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CD4+ T helper 2 cell–macrophage crosstalk induces IL-24–mediated breast cancer suppression
Bo Wang, Yun Xia, Can Zhou, Yuhan Zeng, Heehwa G. Son, Shadmehr Demehri
Bo Wang, Yun Xia, Can Zhou, Yuhan Zeng, Heehwa G. Son, Shadmehr Demehri
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Research Article Immunology Oncology

CD4+ T helper 2 cell–macrophage crosstalk induces IL-24–mediated breast cancer suppression

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Abstract

CD4+ T cells contribute to antitumor immunity and are implicated in the efficacy of cancer immunotherapies. In particular, CD4+ T helper 2 (Th2) cells were recently found to block spontaneous breast carcinogenesis. However, the antitumor potential of Th2 cells in targeting established breast cancer remains uncertain. Herein, we demonstrate that Th2 cells induced by the topical calcipotriol/thymic stromal lymphopoietin cytokine axis suppressed the growth of established mammary tumors in mice. Interleukin-24 (IL-24), an anticancer cytokine, was highly upregulated in macrophages infiltrating calcipotriol-treated mammary tumors. Macrophages expressed IL-24 in response to IL-4 signaling in combination with Toll-like receptor 4 (TLR4) agonists (e.g., HMGB1) in vitro. Calcipotriol treatment significantly increased HMGB1 release by tumor cells in vivo. CD4+ T cell depletion reduced HMGB1 and IL-24 expression, reversing calcipotriol’s therapeutic efficacy. Macrophage depletion and TLR4 inhibition also reduced the therapeutic efficacy of calcipotriol. Importantly, calcipotriol treatment failed to control mammary tumors lacking the IL-24 receptor on tumor cells. Collectively, our findings reveal that Th2 cell–macrophage crosstalk leads to IL-24–mediated tumor cell death, highlighting a promising therapeutic strategy to tackle breast cancer.

Authors

Bo Wang, Yun Xia, Can Zhou, Yuhan Zeng, Heehwa G. Son, Shadmehr Demehri

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Figure 6

Correlation of IL24 mRNA expression with clinical outcomes in patients with breast cancer.

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Correlation of IL24 mRNA expression with clinical outcomes in patients w...
Kaplan-Meier survival curves derived from TCGA BRCA cohort, categorizing patients based on IL24 expression. Patients were segmented into high- and low-expression groups using the 40% IL24 expression threshold. Outcomes are delineated as (A) overall survival, (B) disease-specific survival, (C) disease-free interval, and (D) progression-free interval. Log-rank test (A–D).

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