Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy

Background High-mobility group box 1 (HMGB1) is a multifunctional redox-sensitive protein involved in various intracellular (eg, chromatin remodeling, transcription, autophagy) and extracellular (inflammation, autoimmunity) processes. Regarding its role in cancer development/progression, paradoxical...

Full description

Saved in:
Bibliographic Details
Main Authors: Coraline Radermecker, Pascale Hubert, Patrick Roncarati, Stephanie Demoulin, Charlotte Pilard, Marie Ancion, Celia Reynders, Thomas Lerho, Diane Bruyere, Alizee Lebeau, Margot Meunier, Marie-Julie Nokin, Elodie Hendrick, Olivier Peulen, Philippe Delvenne, Michael Herfs
Format: Article
Language:English
Published: BMJ Publishing Group 2021-03-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/9/3/e001966.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832569049606782976
author Coraline Radermecker
Pascale Hubert
Patrick Roncarati
Stephanie Demoulin
Charlotte Pilard
Marie Ancion
Celia Reynders
Thomas Lerho
Diane Bruyere
Alizee Lebeau
Margot Meunier
Marie-Julie Nokin
Elodie Hendrick
Olivier Peulen
Philippe Delvenne
Michael Herfs
author_facet Coraline Radermecker
Pascale Hubert
Patrick Roncarati
Stephanie Demoulin
Charlotte Pilard
Marie Ancion
Celia Reynders
Thomas Lerho
Diane Bruyere
Alizee Lebeau
Margot Meunier
Marie-Julie Nokin
Elodie Hendrick
Olivier Peulen
Philippe Delvenne
Michael Herfs
author_sort Coraline Radermecker
collection DOAJ
description Background High-mobility group box 1 (HMGB1) is a multifunctional redox-sensitive protein involved in various intracellular (eg, chromatin remodeling, transcription, autophagy) and extracellular (inflammation, autoimmunity) processes. Regarding its role in cancer development/progression, paradoxical results exist in the literature and it is still unclear whether HMGB1 mainly acts as an oncogene or a tumor suppressor.Methods HMGB1 expression was first assessed in tissue specimens (n=359) of invasive breast, lung and cervical cancer and the two distinct staining patterns detected (nuclear vs cytoplasmic) were correlated to the secretion profile of malignant cells, patient outcomes and the presence of infiltrating immune cells within tumor microenvironment. Using several orthotopic, syngeneic mouse models of basal-like breast (4T1, 67NR and EpRas) or non-small cell lung (TC-1) cancer, the efficacy of several HMGB1 inhibitors alone and in combination with immune checkpoint blockade antibodies (anti-PD-1/PD-L1) was then investigated. Isolated from retrieved tumors, 14 immune cell (sub)populations as well as the activation status of antigen-presenting cells were extensively analyzed in each condition. Finally, the redox state of HMGB1 in tumor-extruded fluids and the influence of different forms (oxidized, reduced or disulfide) on both dendritic cell (DC) and plasmacytoid DC (pDC) activation were determined.Results Associated with an unfavorable prognosis in human patients, we clearly demonstrated that targeting extracellular HMGB1 elicits a profound remodeling of tumor immune microenvironment for efficient cancer therapy. Indeed, without affecting the global number of (CD45+) immune cells, drastic reductions of monocytic/granulocytic myeloid-derived suppressor cells (MDSC) and regulatory T lymphocytes, a higher M1/M2 ratio of macrophages as well as an increased activation of both DC and pDC were continually observed following HMGB1 inhibition. Moreover, blocking HMGB1 improved the efficacy of anti-PD-1 cancer monoimmunotherapy. We also reported that a significant fraction of HMGB1 encountered within cancer microenvironment (interstitial fluids) is oxidized and, in opposite to its reduced isoform, oxidized HMGB1 acts as a tolerogenic signal in a receptor for advanced glycation endproducts-dependent manner.Conclusion Collectively, we present evidence that extracellular HMGB1 blockade may complement first-generation cancer immunotherapies by remobilizing antitumor immune response.
format Article
id doaj-art-5abeedf920fe45b2a2fd8b6a724064eb
institution Kabale University
issn 2051-1426
language English
publishDate 2021-03-01
publisher BMJ Publishing Group
record_format Article
series Journal for ImmunoTherapy of Cancer
spelling doaj-art-5abeedf920fe45b2a2fd8b6a724064eb2025-02-02T23:35:09ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262021-03-019310.1136/jitc-2020-001966Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapyCoraline Radermecker0Pascale Hubert1Patrick Roncarati2Stephanie Demoulin3Charlotte Pilard4Marie Ancion5Celia Reynders6Thomas Lerho7Diane Bruyere8Alizee Lebeau9Margot Meunier10Marie-Julie Nokin11Elodie Hendrick12Olivier Peulen13Philippe Delvenne14Michael Herfs153 Faculty of Veterinary Medicine, University of Liège, Liège, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Immunophysiology, GIGA-I3, University of Liege, Liege, BelgiumMetastasis Research Laboratory, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumMetastasis Research Laboratory, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumLaboratory of Experimental Pathology, GIGA-Cancer, University of Liege, Liege, BelgiumBackground High-mobility group box 1 (HMGB1) is a multifunctional redox-sensitive protein involved in various intracellular (eg, chromatin remodeling, transcription, autophagy) and extracellular (inflammation, autoimmunity) processes. Regarding its role in cancer development/progression, paradoxical results exist in the literature and it is still unclear whether HMGB1 mainly acts as an oncogene or a tumor suppressor.Methods HMGB1 expression was first assessed in tissue specimens (n=359) of invasive breast, lung and cervical cancer and the two distinct staining patterns detected (nuclear vs cytoplasmic) were correlated to the secretion profile of malignant cells, patient outcomes and the presence of infiltrating immune cells within tumor microenvironment. Using several orthotopic, syngeneic mouse models of basal-like breast (4T1, 67NR and EpRas) or non-small cell lung (TC-1) cancer, the efficacy of several HMGB1 inhibitors alone and in combination with immune checkpoint blockade antibodies (anti-PD-1/PD-L1) was then investigated. Isolated from retrieved tumors, 14 immune cell (sub)populations as well as the activation status of antigen-presenting cells were extensively analyzed in each condition. Finally, the redox state of HMGB1 in tumor-extruded fluids and the influence of different forms (oxidized, reduced or disulfide) on both dendritic cell (DC) and plasmacytoid DC (pDC) activation were determined.Results Associated with an unfavorable prognosis in human patients, we clearly demonstrated that targeting extracellular HMGB1 elicits a profound remodeling of tumor immune microenvironment for efficient cancer therapy. Indeed, without affecting the global number of (CD45+) immune cells, drastic reductions of monocytic/granulocytic myeloid-derived suppressor cells (MDSC) and regulatory T lymphocytes, a higher M1/M2 ratio of macrophages as well as an increased activation of both DC and pDC were continually observed following HMGB1 inhibition. Moreover, blocking HMGB1 improved the efficacy of anti-PD-1 cancer monoimmunotherapy. We also reported that a significant fraction of HMGB1 encountered within cancer microenvironment (interstitial fluids) is oxidized and, in opposite to its reduced isoform, oxidized HMGB1 acts as a tolerogenic signal in a receptor for advanced glycation endproducts-dependent manner.Conclusion Collectively, we present evidence that extracellular HMGB1 blockade may complement first-generation cancer immunotherapies by remobilizing antitumor immune response.https://jitc.bmj.com/content/9/3/e001966.full
spellingShingle Coraline Radermecker
Pascale Hubert
Patrick Roncarati
Stephanie Demoulin
Charlotte Pilard
Marie Ancion
Celia Reynders
Thomas Lerho
Diane Bruyere
Alizee Lebeau
Margot Meunier
Marie-Julie Nokin
Elodie Hendrick
Olivier Peulen
Philippe Delvenne
Michael Herfs
Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
Journal for ImmunoTherapy of Cancer
title Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
title_full Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
title_fullStr Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
title_full_unstemmed Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
title_short Extracellular HMGB1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor-based immunotherapy
title_sort extracellular hmgb1 blockade inhibits tumor growth through profoundly remodeling immune microenvironment and enhances checkpoint inhibitor based immunotherapy
url https://jitc.bmj.com/content/9/3/e001966.full
work_keys_str_mv AT coralineradermecker extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT pascalehubert extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT patrickroncarati extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT stephaniedemoulin extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT charlottepilard extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT marieancion extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT celiareynders extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT thomaslerho extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT dianebruyere extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT alizeelebeau extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT margotmeunier extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT mariejulienokin extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT elodiehendrick extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT olivierpeulen extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT philippedelvenne extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy
AT michaelherfs extracellularhmgb1blockadeinhibitstumorgrowththroughprofoundlyremodelingimmunemicroenvironmentandenhancescheckpointinhibitorbasedimmunotherapy