A hallmark of cancer is its ability to evade the immune system. It is why researchers are focused on finding new strategies and targets to jumpstart the immune system so it can mount a response against tumours.
One such target is the inhibitory receptor T-cell immunoglobulin and mucin domain 3 (TIM-3), a protein that is over expressed in many different types of cancer and is associated with poor patient outcomes. It is known to block the activity of immune cells, such as dendritic cells, but how remains unclear.
In a new article published in the journal Immunity, Moffitt Cancer Center researchers show that TIM-3 inhibits the STING signalling pathway in dendritic cells, thereby blocking their ability to elicit an immune response.
Dysregulation of the immune system is an important contributor to cancer development. Many new therapies target T cells to restimulate them to attack cancer cells. However, dysregulation of dendritic cells and other cells of the immune system can also contribute to the development of cancer.
Dendritic cells are specialised cells that capture, process and display antigens, which are then recognised by T cells that become activated. Cancer patients often have dysregulated or lower dendritic cells levels, suggesting that approaches to augment their activity may be effective against cancer.
Previously, Moffitt researchers demonstrated that antibodies that block TIM-3 enhanced the activity of chemotherapy in mouse models of breast cancer, even though T cells in this model had very low levels of TIM-3. They also found that the effect of TIM-3 blocking antibodies was dependent on the presence of dendritic cells.
To further understand the role of TIM-3 in dendritic cells, the Moffitt team performed preclinical laboratory experiments in cell lines and mouse models. They discovered that TIM-3 inhibits activation of the cGAS-STING pathway and downstream immune cell activation.
The cGAS-STING pathway is an important mediator of immune cell function and activators of STING can stimulate the anti-tumour activity of immune cells. They found that TIM-3 was able to block activation of the STING pathway in dendritic cells by inhibiting the internalisation of double-stranded DNA derived from tumour cell debris in the extracellular space.
The researchers also confirmed that chemotherapy plus TIM-3 blockade effectively prevented tumour growth in mice, which was dependent on STING activity.
"Our results suggest that we can enhance T cell activity by targeting TIM-3 to activate the STING pathway in dendritic cells," said Brian Ruffell, PhD, an associate member of the Department of Immunology at Moffitt.
"While more research is needed, we believe understanding this process will help us develop combinations with anti-TIM-3 antibodies as a possible therapy for certain types of cancer."
The World Cancer Declaration recognises that to make major reductions in premature deaths, innovative education and training opportunities for healthcare workers in all disciplines of cancer control need to improve significantly.
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