Ceramide activates lysosomal cathepsin B and cathepsin D to attenuate autophagy and induces ER stress to suppress myeloid-derived suppressor cells

// Feiyan Liu 1 , Xia Li 1 , Chunwan Lu 2,3 , Aiping Bai 4 , Jacek Bielawski 4 , Alicja Bielawska 4 , Brendan Marshall 5 , Patricia V. Schoenlein 5 , Iryna O. Lebedyeva 6 and Kebin Liu 2,3,7 1 College of Life Sciences, Zhejiang University, Hangzhou, China 2 Department of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta, GA, USA 3 Charlie Norwood VA Medical Center, Augusta, GA, USA 4 Department of Biochemistry and Molecular Biology, Medical University of South Carolina, Charleston, SC, USA 5 Department of Cell Biology and Anatomy, Medical College of Georgia, Augusta, GA, USA 6 Department of Chemistry and Physics, Augusta University, Augusta, GA, USA 7 Georgia Cancer Center, Augusta University, Augusta, GA, USA Correspondence to: Feiyan Liu, email: // Keywords : MDSCs, cathepsin, ceramide, autophagy flux, Lysosomal cell death, Immunology and Microbiology Section, Immune response, Immunity Received : October 10, 2016 Accepted : November 07, 2016 Published : November 17, 2016 Abstract Myeloid-derived suppressor cells (MDSCs) are immune suppressive cells that are hallmarks of human cancer. MDSCs inhibit cytotoxic T lymphocytes (CTLs) and NK cell functions to promote tumor immune escape and progression, and therefore are considered key targets in cancer immunotherapy. Recent studies determined a key role of the apoptosis pathways in tumor-induced MDSC homeostasis and it is known that ceramide plays a key role in regulation of mammalian cell apoptosis. In this study, we aimed to determine the efficacy and underlying molecular mechanism of ceramide in suppression of MDSCs. Treatment of tumor-bearing mice with LCL521, a lysosomotropic inhibitor of acid ceramidase, significantly decreased MDSC accumulation in vivo . Using a MDSC-like myeloid cell model, we determined that LCL521 targets lysosomes and increases total cellular C16 ceramide level. Although MDSC-like cells have functional apoptosis pathways, LCL521-induced MDSC death occurs in an apoptosis- and necroptosis-independent mechanism. LCL521 treatment resulted in an increase in the number of autophagic vesicles, heterolysosomes and swollen ERs. Finally, concomitant inhibition of cathepsin B and cathepsin D was required to significantly decrease LCL521-induced cell death. Our observations indicate that LCL521 targets lysosomes to activate cathepsin B and cathepsin D, resulting in interrupted autophagy and ER stress that culminates in MDSC death. Therefore, a ceramidase inhibitor is potentially an effective adjunct therapeutic agent for suppression of MDSCs to enhance the efficacy of CTL-based cancer immunotherapy.