失活 可抑制 dsRNA 感应并赋予对 PD-1 阻断的抗性。

Inactivation of Impairs dsRNA Sensing and Confers Resistance to PD-1 Blockade.

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.

Division of Molecular and Cellular Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.

出版信息

Cancer Discov. 2020 Sep;10(9):1296-1311. doi: 10.1158/2159-8290.CD-19-1416. Epub 2020 May 5.

Abstract

The molecular mechanisms leading to resistance to PD-1 blockade are largely unknown. Here, we characterize tumor biopsies from a patient with melanoma who displayed heterogeneous responses to anti-PD-1 therapy. We observe that a resistant tumor exhibited a loss-of-function mutation in the tumor suppressor gene , whereas a sensitive tumor from the same patient did not. Consistent with a functional role in immunotherapy response, inactivation of in murine tumor cell lines caused resistance to anti-PD-1 in immunocompetent animals. Loss of was associated with altered immune microenvironment, decreased tumor-intrinsic expression of the double-stranded RNA (dsRNA) sensors MDA5 and RIG1, and diminished induction of type I IFN and MHC-I expression. In contrast, restoration of dsRNA sensing in -deficient cells was sufficient to sensitize them to anti-PD-1. Our results thus establish a new role for the commonly inactivated tumor suppressor in viral sensing and sensitivity to immunotherapy. SIGNIFICANCE: Our findings establish a role of the commonly inactivated tumor suppressor as a genomic driver of response to anti-PD-1 therapy. loss promotes resistance to anti-PD-1 through the downregulation of viral sensing pathways, suggesting that therapeutic reactivation of these pathways could improve clinical responses to checkpoint inhibitors in genomically defined cancer patient populations..

摘要

导致对 PD-1 阻断产生耐药性的分子机制在很大程度上尚不清楚。在这里,我们对一名黑色素瘤患者的肿瘤活检进行了特征描述,该患者对抗 PD-1 治疗表现出异质性反应。我们观察到,耐药肿瘤表现出肿瘤抑制基因 的功能丧失突变,而来自同一患者的敏感肿瘤则没有。与免疫治疗反应中的功能作用一致,在免疫活性动物中,鼠肿瘤细胞系中 的失活导致对抗 PD-1 的耐药性。 的丢失与免疫微环境改变、双链 RNA(dsRNA)传感器 MDA5 和 RIG1 的肿瘤内在表达减少以及 I 型 IFN 和 MHC-I 表达减少有关。相比之下,在 缺陷细胞中恢复 dsRNA 感应足以使它们对抗 PD-1 敏感。因此,我们的研究结果确立了普遍失活的肿瘤抑制基因 在病毒感应和对免疫治疗敏感性中的新作用。

意义

我们的研究结果确立了普遍失活的肿瘤抑制基因 作为抗 PD-1 治疗反应的基因组驱动因素的作用。 缺失通过下调病毒感应途径促进对抗 PD-1 的耐药性,这表明这些途径的治疗性再激活可能会改善基因组定义的癌症患者群体中对检查点抑制剂的临床反应。

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