Abstract A036: Juxtacrine signaling between macrophage and cancer cell inhibits radiation-induced ferroptosis in syngeneic colon cancer

Abstract Although radiotherapy (RT) is one of the most common modalities for cancer treatment, radioresistance remains an intractable challenge. RT induces intratumoral infiltration of macrophages for the clearance of injury debris, but rather tumor-associated macrophages confer fitness advantages to cancer cells after RT. Here, we report that tumor-associated macrophage instigates radioresistance by inhibiting RT-induced cell death in a contact-dependent manner. Mechanistically, RT increases receptor tyrosine kinases (RTKs) expression in cancer cells to enable direct interaction with macrophages, resulting in reduced cancer cell ferroptosis triggered by RT. Unbiased RNA-seq analysis of RTK-dependent juxtacrine signaling in macrophages further reveals a profound remodeling of the irradiated tumor microenvironment (TME) via regulation of macrophage polarization and cytotoxic T cell-mediated antitumor responses. Using a syngeneic colon cancer model, we found that ablation of RTK-induced juxtacrine signaling sensitized tumor to RT through increasing cancer cell ferroptosis and impairing macrophages-mediated TME. Collectively, our study supports the RTKs as a new radiosensitizing target via attenuation of the interaction between cancer cells and macrophages during RT. Citation Format: Sang Wha Kim, Hyewon Chung, Seung Hyeok Seok. Juxtacrine signaling between macrophage and cancer cell inhibits radiation-induced ferroptosis in syngeneic colon cancer [abstract]. In: Proceedings of the AACR Special Conference: Cancer Metastasis; 2022 Nov 14-17; Portland, OR. Philadelphia (PA): AACR; Cancer Res 2022;83(2 Suppl_2):Abstract nr A036.