MerTK+ macrophages promote melanoma progression and immunotherapy resistance through AhR-ALKAL1 activation

Sci Adv. 2024 Oct 4;10(40):eado8366. doi: 10.1126/sciadv.ado8366. Epub 2024 Oct 4.

Abstract

Despite our increasing understanding of macrophage heterogeneity, drivers of macrophage phenotypic and functional polarization in the microenvironment are not fully elucidated. Here, our single-cell RNA sequencing data identify a subpopulation of macrophages expressing high levels of the phagocytic receptor MER proto-oncogene tyrosine kinase (MerTK+ macrophages), which is closely associated with melanoma progression and immunotherapy resistance. Adoptive transfer of the MerTK+ macrophages into recipient mice notably accelerated tumor growth regardless of macrophage depletion. Mechanistic studies further revealed that ALK And LTK Ligand 1 (ALKAL1), a target gene of aryl hydrocarbon receptor (AhR), facilitated MerTK phosphorylation, resulting in heightened phagocytic activity of MerTK+ macrophages and their subsequent polarization toward an immunosuppressive phenotype. Specifically targeted delivery of AhR antagonist to tumor-associated macrophages with mannosylated micelles could suppress MerTK expression and improved the therapeutic efficacy of anti-programmed cell death ligand 1 therapy. Our findings shed light on the regulatory mechanism of MerTK+ macrophages and provide strategies for improving the efficacy of melanoma immunotherapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Basic Helix-Loop-Helix Proteins
  • Cell Line, Tumor
  • Cytokines
  • Disease Progression
  • Drug Resistance, Neoplasm
  • Female
  • Humans
  • Immunotherapy* / methods
  • Macrophages* / immunology
  • Macrophages* / metabolism
  • Male
  • Melanoma* / immunology
  • Melanoma* / metabolism
  • Melanoma* / pathology
  • Melanoma* / therapy
  • Melanoma, Experimental / immunology
  • Melanoma, Experimental / pathology
  • Melanoma, Experimental / therapy
  • Mice
  • Mice, Inbred C57BL
  • Middle Aged
  • Phosphorylation
  • Proto-Oncogene Mas
  • Receptors, Aryl Hydrocarbon* / metabolism
  • Tumor Microenvironment / immunology
  • Tumor-Associated Macrophages / immunology
  • Tumor-Associated Macrophages / metabolism
  • c-Mer Tyrosine Kinase* / genetics
  • c-Mer Tyrosine Kinase* / metabolism

Substances

  • c-Mer Tyrosine Kinase
  • Proto-Oncogene Mas
  • Receptors, Aryl Hydrocarbon
  • AHR protein, human
  • Basic Helix-Loop-Helix Proteins
  • Ahr protein, mouse
  • ALKAL1 protein, human
  • Cytokines
  • ALKAL1 protein, mouse
  • MERTK protein, human