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Jagged2 targeting in lung cancer activates anti-tumor immunity via Notch-induced functional reprogramming of tumor-associated macrophages
Journal article   Open access   Peer reviewed

Jagged2 targeting in lung cancer activates anti-tumor immunity via Notch-induced functional reprogramming of tumor-associated macrophages

Jay K Mandula, Rosa A Sierra-Mondragon, Rachel V Jimenez, Darwin Chang, Eslam Mohamed, Shiun Chang, Julio A Vazquez-Martinez, Yu Cao, Carmen M Anadon, Sae Bom Lee, …
Immunity (Cambridge, Mass.), Vol.57(5), pp.1124-1140.e9
05/14/2024
DOI: 10.1016/j.immuni.2024.03.020
PMCID: PMC11096038
PMID: 38636522
url
https://doi.org/10.1016/j.immuni.2024.03.020View
Published (Version of record) Open Access

Abstract

Signaling through Notch receptors intrinsically regulates tumor cell development and growth. Here, we studied the role of the Notch ligand Jagged2 on immune evasion in non-small cell lung cancer (NSCLC). Higher expression of JAG2 in NSCLC negatively correlated with survival. In NSCLC pre-clinical models, deletion of Jag2, but not Jag1, in cancer cells attenuated tumor growth and activated protective anti-tumor T cell responses. Jag2 lung tumors exhibited higher frequencies of macrophages that expressed immunostimulatory mediators and triggered T cell-dependent anti-tumor immunity. Mechanistically, Jag2 ablation promoted Nr4a-mediated induction of Notch ligands DLL1/4 on cancer cells. DLL1/4-initiated Notch1/2 signaling in macrophages induced the expression of transcription factor IRF4 and macrophage immunostimulatory functionality. IRF4 expression was required for the anti-tumor effects of Jag2 deletion in lung tumors. Antibody targeting of Jagged2 inhibited tumor growth and activated IRF4-driven macrophage-mediated anti-tumor immunity. Thus, Jagged2 orchestrates immunosuppressive systems in NSCLC that can be overcome to incite macrophage-mediated anti-tumor immunity.
macrophage reprogramming immunosuppression in cancer Notch ligands Jagged immunosuppressive myelopoiesis tumor-associated macrophages

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