Modulation of the antitumor immune response by complement

MM Markiewski, RA DeAngelis, F Benencia… - Nature …, 2008 - nature.com
MM Markiewski, RA DeAngelis, F Benencia, SK Ricklin-Lichtsteiner, A Koutoulaki, C Gerard…
Nature immunology, 2008nature.com
The involvement of complement-activation products in promoting tumor growth has not yet
been recognized. Here we show that the generation of complement C5a in a tumor
microenvironment enhanced tumor growth by suppressing the antitumor CD8+ T cell–
mediated response. This suppression was associated with the recruitment of myeloid-
derived suppressor cells into tumors and augmentation of their T cell–directed suppressive
abilities. Amplification of the suppressive capacity of myeloid-derived suppressor cells by …
Abstract
The involvement of complement-activation products in promoting tumor growth has not yet been recognized. Here we show that the generation of complement C5a in a tumor microenvironment enhanced tumor growth by suppressing the antitumor CD8+ T cell–mediated response. This suppression was associated with the recruitment of myeloid-derived suppressor cells into tumors and augmentation of their T cell–directed suppressive abilities. Amplification of the suppressive capacity of myeloid-derived suppressor cells by C5a occurred through regulation of the production of reactive oxygen and nitrogen species. Pharmacological blockade of the C5a receptor considerably impaired tumor growth to a degree similar to the effect produced by the anticancer drug paclitaxel. Thus, our study demonstrates a therapeutic function for complement inhibition in the treatment of cancer.
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