The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression

Gastric cancer continues to be a leading global health concern, with current therapeutic approaches requiring significant improvement. While the disruption of iron metabolism in the advancement of gastric cancer has been well-documented, the underlying regulatory mechanisms remain largely unexplored...

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Main Authors: Qinxue Ni, Hong Yang, Hang Rao, Liyong Zhang, Mengyuan Xiong, Xiao Han, Boshao Deng, Lulu Wang, Jian Chen, Yan Shi
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522181/full
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author Qinxue Ni
Hong Yang
Hang Rao
Liyong Zhang
Mengyuan Xiong
Xiao Han
Boshao Deng
Lulu Wang
Jian Chen
Yan Shi
author_facet Qinxue Ni
Hong Yang
Hang Rao
Liyong Zhang
Mengyuan Xiong
Xiao Han
Boshao Deng
Lulu Wang
Jian Chen
Yan Shi
author_sort Qinxue Ni
collection DOAJ
description Gastric cancer continues to be a leading global health concern, with current therapeutic approaches requiring significant improvement. While the disruption of iron metabolism in the advancement of gastric cancer has been well-documented, the underlying regulatory mechanisms remain largely unexplored. Additionally, the complement C5a-C5aR pathway has been identified as a crucial factor in gastric cancer development. The impact of the complement system on iron metabolism and its role in gastric cancer progression is an area warranting further investigation. Our research demonstrates that the C5a-C5aR pathway promotes gastric cancer progression by enhancing iron acquisition in tumor cells through two mechanisms. First, it drives macrophage polarization toward the M2 phenotype, which has a strong iron-release capability. Second, it increases the expression of LCN2, a high-affinity iron-binding protein critical for iron export from tumor-associated macrophages, by activating endoplasmic reticulum stress in these cells. Both mechanisms facilitate the transfer of iron from macrophages to cancer cells, thereby promoting tumor cell proliferation. This study aims to elucidate the connection between the complement C5a-C5aR pathway and iron metabolism within the tumor microenvironment. Our data suggest a pivotal role of the C5a-C5aR pathway in tumor iron management, indicating that targeting its regulatory mechanisms may pave the way for future iron-targeted therapeutic approaches in cancer treatment.
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spelling doaj-art-95cb1a400fc14cf9b8c28b715bb1442f2025-01-09T06:11:14ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15221811522181The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progressionQinxue Ni0Hong Yang1Hang Rao2Liyong Zhang3Mengyuan Xiong4Xiao Han5Boshao Deng6Lulu Wang7Jian Chen8Yan Shi9The First Affiliated Hospital of Army Military Medical University, Department of General Surgery, Chongqing, ChinaDepartment of Immunology, Army Medical University (Third Military Medical University), Chongqing, ChinaThe First Affiliated Hospital of Army Military Medical University, Department of General Surgery, Chongqing, ChinaThe First Affiliated Hospital of Army Military Medical University, Department of General Surgery, Chongqing, ChinaThe First Affiliated Hospital of Army Military Medical University, Department of General Surgery, Chongqing, ChinaDepartment of Immunology, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Immunology, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Immunology, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Immunology, Army Medical University (Third Military Medical University), Chongqing, ChinaThe First Affiliated Hospital of Army Military Medical University, Department of General Surgery, Chongqing, ChinaGastric cancer continues to be a leading global health concern, with current therapeutic approaches requiring significant improvement. While the disruption of iron metabolism in the advancement of gastric cancer has been well-documented, the underlying regulatory mechanisms remain largely unexplored. Additionally, the complement C5a-C5aR pathway has been identified as a crucial factor in gastric cancer development. The impact of the complement system on iron metabolism and its role in gastric cancer progression is an area warranting further investigation. Our research demonstrates that the C5a-C5aR pathway promotes gastric cancer progression by enhancing iron acquisition in tumor cells through two mechanisms. First, it drives macrophage polarization toward the M2 phenotype, which has a strong iron-release capability. Second, it increases the expression of LCN2, a high-affinity iron-binding protein critical for iron export from tumor-associated macrophages, by activating endoplasmic reticulum stress in these cells. Both mechanisms facilitate the transfer of iron from macrophages to cancer cells, thereby promoting tumor cell proliferation. This study aims to elucidate the connection between the complement C5a-C5aR pathway and iron metabolism within the tumor microenvironment. Our data suggest a pivotal role of the C5a-C5aR pathway in tumor iron management, indicating that targeting its regulatory mechanisms may pave the way for future iron-targeted therapeutic approaches in cancer treatment.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522181/fullC5a-C5aR pathwaygastric canceriron metabolismmacrophage polarizationLCN2ER stress
spellingShingle Qinxue Ni
Hong Yang
Hang Rao
Liyong Zhang
Mengyuan Xiong
Xiao Han
Boshao Deng
Lulu Wang
Jian Chen
Yan Shi
The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
Frontiers in Immunology
C5a-C5aR pathway
gastric cancer
iron metabolism
macrophage polarization
LCN2
ER stress
title The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
title_full The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
title_fullStr The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
title_full_unstemmed The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
title_short The role of the C5a-C5aR pathway in iron metabolism and gastric cancer progression
title_sort role of the c5a c5ar pathway in iron metabolism and gastric cancer progression
topic C5a-C5aR pathway
gastric cancer
iron metabolism
macrophage polarization
LCN2
ER stress
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1522181/full
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