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Training myeloid suppressive programs in cancer

Myeloid cells are the most abundant leukocyte population in solid tumors. In contrast to the heterogeneity found in tumoral macrophages (tM𝜑s), the diversity of short-lived lineages such as neutrophils (Neu), monocytes (Mo) and their progenitors, is only starting to be appreciated. Interestingly, growing evidence suggests that epigenetic reprogramming of myeloid cells upon exogenous or endogenous insults leads to an altered response to subsequent triggers, which can favor disease progression. These changes occur through chromatin remodeling and gene-expression alterations, a process known as trained immunity. Given that myeloid cell activity can control remotely the physiology of peripheral organs, the goal of this project is to determine whether myeloid cells in metastatic sites are co-opted by signals raised in primary tumors. While myeloid cell accumulation in tumors is a hallmark of poor prognosis, it is uncertain whether tumor cells hijack innate immune cells in metastatic organs, thereby contributing to tumor expansion and therapy resistance.

The development of metastases in triple-negative breast cancer (TBNC) represents a highly complex and poorly understood process. It is therefore of significant interest to examine myeloid responses in treatment-naïve patients and upon checkpoint blockade (ICB) in order to identify combinatory strategies that harness biological programs to favor anti-tumor immunity. Therefore, we hypothesize that remote training of myeloid cells is induced by primary tumors promoting metastasis tolerance and expansion. By dissecting the myeloid composition of early metastatic TNBC tumors using a combination of lineage-tracing approaches and single-cell RNA-sequencing (scRNAseq), we aim to identify the network of myeloid vulnerabilities to target metastasis.

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Macrophage-fibroblast crosstalk in lung cancer

Cancer can progress rapidly and every minute lost in ineffective treatment increases the likelihood that the patient will die. Therefore, identifying patients most likely to respond to immunotherapy is an important challenge for our society.

With the advent of immunotherapy, cancer treatment has changed dramatically and some previously fatal cancers can now be cured. Unfortunately, not all patients respond to immunotherapy, so biomedical research is striving to understand (1) how to predict which patients will benefit and (2) how to sensitize more patients to treatment. In our team, we have identified a type of immune cell residing within tumors (macrophages) that favors the activation of another pathogenic cell type in tumors, fibroblasts. Our results suggest that as a result of this cellular interaction, immunotherapy in a very specific group of lung cancer patients becomes ineffective.

Our initial hypothesis is that disruption of this interaction between macrophages and fibroblasts will sensitize tumors to immunotherapy. To understand this cellular dialogue, we asked 3 questions: (1) Can the origin of macrophages predict which patients are most likely to benefit from immunotherapy? (2) How do macrophages and fibroblasts regulate each other and how can we interfere with this interaction to sensitize tumors to immunotherapy? (3) Can we modify the macrophage compartment to alter fibroblast permeability within tumors and promote anti-tumor T cell immunity?

We expect that the identification of pro-fibrotic mediators in macrophages will predict response to immunotherapy. We also anticipate that targeting this program will sensitize tumors to immunotherapy, opening up hopeful new therapeutic possibilities for lung cancer patients.

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Projects

Circadian modulation of solid tumors

Circadian rhythms (CRs) are the biological response to the periodic rotations of the Earth, and allow
fundamental adaptations of organisms to a changing environment. CRs are molecularly controlled in virtually every cell by a set of transcriptional factors that control and are influenced by, core biological processes including metabolism, immune system activation, and proliferation.

My previous studies established, for the first time, that innate immune cells regulate the circadian physiology of tissues, including the susceptibility of the lung to be metastasized (JEM., 2018). In this project, we are asking the reciprocal question to reveal if cancer cells take advantage of and subvert, CRs of the innate (immune and stroma) compartments to escape anti-tumoral defense. We aim to understand how oncogenic processes rewire the CRs of the host and to elucidate strategies that halt this subversion as a new approach to fighting cancer. Our ultimate goal is to revolutionize the way we understand cancer, as it will identify the malignant roots of circadian rhythms and their impact on host defense. This research will establish a new paradigm by revealing the mechanisms underlying pro-tumorigenic clocks and will provide robust foundations for new therapies in a set of disorders in which circadian clock (dys)functions are implicated