Neutrophils resist ferroptosis and promote breast cancer metastasis through aconitate decarboxylase 1

Yun Zhao, Zhongshun Liu, Guoqiang Liu, Yuting Zhang, Sheng Liu, Dailin Gan, Wennan Chang, Xiaoxia Peng, Eun Suh Sung, Keegan Gilbert, Yini Zhu, Xuechun Wang, Ziyu Zeng, Hope Baldwin, Guanzhu Ren, Jessica Weaver, Anna Huron, Toni Mayberry, Qingfei Wang, Yujue WangMaria Elena Diaz-Rubio, Xiaoyang Su, M. Sharon Stack, Siyuan Zhang, Xuemin Lu, Ryan D. Sheldon, Jun Li, Chi Zhang, Jun Wan, Xin Lu

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Metastasis causes breast cancer-related mortality. Tumor-infiltrating neutrophils (TINs) inflict immunosuppression and promote metastasis. Therapeutic debilitation of TINs may enhance immunotherapy, yet it remains a challenge to identify therapeutic targets highly expressed and functionally essential in TINs but under-expressed in extra-tumoral neutrophils. Here, using single-cell RNA sequencing to compare TINs and circulating neutrophils in murine mammary tumor models, we identified aconitate decarboxylase 1 (Acod1) as the most upregulated metabolic enzyme in mouse TINs and validated high Acod1 expression in human TINs. Activated through the GM-CSF-JAK/STAT5-C/EBPβ pathway, Acod1 produces itaconate, which mediates Nrf2-dependent defense against ferroptosis and upholds the persistence of TINs. Acod1 ablation abates TIN infiltration, constrains metastasis (but not primary tumors), bolsters antitumor T cell immunity, and boosts the efficacy of immune checkpoint blockade. Our findings reveal how TINs escape from ferroptosis through the Acod1-dependent immunometabolism switch and establish Acod1 as a target to offset immunosuppression and improve immunotherapy against metastasis.

Original languageEnglish (US)
Pages (from-to)1688-1703.e10
JournalCell Metabolism
Volume35
Issue number10
DOIs
StatePublished - Oct 3 2023

Keywords

  • Acod1
  • MDSC
  • breast cancer
  • ferroptosis
  • immune checkpoint blockade
  • immune metabolism
  • itaconate
  • metastasis
  • neutrophil
  • single-cell RNA sequencing

ASJC Scopus subject areas

  • Physiology
  • Molecular Biology
  • Cell Biology

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