Article abstract


Nature Immunology 9, 1225 - 1235 (2008)
Published online: 28 September 2008 | doi:10.1038/ni.1655

Modulation of the antitumor immune response by complement

Maciej M Markiewski1, Robert A DeAngelis1, Fabian Benencia2,4, Salome K Ricklin-Lichtsteiner1, Anna Koutoulaki1, Craig Gerard3, George Coukos2 & John D Lambris1


The involvement of complement-activation products in promoting tumor growth has not yet been recognized. Here we show that the generation of complement C5a in a tumor microenvironment enhanced tumor growth by suppressing the antitumor CD8+ T cell–mediated response. This suppression was associated with the recruitment of myeloid-derived suppressor cells into tumors and augmentation of their T cell–directed suppressive abilities. Amplification of the suppressive capacity of myeloid-derived suppressor cells by C5a occurred through regulation of the production of reactive oxygen and nitrogen species. Pharmacological blockade of the C5a receptor considerably impaired tumor growth to a degree similar to the effect produced by the anticancer drug paclitaxel. Thus, our study demonstrates a therapeutic function for complement inhibition in the treatment of cancer.

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  1. Department of Pathology and Laboratory Medicine, Medical School of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
  2. Center for Research on Reproduction and Women's Health, Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
  3. Pulmonary Division, Children's Hospital, Boston, Massachusetts 02215, USA.
  4. Present address: Department of Biomedical Sciences, College of Osteopathic Medicine and Biomedical Engineering Program, Russ College of Engineering and Technology, University of Ohio, Athens, Ohio 45701, USA.

Correspondence to: John D Lambris1 e-mail: lambris@upenn.edu



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