SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies

Background Tumor-associated macrophages (TAMs) have been demonstrated to be associated with tumor progression. However, the different subpopulations of TAMs and their roles in gastric cancer (GC) remain poorly understood. This study aims to assess the effects of Spi-1 proto-oncogene (SPI1)+CD68+ TAM...

Full description

Saved in:
Bibliographic Details
Main Authors: Hong Yu, Yulong He, Changhua Zhang, Zhenzhen Zhao, Guofei Deng, Pengliang Wang, Rishun Su, Xuezeng Sun, Zizhen Wu, Zhangsen Huang, Liang Gu, Mingyu Huo, Songcheng Yin
Format: Article
Language:English
Published: BMJ Publishing Group 2024-10-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/12/10/e009983.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850193178682982400
author Hong Yu
Yulong He
Changhua Zhang
Zhenzhen Zhao
Guofei Deng
Pengliang Wang
Rishun Su
Xuezeng Sun
Zizhen Wu
Zhangsen Huang
Liang Gu
Mingyu Huo
Songcheng Yin
author_facet Hong Yu
Yulong He
Changhua Zhang
Zhenzhen Zhao
Guofei Deng
Pengliang Wang
Rishun Su
Xuezeng Sun
Zizhen Wu
Zhangsen Huang
Liang Gu
Mingyu Huo
Songcheng Yin
author_sort Hong Yu
collection DOAJ
description Background Tumor-associated macrophages (TAMs) have been demonstrated to be associated with tumor progression. However, the different subpopulations of TAMs and their roles in gastric cancer (GC) remain poorly understood. This study aims to assess the effects of Spi-1 proto-oncogene (SPI1)+CD68+ TAMs in GC.Methods The distribution of SPI1+CD68+ TAMs in GC tissue was estimated by immunohistochemistry, immunofluorescence, and flow cytometry. Single-cell transcriptome analysis and multiplex fluorescence immunohistochemistry were applied to explore the role of SPI1+CD68+ TAMs in an immune contexture. SPI1 overexpression or knockdown cells were constructed to evaluate its role in macrophage polarization and angiogenesis in vitro and in vivo. Chromatin immunoprecipitation was used to verify the mechanism of SPI1 transcriptional function. The effect of combined antiangiogenic and immunotherapy was further validated using mouse peritoneal metastasis models.Results Single-cell transcriptome analysis and immunohistochemistry demonstrated that SPI1 was expressed in macrophages, with a higher enrichment in metastatic lesions than in primary tumors. Higher SPI1+CD68+ TAMs infiltration was associated with poor overall survival. Mechanically, SPI1 promoted the M2-type macrophage polarization. SPI1 could bind to the promoter of vascular endothelial growth factor A and facilitate angiogenesis. Moreover, the level of SPI1+CD68+ TAMs infiltration was closely related to the efficacy of immunotherapy, especially when combined with antiangiogenic therapy.Conclusions The present study showed that SPI1+CD68+ TAMs are a promising biomarker for predicting prognosis, antiangiogenic drug sensitivity, and combination target of immunotherapy in patients with GC.
format Article
id doaj-art-0c7699cae5984ee6bde48c3dde2d34f4
institution OA Journals
issn 2051-1426
language English
publishDate 2024-10-01
publisher BMJ Publishing Group
record_format Article
series Journal for ImmunoTherapy of Cancer
spelling doaj-art-0c7699cae5984ee6bde48c3dde2d34f42025-08-20T02:14:20ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262024-10-01121010.1136/jitc-2024-009983SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategiesHong Yu0Yulong He1Changhua Zhang2Zhenzhen Zhao3Guofei Deng4Pengliang Wang5Rishun Su6Xuezeng Sun7Zizhen Wu8Zhangsen Huang9Liang Gu10Mingyu Huo11Songcheng Yin12Digestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Gastrointestinal Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDepartment of Gastroenterological Surgery, Peking University People’s Hospital, Beijing, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaDigestive Diseases Center, The Seventh Affiliated Hospital Sun Yat-sen University, Shenzhen, Guangdong, ChinaBackground Tumor-associated macrophages (TAMs) have been demonstrated to be associated with tumor progression. However, the different subpopulations of TAMs and their roles in gastric cancer (GC) remain poorly understood. This study aims to assess the effects of Spi-1 proto-oncogene (SPI1)+CD68+ TAMs in GC.Methods The distribution of SPI1+CD68+ TAMs in GC tissue was estimated by immunohistochemistry, immunofluorescence, and flow cytometry. Single-cell transcriptome analysis and multiplex fluorescence immunohistochemistry were applied to explore the role of SPI1+CD68+ TAMs in an immune contexture. SPI1 overexpression or knockdown cells were constructed to evaluate its role in macrophage polarization and angiogenesis in vitro and in vivo. Chromatin immunoprecipitation was used to verify the mechanism of SPI1 transcriptional function. The effect of combined antiangiogenic and immunotherapy was further validated using mouse peritoneal metastasis models.Results Single-cell transcriptome analysis and immunohistochemistry demonstrated that SPI1 was expressed in macrophages, with a higher enrichment in metastatic lesions than in primary tumors. Higher SPI1+CD68+ TAMs infiltration was associated with poor overall survival. Mechanically, SPI1 promoted the M2-type macrophage polarization. SPI1 could bind to the promoter of vascular endothelial growth factor A and facilitate angiogenesis. Moreover, the level of SPI1+CD68+ TAMs infiltration was closely related to the efficacy of immunotherapy, especially when combined with antiangiogenic therapy.Conclusions The present study showed that SPI1+CD68+ TAMs are a promising biomarker for predicting prognosis, antiangiogenic drug sensitivity, and combination target of immunotherapy in patients with GC.https://jitc.bmj.com/content/12/10/e009983.full
spellingShingle Hong Yu
Yulong He
Changhua Zhang
Zhenzhen Zhao
Guofei Deng
Pengliang Wang
Rishun Su
Xuezeng Sun
Zizhen Wu
Zhangsen Huang
Liang Gu
Mingyu Huo
Songcheng Yin
SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
Journal for ImmunoTherapy of Cancer
title SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
title_full SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
title_fullStr SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
title_full_unstemmed SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
title_short SPI1+CD68+ macrophages as a biomarker for gastric cancer metastasis: a rationale for combined antiangiogenic and immunotherapy strategies
title_sort spi1 cd68 macrophages as a biomarker for gastric cancer metastasis a rationale for combined antiangiogenic and immunotherapy strategies
url https://jitc.bmj.com/content/12/10/e009983.full
work_keys_str_mv AT hongyu spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT yulonghe spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT changhuazhang spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT zhenzhenzhao spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT guofeideng spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT pengliangwang spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT rishunsu spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT xuezengsun spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT zizhenwu spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT zhangsenhuang spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT lianggu spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT mingyuhuo spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies
AT songchengyin spi1cd68macrophagesasabiomarkerforgastriccancermetastasisarationaleforcombinedantiangiogenicandimmunotherapystrategies