<p>Cancer cells activate the integrated stress response (ISR) to adapt to stress and resist therapy<sup><CitationRef CitationID="CR1">1</CitationRef></sup>. ISR signals converge on activating transcription factor 4 (ATF4), which controls cell-intrinsic transcriptional programs that are involved in metabolic adaptation, survival and growth<sup><CitationRef CitationID="CR2">2</CitationRef>,<CitationRef CitationID="CR3">3</CitationRef></sup>. However, whether the ISR–ATF4&#xa0;axis influences anti-tumour immune responses remains mostly unknown. Here we show that loss of ATF4 decreases tumour progression considerably in immunocompetent mice, but not in immunocompromised ones, by enhancing T cell-dependent anti-cancer immune responses. An unbiased genetic screen of ATF4-regulated genes identifies lipocalin 2 (LCN2) as the principal ATF4-dependent effector that impairs anti-tumour immunity by favouring infiltration with immunosuppressive interstitial macrophages. Furthermore, we find that LCN2 promotes T cell exclusion and immune evasion in preclinical mouse models, and correlates with decreased T cell infiltration in patients with lung and pancreatic adenocarcinomas. Anti-LCN2 antibodies promote robust anti-tumour T cell responses in mouse models of aggressive solid tumours. Our study shows that the ATF4–LCN2 axis has a cell-extrinsic role in suppressing anti-cancer immunity, and could pave the way for an immunotherapy approach that targets LCN2.</p>

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The integrated stress response promotes immune evasion through lipocalin 2

  • Jozef P. Bossowski,
  • Ray Pillai,
  • John Kilian,
  • Angela Wong Lau,
  • Mari Nakamura,
  • Ali Rashidfarrokhi,
  • Yuan Hao,
  • Ruxuan Li,
  • Katherine Wu,
  • Takamitsu Hattori,
  • Eliezra Glasser,
  • Akiko Koide,
  • Lidong Wang,
  • Andre L. Moreira,
  • Cristina Hajdu,
  • Sahith Rajalingam,
  • Sarah E. LeBoeuf,
  • Hortense Le,
  • Seungeun Lee,
  • Jin Woo Oh,
  • Cheolyong Joe,
  • Hyemin Kim,
  • Chan-Young Ock,
  • Se-Hoon Lee,
  • Hao Wang,
  • Angana A. H. Patel,
  • Volkan I. Sayin,
  • Aristotelis Tsirigos,
  • Kwok-Kin Wong,
  • Sergei B. Koralov,
  • Mario Pende,
  • Francisco J. Sánchez-Rivera,
  • Diane M. Simeone,
  • Ioannis K. Zervantonakis,
  • Shohei Koide,
  • Thales Papagiannakopoulos

摘要

Cancer cells activate the integrated stress response (ISR) to adapt to stress and resist therapy1. ISR signals converge on activating transcription factor 4 (ATF4), which controls cell-intrinsic transcriptional programs that are involved in metabolic adaptation, survival and growth2,3. However, whether the ISR–ATF4 axis influences anti-tumour immune responses remains mostly unknown. Here we show that loss of ATF4 decreases tumour progression considerably in immunocompetent mice, but not in immunocompromised ones, by enhancing T cell-dependent anti-cancer immune responses. An unbiased genetic screen of ATF4-regulated genes identifies lipocalin 2 (LCN2) as the principal ATF4-dependent effector that impairs anti-tumour immunity by favouring infiltration with immunosuppressive interstitial macrophages. Furthermore, we find that LCN2 promotes T cell exclusion and immune evasion in preclinical mouse models, and correlates with decreased T cell infiltration in patients with lung and pancreatic adenocarcinomas. Anti-LCN2 antibodies promote robust anti-tumour T cell responses in mouse models of aggressive solid tumours. Our study shows that the ATF4–LCN2 axis has a cell-extrinsic role in suppressing anti-cancer immunity, and could pave the way for an immunotherapy approach that targets LCN2.