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Improving radiotherapy in immunosuppressive microenvironments by targeting complement receptor C5aR1.


ABSTRACT: An immunosuppressive microenvironment causes poor tumor T cell infiltration and is associated with reduced patient overall survival in colorectal cancer. How to improve treatment responses in these tumors is still a challenge. Using an integrated screening approach to identify cancer-specific vulnerabilities, we identified complement receptor C5aR1 as a druggable target, which when inhibited improved radiotherapy, even in tumors displaying immunosuppressive features and poor CD8+ T cell infiltration. While C5aR1 is well-known for its role in the immune compartment, we found that C5aR1 is also robustly expressed on malignant epithelial cells, highlighting potential tumor cell-specific functions. C5aR1 targeting resulted in increased NF-κB-dependent apoptosis specifically in tumors and not normal tissues, indicating that, in malignant cells, C5aR1 primarily regulated cell fate. Collectively, these data revealed that increased complement gene expression is part of the stress response mounted by irradiated tumors and that targeting C5aR1 could improve radiotherapy, even in tumors displaying immunosuppressive features.

SUBMITTER: Beach C 

PROVIDER: S-EPMC10688992 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Improving radiotherapy in immunosuppressive microenvironments by targeting complement receptor C5aR1.

Beach Callum C   MacLean David D   Majorova Dominika D   Melemenidis Stavros S   Nambiar Dhanya K DK   Kim Ryan K RK   Valbuena Gabriel N GN   Guglietta Silvia S   Krieg Carsten C   Darvish-Damavandi Mahnaz M   Suwa Tatsuya T   Easton Alistair A   Hillson Lily Vs LV   McCulloch Ashley K AK   McMahon Ross K RK   Pennel Kathryn K   Edwards Joanne J   O'Cathail Sean M SM   Roxburgh Campbell S CS   Domingo Enric E   Moon Eui Jung EJ   Jiang Dadi D   Jiang Yanyan Y   Zhang Qingyang Q   Koong Albert C AC   Woodruff Trent M TM   Graves Edward E EE   Maughan Tim T   Buczacki Simon Ja SJ   Stucki Manuel M   Le Quynh-Thu QT   Leedham Simon J SJ   Giaccia Amato J AJ   Olcina Monica M MM  

The Journal of clinical investigation 20231201 23


An immunosuppressive microenvironment causes poor tumor T cell infiltration and is associated with reduced patient overall survival in colorectal cancer. How to improve treatment responses in these tumors is still a challenge. Using an integrated screening approach to identify cancer-specific vulnerabilities, we identified complement receptor C5aR1 as a druggable target, which when inhibited improved radiotherapy, even in tumors displaying immunosuppressive features and poor CD8+ T cell infiltra  ...[more]

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