Abstract 5571: Collagen stabilization directs immune suppression in the head and neck squamous cell carcinoma hypoxic subtype

Abstract Head CD14+ (Monocyte CD11c+ (Dendritic) ; Pax5+ (B-cell) ; Pan-Cytokeratin+ (tumor), and LH2. Low (0-1) LH2 expression was seen in 29. 5% of analyzed cores whereas 70. 5% of cores scored high (2-3) for LH2 expression. Cores classified under the hypoxia subtype exhibit high LH2 and enrichment of collagen stability signature. Late-stage tumors have highly oriented collagen fibers compared to normal tissue or early-stage tumors which have randomly distributed fibers. CT-Fire-based measurements revealed that LH2hi cores have significantly increased fiber length and lower coefficient of variance for fiber angles. The area of collagen measured by PSR staining had no correlation with tumor stage or subtype indicating that collagen deposition is similarly high in HNSCCs. However, birefringence measurements showed that a higher fraction of mature fibrillar collagen is associated with late-stage LH2hi tumors. Interestingly, LH2 expression positively correlated with increased CD3+ T cells in stroma suggesting that anti-tumor T cells are physically obstructed by the presence of LH2-stabilized and stiffened collagen fibers. LH2 expression influences the quality of collagen but not the quantity. Understanding the effect of LH2-mediated collagen modifications on the TIME may have implications for therapeutic strategies to enhance anti-tumor immune response in HNSCC. Citation Format: Sonal Srivastava, John Powers, Ritu Chaudhary, Sadegh Marzban, Robbert J. Slebos, Jeffrey West, Xiaofei Song, Jose A. Guevara-Patino, Christine H. Chung, Antonio L. Amelio. Collagen stabilization directs immune suppression in the head and neck squamous cell carcinoma hypoxic subtype abstract. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts) ; 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84 (6Suppl): Abstract nr 5571.