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Cystatin C is glucocorticoid responsive, directs recruitment of Trem2+ macrophages, and predicts failure of cancer immunotherapy.


ABSTRACT: Cystatin C (CyC), a secreted cysteine protease inhibitor, has unclear biological functions. Many patients exhibit elevated plasma CyC levels, particularly during glucocorticoid (GC) treatment. This study links GCs with CyC's systemic regulation by utilizing genome-wide association and structural equation modeling to determine CyC production genetics in the UK Biobank. Both CyC production and a polygenic score (PGS) capturing predisposition to CyC production were associated with increased all-cause and cancer-specific mortality. We found that the GC receptor directly targets CyC, leading to GC-responsive CyC secretion in macrophages and cancer cells. CyC-knockout tumors displayed significantly reduced growth and diminished recruitment of TREM2+ macrophages, which have been connected to cancer immunotherapy failure. Furthermore, the CyC-production PGS predicted checkpoint immunotherapy failure in 685 patients with metastatic cancer from combined clinical trial cohorts. In conclusion, CyC may act as a GC effector pathway via TREM2+ macrophage recruitment and may be a potential target for combination cancer immunotherapy.

SUBMITTER: Kleeman SO 

PROVIDER: S-EPMC10435381 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Cystatin C is glucocorticoid responsive, directs recruitment of Trem2+ macrophages, and predicts failure of cancer immunotherapy.

Kleeman Sam O SO   Thakir Tuba Mansoor TM   Demestichas Breanna B   Mourikis Nicholas N   Loiero Dominik D   Ferrer Miriam M   Bankier Sean S   Riazat-Kesh Yosef J R A YJRA   Lee Hassal H   Chantzichristos Dimitrios D   Regan Claire C   Preall Jonathan J   Sinha Sarthak S   Rosin Nicole N   Yipp Bryan B   de Almeida Luiz G N LGN   Biernaskie Jeff J   Dufour Antoine A   Tober-Lau Pinkus P   Ruusalepp Arno A   Bjorkegren Johan L M JLM   Ralser Markus M   Kurth Florian F   Demichev Vadim V   Heywood Todd T   Gao Qing Q   Johannsson Gudmundur G   Koelzer Viktor H VH   Walker Brian R BR   Meyer Hannah V HV   Janowitz Tobias T  

Cell genomics 20230623 8


Cystatin C (CyC), a secreted cysteine protease inhibitor, has unclear biological functions. Many patients exhibit elevated plasma CyC levels, particularly during glucocorticoid (GC) treatment. This study links GCs with CyC's systemic regulation by utilizing genome-wide association and structural equation modeling to determine CyC production genetics in the UK Biobank. Both CyC production and a polygenic score (PGS) capturing predisposition to CyC production were associated with increased all-cau  ...[more]

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