CCAAT/enhancer binding protein δ in macrophages contributes to immunosuppression and inhibits phagocytosis in nasopharyngeal carcinoma

Sci Signal. 2013 Jul 16;6(284):ra59. doi: 10.1126/scisignal.2003648.

Abstract

Although tumors tend to be associated with immune cells and inflammation, this immune response often fails to eliminate the cancer and instead promotes cancer progression. Tumor-associated macrophages (TAMs) fail to phagocytose tumor cells, and they also produce signals that suppress the adaptive immune response. We showed that immunosuppressive prostaglandin E₂ (PGE₂) led to the production and activity of the transcription factor CCAAT/enhancer binding protein δ (C/EBPδ) by stimulating the nucleocytoplasmic shuttling of the RNA binding protein Hu antigen R (HuR), which bound to and stabilized CEBPD mRNA in macrophages. An increase in C/EBPδ abundance in macrophages in response to PGE₂ resulted in enhanced production of the immunosuppressive cytokine interleukin-10 (IL-10) and of pentraxin 3 (PTX3), which suppresses the ability of macrophages to phagocytose tumor cells. Furthermore, conditioned medium from C/EBPδ-replete, but not C/EBPδ-deficient, macrophages inhibited the phagocytosis of tumor cells by macrophages, suggesting an autocrine mode of regulation. Immunohistochemical analysis demonstrated that the amount of cytosolic HuR protein correlated with increased C/EBPδ abundance in TAMs in malignant nasopharyngeal carcinoma. Together, these data suggest that the inflammatory PGE₂-HuR-C/EBPδ axis in macrophages promotes tumor progression by preventing the phagocytosis of tumor cells and inducing immunosuppressive cytokine production.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • C-Reactive Protein / genetics
  • C-Reactive Protein / immunology
  • C-Reactive Protein / metabolism
  • CCAAT-Enhancer-Binding Protein-delta / genetics
  • CCAAT-Enhancer-Binding Protein-delta / immunology
  • CCAAT-Enhancer-Binding Protein-delta / metabolism*
  • Carcinoma
  • Dinoprostone / genetics
  • Dinoprostone / immunology
  • Dinoprostone / metabolism
  • ELAV Proteins / genetics
  • ELAV Proteins / immunology
  • ELAV Proteins / metabolism
  • Humans
  • Immune Tolerance*
  • Interleukin-10 / genetics
  • Interleukin-10 / immunology
  • Interleukin-10 / metabolism
  • Macrophages / immunology
  • Macrophages / metabolism*
  • Macrophages / pathology
  • Nasopharyngeal Carcinoma
  • Nasopharyngeal Neoplasms / immunology
  • Nasopharyngeal Neoplasms / metabolism*
  • Nasopharyngeal Neoplasms / pathology
  • Phagocytosis*
  • RNA Stability / genetics
  • RNA Stability / immunology
  • RNA, Messenger / genetics
  • RNA, Messenger / immunology
  • RNA, Messenger / metabolism
  • Serum Amyloid P-Component / genetics
  • Serum Amyloid P-Component / immunology
  • Serum Amyloid P-Component / metabolism
  • U937 Cells

Substances

  • CEBPD protein, human
  • ELAV Proteins
  • IL10 protein, human
  • RNA, Messenger
  • Serum Amyloid P-Component
  • Interleukin-10
  • CCAAT-Enhancer-Binding Protein-delta
  • PTX3 protein
  • C-Reactive Protein
  • Dinoprostone