Department of Biochemistry and Molecular Pharmacology, New York University Grossman School of Medicine, New York, NY 10016, USA; Laura and Isaac Perlmutter NYU Cancer Center, New York University Grossman School of Medicine, New York, NY 10016, USA.
Department of Biochemistry and Molecular Pharmacology, New York University Grossman School of Medicine, New York, NY 10016, USA; Laura and Isaac Perlmutter NYU Cancer Center, New York University Grossman School of Medicine, New York, NY 10016, USA.
Cell. 2022 Jan 6;185(1):169-183.e19. doi: 10.1016/j.cell.2021.12.005. Epub 2021 Dec 27.
Non-small cell lung cancers (NSCLCs) harboring KEAP1 mutations are often resistant to immunotherapy. Here, we show that KEAP1 targets EMSY for ubiquitin-mediated degradation to regulate homologous recombination repair (HRR) and anti-tumor immunity. Loss of KEAP1 in NSCLC induces stabilization of EMSY, producing a BRCAness phenotype, i.e., HRR defects and sensitivity to PARP inhibitors. Defective HRR contributes to a high tumor mutational burden that, in turn, is expected to prompt an innate immune response. Notably, EMSY accumulation suppresses the type I interferon response and impairs innate immune signaling, fostering cancer immune evasion. Activation of the type I interferon response in the tumor microenvironment using a STING agonist results in the engagement of innate and adaptive immune signaling and impairs the growth of KEAP1-mutant tumors. Our results suggest that targeting PARP and STING pathways, individually or in combination, represents a therapeutic strategy in NSCLC patients harboring alterations in KEAP1.
非小细胞肺癌(NSCLC)中 KEAP1 突变的存在常导致对免疫治疗的耐药性。在这里,我们发现 KEAP1 靶向 EMSY 进行泛素介导的降解,以调节同源重组修复(HRR)和抗肿瘤免疫。NSCLC 中 KEAP1 的缺失诱导 EMSY 的稳定,产生 BRCAness 表型,即 HRR 缺陷和对 PARP 抑制剂的敏感性。HRR 缺陷导致高肿瘤突变负担,进而预期引发先天免疫反应。值得注意的是,EMSY 的积累抑制了 I 型干扰素反应并损害了先天免疫信号,促进了癌症免疫逃逸。使用 STING 激动剂在肿瘤微环境中激活 I 型干扰素反应会引发先天和适应性免疫信号的参与,并损害 KEAP1 突变肿瘤的生长。我们的结果表明,单独或联合靶向 PARP 和 STING 通路可能是携带 KEAP1 改变的 NSCLC 患者的一种治疗策略。
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