi: 10.1186/s13046-018-0713-7
Patil M, Saheera S, Dubey PK, Kahn-Krell A, Kumar Govindappa P, Singh S, et al. Novel mechanisms of exosome-mediated phagocytosis of dead cells in injured heart. Circ Res. 2021;129:1006–20.
pubmed: 34623174 pmcid: 8595793 doi: 10.1161/CIRCRESAHA.120.317900
Cheng L, Wang Y, Huang L. Exosomes from M1-Polarized macrophages Potentiate the Cancer Vaccine by creating a pro-inflammatory microenvironment in the Lymph Node. Mol Therapy: J Am Soc Gene Therapy. 2017;25:1665–75.
doi: 10.1016/j.ymthe.2017.02.007
Ge Z, Ding S. The Crosstalk between Tumor-Associated macrophages (TAMs) and Tumor cells and the corresponding targeted therapy. Front Oncol. 2020;10:590941.
pubmed: 33224886 pmcid: 7670061 doi: 10.3389/fonc.2020.590941
Wu L, Ye S, Yao Y, Zhang C, Liu W. Oral Cancer stem cell-derived small extracellular vesicles promote M2 macrophage polarization and suppress CD4(+) T-Cell activity by transferring UCA1 and targeting LAMC2. Stem Cells Int. 2022;2022:5817684.
pubmed: 36483681 pmcid: 9723417 doi: 10.1155/2022/5817684
Wang J, Wang N, Zheng Z, Che Y, Suzuki M, Kano S, et al. Exosomal lncRNA HOTAIR induce macrophages to M2 polarization via PI3K/ p-AKT /AKT pathway and promote EMT and metastasis in laryngeal squamous cell carcinoma. BMC Cancer. 2022;22:1208.
pubmed: 36424539 pmcid: 9686105 doi: 10.1186/s12885-022-10210-5
Linton SS, Abraham T, Liao J, Clawson GA, Butler PJ, Fox T, et al. Tumor-promoting effects of pancreatic cancer cell exosomes on THP-1-derived macrophages. PLoS ONE. 2018;13:e0206759.
pubmed: 30383833 pmcid: 6211741 doi: 10.1371/journal.pone.0206759
Gordon S. Alternative activation of macrophages. Nat Rev Immunol. 2003;3:23–35.
pubmed: 12511873 doi: 10.1038/nri978
Gordon S. The macrophage: past, present and future. Eur J Immunol. 2007;37(Suppl 1):S9–17.
pubmed: 17972350 doi: 10.1002/eji.200737638
Lovren F, Pan Y, Quan A, Szmitko PE, Singh KK, Shukla PC, et al. Adiponectin primes human monocytes into alternative anti-inflammatory M2 macrophages. Am J Physiol Heart Circ Physiol. 2010;299:H656–63.
pubmed: 20622108 pmcid: 2944489 doi: 10.1152/ajpheart.00115.2010
Luo Y, Liu M. Adiponectin: a versatile player of innate immunity. J Mol Cell Biol. 2016;8:120–8.
pubmed: 26993045 pmcid: 4816149 doi: 10.1093/jmcb/mjw012
Scheuerer B, Ernst M, Durrbaum-Landmann I, Fleischer J, Grage-Griebenow E, Brandt E, et al. The CXC-chemokine platelet factor 4 promotes monocyte survival and induces monocyte differentiation into macrophages. Blood. 2000;95:1158–66.
pubmed: 10666185 doi: 10.1182/blood.V95.4.1158.004k31_1158_1166
von Hundelshausen P, Koenen RR, Sack M, Mause SF, Adriaens W, Proudfoot AE, et al. Heterophilic interactions of platelet factor 4 and RANTES promote monocyte arrest on endothelium. Blood. 2005;105:924–30.
doi: 10.1182/blood-2004-06-2475
Ottria A, Zimmermann M, Paardekooper LM, Carvalheiro T, Vazirpanah N, Silva-Cardoso S, et al. Hypoxia and TLR9 activation drive CXCL4 production in systemic sclerosis plasmacytoid dendritic cells via mtROS and HIF-2alpha. Rheumatology. 2022;61:2682–93.
pubmed: 34559222 doi: 10.1093/rheumatology/keab532
Pries R, Kosyna FK, Depping R, Plotze-Martin K, Lange C, Meyhofer S, et al. Distinguishing the impact of distinct obstructive sleep apnea syndrome (OSAS) and obesity related factors on human monocyte subsets. Sci Rep. 2024;14:340.
pubmed: 38172514 pmcid: 10764945 doi: 10.1038/s41598-023-49921-5
Joseph R, Soundararajan R, Vasaikar S, Yang F, Allton KL, Tian L, et al. CD8(+) T cells inhibit metastasis and CXCL4 regulates its function. Br J Cancer. 2021;125:176–89.
pubmed: 33795809 pmcid: 8292398 doi: 10.1038/s41416-021-01338-5
Deng S, Deng Q, Zhang Y, Ye H, Yu X, Zhang Y, et al. Non-platelet-derived CXCL4 differentially regulates cytotoxic and regulatory T cells through CXCR3 to suppress the immune response to colon cancer. Cancer Lett. 2019;443:1–12.
pubmed: 30481563 doi: 10.1016/j.canlet.2018.11.017
Gleissner CA, Shaked I, Erbel C, Bockler D, Katus HA, Ley K. CXCL4 downregulates the atheroprotective hemoglobin receptor CD163 in human macrophages. Circ Res. 2010;106:203–11.
pubmed: 19910578 doi: 10.1161/CIRCRESAHA.109.199505
Kosaka N, Iguchi H, Yoshioka Y, Takeshita F, Matsuki Y, Ochiya T. Secretory mechanisms and intercellular transfer of microRNAs in living cells. J Biol Chem. 2010;285:17442–52.
pubmed: 20353945 pmcid: 2878508 doi: 10.1074/jbc.M110.107821
Mittelbrunn M, Gutierrez-Vazquez C, Villarroya-Beltri C, Gonzalez S, Sanchez-Cabo F, Gonzalez MA, et al. Unidirectional transfer of microRNA-loaded exosomes from T cells to antigen-presenting cells. Nat Commun. 2011;2:282.
pubmed: 21505438 doi: 10.1038/ncomms1285
Whiteside TL. Tumor-derived exosomes and their role in Cancer Progression. Adv Clin Chem. 2016;74:103–41.
pubmed: 27117662 pmcid: 5382933 doi: 10.1016/bs.acc.2015.12.005
Bjornetro T, Steffensen LA, Vestad B, Brusletto BS, Olstad OK, Troseid AM, et al. Uptake of circulating extracellular vesicles from rectal cancer patients and differential responses by human monocyte cultures. FEBS open bio. 2021;11:724–40.
pubmed: 33512765 pmcid: 7931235 doi: 10.1002/2211-5463.13098

Auteurs

Marie-Nicole Theodoraki (MN)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.
Department of Otolaryngology, Head and Neck Surgery, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.

Diana Huber (D)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.

Linda Hofmann (L)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.

Lotte Werner (L)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany.

Christian Idel (C)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany.

Jonas Fleckner (J)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany.

Kirstin Plötze-Martin (K)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany.

Lutz Schütt (L)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.

Cornelia Brunner (C)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.

Reinhard Depping (R)

Institute of Physiology, Working Group Hypoxia, University of Luebeck, Luebeck, Germany.

Thomas K Hoffmann (TK)

Department of Otorhinolaryngology, Ulm University Medical Center, Ulm, Germany.

Karl-Ludwig Bruchhage (KL)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany.

Ralph Pries (R)

Department of Otorhinolaryngology, University of Luebeck, Luebeck, Germany. ralph.pries@uksh.de.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH