Abstract
Tumor immune escape is an important part of tumorigenesis and development. Tumor cells can develop a variety of immunosuppressive mechanisms to combat tumor immunity. Exploring tumor cells that escape immune surveillance through the molecular mechanism of related immunosuppression in-depth is helpful to develop the treatment strategies of targeted tumor immune escape. The latest studies show that CD24 on the surface of tumor cells interacts with Siglec-10 on the surface of immune cells to promote the immune escape of tumor cells. It is necessary to comment on the molecular mechanism of inhibiting the activation of immune cells through the interaction between CD24 on tumor cells and Siglec-10 on immune cells, and a treatment strategy of tumors through targeting CD24 on the surface of tumor cells or Siglec-10 on immune cells.
Introduction
Normally, the existence of inhibitory receptors or immune checkpoints avoids the injuries caused by excessive immune response, as tumor cells can up-regulate the corresponding immune checkpoints and their ligands and inhibit the activity of immune cells or induce the apoptosis of immune cells, so as to escape the surveillance of the immune system (). Tumor immune escape is one of the basic characteristics of tumor occurrence and development (). The treatment of innate immune checkpoints related to tumor immune escape has achieved remarkable success in recent years. Therefore, the identification of innate immune checkpoints is very important in developing cancer treatment. In this regard, programmed cell death ligand 1 (PD-L1), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), CD47, and some other innate immune checkpoints have been found (–). And the latest research has indicated that CD24 may be the dominant immune checkpoint in tumors. Its interaction with sialic-acid-binding Ig-like lectin 10 (Siglec-10) can promote tumor immune escape and is expected to become a new target for tumor therapy ().
The CD24 gene is located on chromosome 6q21 and it encodes a glycosylated protein with 16 potential O-glycosylation and N-glycosylation sites (). In general, CD24 is expressed on the surface of developing T and most B lymphocytes (, ). It can determine the ability of proliferation and survival of early T cells (). Glycosylphosphatidylinositol (GPI) is required to bond with CD24 because the latter does not contain a cytosolic domain. That is why CD24 is also known as a heat stable antigen (, , ). The CD24 on immune cells adheres to the lipid raft as a cell adhesion molecule, so that it can participate in the transduction of signals such as tyrosine kinase, G protein, etc. (, ). CD24 is highly expressed in various tumor cells and is related to the occurrence and development, invasion, and migration of tumor cells (–). For example, CD24 is seen as a strong and independent molecular marker for the prognosis of ovarian cancer; it is also related to the growth and metastasis of breast cancer and may be related to the occurrence and development of pancreatic cancer (, , ). The combination of CD24-expressing tumor cells and P-selectin on platelets can promote the excretion of tumor cells from the bloodstream and thus promote their metastasis (). Another tumor-related mechanism of CD24 is the connection between CD24 and signal factors in the lipid rafts microdomains, such as Src kinase. The Src kinase activated by CD24 may be involved in other mechanisms that cause tumorigenesis (). For example, CD24 regulates the invasion of tumor cells by suppressing tissue factor pathway inhibitor-2 (TFPI-2) through a Src-dependent manner ().
The sialic acid-binding immunoglobulin (Ig)-like lectins (Siglecs) are an immunoglobulin-like type I transmembrane protein with different numbers of Ig-like domains (C2 setting domain) and IgV-like domains that recognize the N-terminal of ligands (). Siglecs have immune receptor tyrosine inhibitory motifs (ITIM) or ITIM-like motifs in cells, and many of them are related to protein tyrosines that contain an SH2 domain, like phosphatase 1 (SHP-1), and SHP-2 containing SH2 domain (). Siglecs can recognize the sialic acid-containing structure and combine with the sialic acid attached to the glycoconjugates on the cell surface (). In this siglecs family, ligand recognition results in an induction of accessibility of the cytosolic ITIM tyrosine and the ITIM-like tyrosine to Src family kinases (). These kinases phosphorylate ITIM tyrosine in the cytoplasm, thereby recruiting tyrosine phosphatases such as SHP-1 or SHP-2, which can attenuate signal transduction (, ). Although SHP-1 and SHP-2 both belong to protein tyrosine phosphatases which contain the SH2 domain, they are usually regarded as negative regulators and positive regulators, respectively (, ). Siglecs can be divided into two groups according to their structure (). The first group includes Siglec-1 (Sialoadhesin / CD169), Siglec-2 (CD22), Siglec-4 (Myelin-associated glycoprotein / MAG), and Siglec-15, which are structurally conserved in many species, such as mouse and human (). The second group contains the CD33-related Siglecs, which are different in mouse and human. CD33-related Siglecs in humans are Siglec-3 (CD33),-5,-6,-7,-8,-9,-10,-11,-12,-14, and−16 while in the mouse Siglec-3(CD33), Siglec-E,-F,-G, and-H belongs to this group (). Siglec-10 has five extracellular Ig-like domains, a transmembrane region, and a cytoplasmic tail containing two ITIM signaling motifs (). The IgV structural domain of Siglec-10 contains a key arginine residue, which is related to the recognition of sialic acid (). Siglec-10 is a kind of inhibitory receptor, which expresses widely in immune cells, such as B cells, monocytes, dendritic cells, a small number of NK cells, and a small subset of activated T cells which inhibit the function of immune cells (–).
Siglec-10 binds firmly to CD24 in a sialylation-dependent manner, and CD24 is the main ligand of Siglec-10 (, ). When CD24 on tumor cells combines with Siglec-10 on immune cells, it causes the signal cascade of immune cell inhibition, which is mediated by SHP-1/SHP-2 (). These phosphatases are associated with ITIM, which is in the cytoplasmic tail of Siglec-10. The ITIM region is phosphorylated, thus blocking Toll-like receptor (TLR)-mediated inflammation and activating a series of intracellular signal pathways to achieve effective immunosuppression and promoting tumor immune escape (Figure 1) (, , ). Existing studies show that the damage of danger-associated molecular pattern (DAMP)-associated inflammatory responses, which perform as innate immune pattern recognition receptors, can be reduced by the interaction of CD24-Siglec-10 (). The interaction between CD24 and Siglecs is considered to be the complex of placental immunosuppressive response, and a great number of placental cells and molecular markers have been evaluated for their role in tumor immune escape ().
Figure 1
Recognition of CD24 by Siglec-10
Sialic acid is a family of nine-carbon sugars, which usually forms the terminal sugar structures of the glycoproteins and glycolipids on the cell surface (
Molecular Mechanism of CD24 Expression in Tumor Cells
CD24 Expression in Tumor Cells Induced by HIF1 α
The tumor cells undergo an exuberant process of metabolism and their oxygen consumption is high. Meanwhile, due to the shortage of oxygen supply, the oxygen content of the tumor microenvironment is low. In this condition, the tumor cells are in a state of relative hypoxia. Hypoxia-inducible factors (HIFs) are the most important proteins for cell-induced expression in hypoxic environments (
Hypoxia-induced CD24 expression mainly occurs at the transcriptional level, especially when HIF acts as a transcription factor to induce CD24 expression (Figure 2). CD24 is the key transcriptional target of HIF-1α (
Figure 2

The molecular mechanism of CD24 expression in tumor cells. Under the condition of hypoxia, HIF-1α promotes the transcription of CD24 through a functional hypoxia-responsive element on the promoter of CD24 (
Non-coding RNA Induces CD24 Expression in Tumor Cells
Signals from non-coding RNAs (ncRNAs) can transfer between tumor cells and tumor microenvironments through extracellular vesicle (EVs), exosomes, and gap junctions (67, 68). NcRNAs have been demonstrated to play an important role in tumor growth, metabolism, and migration, as well as in regulating the expression of CD24. It has been found for the first time that the increased expression of long non-coding RNA (lncRNA) H19 leads to a reduction of cell-surface CD24, and that down-regulation of H19 helps to maintain the expression of CD24 on the cell surface, so H19 is thought to make a contribution to cell invasion by regulating CD24 expression, thereby regulating tumor immune escape (Figure 2) (69). MiRNA is also a kind of ncRNA. The protein-coding genes, such as the CD24 gene, are currently known to be regulated by miRNAs (
WNT/ β-catenin Induces CD24 Expression in Tumor Cells
The Wnt/ β-catenin signaling pathway is an evolutionarily-conserved regulatory pathway that governs numerous normal cellular and developmental processes such as cell fate determination, cell proliferation, and migration (72). However, aberrant Wnt signaling has also been identified as a key mechanism in cancer biology. It has been proven that Wnt/ β-catenin plays an important role in tumor growth and regulating the expression of CD24. Immunoprecipitation studies show that CD24 may activate β-catenin to interact with the Wnt pathway and induce β-catenin translocation into the nucleus (72). It has been shown in breast cancer that β-catenin can inhibit tumor immune escape by down-regulating the expression of CD24 (Figure 2) (73). And it has also been identified that CD24 is the transcriptional target of Wnt signaling in a non-transformed human mammary epithelial cell line MCF 10A (73).
The Interaction Between Siglec-10 on Immune Cells and CD24 Induces Immune Escape of Tumor Cells
T Cells
Malignant cell-secreted Evs in the tumor microenvironment stimulate lymphocytes to suppress anti-tumor immunity and promote tumor progression. Importantly, malignant EVs impair T cells' function by upregulating the expression of Siglec-10 on T cells (74). Siglec-10 is an inhibitory receptor expressed on the surface of T cells (
Figure 3

The interaction between CD24 and Siglec-10 on immune cells promotes tumor immune escape. CD24 expressed on the surface of tumor cells interacts with Siglec-10 expressed on immune cells, and then promotes tumor immune escape through corresponding molecular mechanisms. (A) Siglec-10 expressed on T cell surfaces inhibits the activation of T cells through inhibiting the formation of T cell major histocompatibility complex class I (MHC-I) peptide complex and the phosphorylation of T cell receptor-associated kinase, Lck, and ZAP-70 (
B Cells
Siglecs play an important immunomodulatory role in B cell activation and immunoglobulin production (77). For example, Siglec-2 strongly affects the signal transduction of the B cell receptor (BCR) and has become the prototype of the working principle of Siglec signal transduction (
Existing studies have found that Siglec-G is an inhibitory receptor of B cells, which controls the proliferation and calcium signal transduction of B1 cells (83). Siglec-G is expressed in a B cell-restricted way, with large amounts present in B1 cells (83). When overexpressed, Siglec-G can inhibit B cell receptor-mediated calcium signaling (83). Siglec-G dampens the calcium signal transduction of B1 cells by recruiting the ITIM-binding protein SHP-1, growth factor receptor binding protein 2 (Grb2), and inhibits the activity of transcription factors NFATc1 and NF-kB (Figure 3) (
CD24 can also affect the function of B cells by affecting the signal transduction of BCR (Figure 3). CD24 induces human B cell apoptosis through glycolipid-enriched membrane (GEM) domains / raft-mediated signal transduction systems (
The Interaction Between CD24 on the Surface of Tumor Cells and Siglec-10 on Macrophages Induces Tumor Immune Escape
The phagocytosis of macrophages to tumors is regulated by a host of signals, including pro-phagocytosis signals (“Eat me”) and anti-phagocytosis signals (“Don't eat me”) (88). Many phagocytic signals are expressed on the tumor surface, including tumor-associated antigen, endoplasmic reticulum chaperone, calreticulin, and glycoprotein signal lymphocyte activation molecule family member 7 (SLAMF-7; also known as CD319) (89–91). However, some anti-phagocytic signals also exist on the surface of tumor cells, including CD47, PD-L1, β 2-microglobulin (B2M), an unidentified ligand that binds to leukocyte immunoglobulin-like receptor-2 (LILRB2), and the recently discovered CD24 (
Healthy normal tissues and cells have the inherent ability to avoid the self-elimination of macrophages by expressing anti-phagocytosis molecules, but cancer cells rely even more on similar mechanisms to escape the eradication of immune-mediated (97–100). Therefore, the targeted therapy toward the macrophage phagocytosis checkpoints in tumors may provide a new avenue for the development of cancer immunotherapies to eliminate tumor immune escape (101).
NK Cells
In liver tumor microenvironments, Siglec-10 mainly expresses on NK cells, while it expresses less on T cells and B cells (102). The percentage of Siglec-10+NK cells in tumor tissues is higher than that in surrounding non-tumor tissues (
The Strategy of Targeting CD24/SIGLEC-10 to Inhibit Tumor Immune Escape
Antibodies of Targeting CD24
SWA11 monoclonal antibody has high affinity and specificity toward CD24-expressing cells (
Targeting CD24 and Siglec-10 Genes
Through gene ablation of CD24 and Siglec-10, the targeting of these cells has been proven to be an effective method to enhance the phagocytosis of macrophages (Figure 4) (
Figure 4

Inhibition of tumor immune escape by interfering with CD24/Siglec-10 signal transduction. The uses of CD24 monoclonal antibodies or sialidase is designed to interfere with the interaction between CD24 and Siglec-10, block the transduction of inhibitory signals, and inhibit the immune escape of the tumor. And the decrease of HIF-1α or CD24 expression is also a potential method for the treatment of inhibiting the immune escape of tumors.
The Binding of Targeting CD24-Siglec-10
Siglec-10 is thought to have the ability to recognize sialic acid structures, and it binds firmly to CD24 in a sialic acid-dependent manner (
Other
CD24 on the surface of tumor cells can also be regulated by other factors to promote tumor immune escape. HIF-1a induces the expression of CD24 at the transcriptional level to promote tumor immune escape, and the non-coding RNA, Wnt/ β-catenin, promotes or inhibits the expression of CD24 to promote or inhibit tumor immune escape (
Statements
Author contributions
F-HG handled the conceptualization and the writing and editing of the review. S-SY handled the writing of the original draft.
Funding
This work was supported in part by the National Natural Science Foundation of China (81172322, 81302006, and 81572796), Shanghai Municipal Education Committee (13ZZ089), and the Science and Technology Committee of Shanghai (14401901500).
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
CD24, Siglec-10, tumor immune escape, immune surveillance, immunotherapy
Citation
Yin S-S and Gao F-H (2020) Molecular Mechanism of Tumor Cell Immune Escape Mediated by CD24/Siglec-10. Front. Immunol. 11:1324. doi: 10.3389/fimmu.2020.01324
Received
24 March 2020
Accepted
26 May 2020
Published
17 July 2020
Volume
11 - 2020
Edited by
Peter Brossart, University of Bonn, Germany
Reviewed by
Matthew S. Macauley, University of Alberta, Canada; Lars Nitschke, University of Erlangen Nuremberg, Germany
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© 2020 Yin and Gao.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Feng-Hou Gao fenghougao@163.com
This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Immunology
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