Session: 602. Myeloid Oncogenesis: Basic: Poster III
Hematology Disease Topics & Pathways:
AML, Acute Myeloid Malignancies, Research, Fundamental Science, Immune mechanism, Diseases, Biological Processes, Myeloid Malignancies
To fully characterise the role of STING pathway in AML-associated macrophages we have combined RNA sequencing, flow cytometry and in vivo characterisation to reveal a shift of M2 tumour supportive macrophages towards an M1 phenotype in response to STING activation. We used various STING agonists including DMXAA, 2’3’-cGAMP, and CpG oligonucleotides to model STING activation of bone marrow derived macrophages (BMDM) in vitro. Functionally, STING activation of BMDM induced an anti-tumour response by increasing phagocytosis of AML blasts which was also established in an in vivo model of AML in C57Bl/6 mice. Using the well-established syngeneic AML murine model (MN1), STING activation in vivo slowed tumour progression and prolonged survival. RNA sequencing of STING activation in macrophages revealed a M1 proinflammatory polarisation phenotype. Moreover, AML-induced M2 macrophage polarisation was reversed in response to STING activation.
Additionally, we show that STING activation upregulates genes involved with cell-cell adhesion, and we used blocking antibodies to assess their involvement in the increased phagocytic clearance of AML blasts. We observed that inhibiting the ICAM1/LFA1 interaction blocked STING-induced phagocytosis of AML blasts, therefore demonstrating the role this interaction plays in mediating the anti-tumour response of STING activation. Finally, we show that AML cells have higher levels of LFA1 cell surface expression than non-AML cells within the bone marrow. This is further supported by the BloodSpot database which demonstrates a higher level of LFA1 expression in human AML subtypes compared to haematopoietic stem and progenitor cells (Bagger, F.O. et al., 2016).
Our study provides insight into mechanisms by which AML-associated macrophages can be reprogrammed through STING activation towards an anti-tumour, pro-phagocytic phenotype, thus providing an alternative strategy for targeting leukaemia progression.
Disclosures: No relevant conflicts of interest to declare.