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C3d regulates immune checkpoint blockade and enhances antitumor immunity
Jeffrey L. Platt, … , Michael C. Carroll, Marilia Cascalho
Jeffrey L. Platt, … , Michael C. Carroll, Marilia Cascalho
Published May 4, 2017
Citation Information: JCI Insight. 2017;2(9):e90201. https://doi.org/10.1172/jci.insight.90201.
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Research Article Immunology

C3d regulates immune checkpoint blockade and enhances antitumor immunity

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Abstract

Despite expression of immunogenic polypeptides, tumors escape immune surveillance by engaging T cell checkpoint regulators and expanding Tregs, among other mechanisms. What orchestrates these controls is unknown. We report that free C3d, a fragment of the third component of complement, inside tumor cells — or associated with irradiated tumor cells and unattached to antigen — recruits, accelerates, and amplifies antitumor T cell responses, allowing immunity to reverse or even to prevent tumor growth. C3d enhances antitumor immunity independently of B cells, NK cells, or antibodies, but it does so by increasing tumor infiltrating CD8+ lymphocytes, by depleting Tregs, and by suppressing expression of programmed cell death protein 1 (PD-1) by T cells. These properties of C3d appear specific for the tumor and dependent on complement receptor 2, and they incur no obvious systemic toxicity. The heretofore unrecognized properties of free C3d suggest that protein might determine the effectiveness of immune surveillance and that increasing availability of the protein might prove advantageous in the treatment or prevention of cancer and premalignant conditions.

Authors

Jeffrey L. Platt, Inês Silva, Samuel J. Balin, Adam R. Lefferts, Evan Farkash, Ted M. Ross, Michael C. Carroll, Marilia Cascalho

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Figure 1

Free C3d in tumor cells enhances resistance of mice to tumors by promoting adaptive immunity.

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Free C3d in tumor cells enhances resistance of mice to tumors by promoti...
(A) Survival of BALB/c mice challenged with 5 × 103 isogenic lymphoma cells expressing (n = 31) or not expressing (n = 24) free murine C3d. (B) Lymphoma tumor volumes 10 days after injection of 1 × 107 C3d+ or C3d– cells. On average, C3d+ tumors were 176 mm3 and C3d– tumors 523 mm3. Data represent mean ± SEM analyzed by Mann Whitney 2-tailed test. (C) H&E (upper panels) and immunofluorescence staining (lower panels) of lymphoma tissue. C3d+ and C3d– tumors have similar morphology (above). Both are recognized by antibodies against B220 (red; below), but only the transgenic C3d+ lymphoma stains with antibodies against an ENV fusion construct used to detect expression of C3d (green; below). Images are representative of tissues from 5 mice analyzed per condition and a minimum of 3 images/mouse. (D) Melanoma tumor volumes at various times after s.c. injection of 4 × 104 C3d+ B16 (n = 10), or 4 × 104 C3d– (n = 9) melanoma cells in syngeneic mice. (E) Survival of recombinase activating gene 2–deficient (RAG-2–deficient) mice injected with 5 × 103 isogenic C3d+ (n = 15) or C3d– (n = 15) lymphoma cells. (F) Survival of mice injected with 5 × 103 lymphoma cells of which 1%–50% were C3d+. (G) Survival of B cell–deficient (JH–/– κ–/–)mice challenged with 5 × 103 C3d– (n = 8) or C3d+ (n = 9) tumor cells. (H) Immunofluorescence analysis of frozen sections of C3d+ or C3d– lymphoid tumors stained with anti-CD8 antibodies (green). Each panel is representative of at least 3 different tumors. CD8+ T cells were enumerated by flow cytometry, and results are shown on Figure 3H. All survival curves are Kaplan-Meier plots, and differences between curves were analyzed by the log rank Mantel-Cox test.

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