Targeting IRG1 reverses the immunosuppressive function of tumor-associated macrophages and enhances cancer immunotherapy

YJ Chen, GN Li, XJ Li, LX Wei, MJ Fu, ZL Cheng… - Science …, 2023 - science.org
YJ Chen, GN Li, XJ Li, LX Wei, MJ Fu, ZL Cheng, Z Yang, GQ Zhu, XD Wang, C Zhang…
Science Advances, 2023science.org
Immune-responsive gene 1 (IRG1) encodes aconitate decarboxylase (ACOD1) that
catalyzes the production of itaconic acids (ITAs). The anti-inflammatory function of IRG1/ITA
has been established in multiple pathogen models, but very little is known in cancer. Here,
we show that IRG1 is expressed in tumor-associated macrophages (TAMs) in both human
and mouse tumors. Mechanistically, tumor cells induce Irg1 expression in macrophages by
activating NF-κB pathway, and ITA produced by ACOD1 inhibits TET DNA dioxygenases to …
Immune-responsive gene 1 (IRG1) encodes aconitate decarboxylase (ACOD1) that catalyzes the production of itaconic acids (ITAs). The anti-inflammatory function of IRG1/ITA has been established in multiple pathogen models, but very little is known in cancer. Here, we show that IRG1 is expressed in tumor-associated macrophages (TAMs) in both human and mouse tumors. Mechanistically, tumor cells induce Irg1 expression in macrophages by activating NF-κB pathway, and ITA produced by ACOD1 inhibits TET DNA dioxygenases to dampen the expression of inflammatory genes and the infiltration of CD8+ T cells into tumor sites. Deletion of Irg1 in mice suppresses the growth of multiple tumor types and enhances the efficacy of anti–PD-(L)1 immunotherapy. Our study provides a proof of concept that ACOD1 is a potential target for immune-oncology drugs and IRG1-deficient macrophages represent a potent cell therapy strategy for cancer treatment even in pancreatic tumors that are resistant to T cell–based immunotherapy.
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