RORγ bridges cancer-driven lipid dysmetabolism and myeloid immunosuppression.

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Tác giả: Chiara Alì, Giulia Ballerini, Elettra Barberis, Augusto Bleve, Marco Antonio Cassatella, Gianluigi Condorelli, Francesca Maria Consonni, Giovanna Finocchiaro, Valentina Garlatti, Martina Incerti, Marcello Manfredi, Marta Noemi Monari, Chiara Pandolfo, Cristina Panico, Daniela Pistillo, Simone Serio, Antonio Sica, Marina Sironi

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: United States : Cancer discovery , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 693748

Despite well-documented metabolic and hematopoietic alterations during tumor development, the mechanisms underlying this crucial immunometabolic intersection remain elusive. Of particular interest is the connection between lipid metabolism and the retinoic-acid-related orphan receptor (RORC1/RORγ), whose transcriptional activity modulates cancer-related emergency myelopoiesis and is boosted by cholesterol metabolites, while hypercholesterolemia itself is associated with dysregulated myelopoiesis. Here, we show that cancer and hypercholesterolemic diet independently or cooperatively activate RORγ-dependent expansion of myeloid-derived suppressor cells (MDSCs) and M2-polarized tumor-associated macrophages (TAMs), supporting cancer spread. Moreover, we report that tumor-induced expression of IL-1b and IL-6 promotes hepatic expression of proprotein convertase subtilisin/kexin type 9 (PCSK9) in preclinical models and patients. Importantly, lowering cholesterol levels, by genetic or pharmacological inhibition of PCSK9, prevents MDSC expansion, M2 TAM accumulation and tumor progression in a RORγ-dependent manner, unleashing specific anti-tumor immunity. Overall, we identify RORγ as a key sensor of lipid disorders, bridging hypercholesterolemia and pro-tumor myelopoiesis.
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