Human Oncology and Pathogenesis Program, Memorial Sloan Kettering (MSK) Cancer Center, New York, New York, USA.
Weill Cornell Graduate School of Medical Sciences, Cornell University, New York, New York, USA.
J Clin Invest. 2022 Sep 1;132(17). doi: 10.1172/JCI153437.
Immune checkpoint blockade (ICB) has demonstrated clinical success in "inflamed" tumors with substantial T cell infiltrates, but tumors with an immune-desert tumor microenvironment (TME) fail to benefit. The tumor cell-intrinsic molecular mechanisms of the immune-desert phenotype remain poorly understood. Here, we demonstrated that inactivation of the polycomb-repressive complex 2 (PRC2) core components embryonic ectoderm development (EED) or suppressor of zeste 12 homolog (SUZ12), a prevalent genetic event in malignant peripheral nerve sheath tumors (MPNSTs) and sporadically in other cancers, drove a context-dependent immune-desert TME. PRC2 inactivation reprogramed the chromatin landscape that led to a cell-autonomous shift from primed baseline signaling-dependent cellular responses (e.g., IFN-γ signaling) to PRC2-regulated developmental and cellular differentiation transcriptional programs. Further, PRC2 inactivation led to diminished tumor immune infiltrates through reduced chemokine production and impaired antigen presentation and T cell priming, resulting in primary resistance to ICB. Intratumoral delivery of inactivated modified vaccinia virus Ankara (MVA) enhanced tumor immune infiltrates and sensitized PRC2-loss tumors to ICB. Our results identify molecular mechanisms of PRC2 inactivation-mediated, context-dependent epigenetic reprogramming that underline the immune-desert phenotype in cancer. Our studies also point to intratumoral delivery of immunogenic viruses as an initial therapeutic strategy to modulate the immune-desert TME and capitalize on the clinical benefit of ICB.
免疫检查点阻断(ICB)在具有大量 T 细胞浸润的“炎症”肿瘤中显示出临床成功,但免疫荒漠肿瘤微环境(TME)的肿瘤则无法从中受益。免疫荒漠表型的肿瘤细胞内在分子机制仍知之甚少。在这里,我们证明了多梳抑制复合物 2(PRC2)核心成分胚胎外胚层发育(EED)或抑制素 12 同源物(SUZ12)的失活,这是恶性外周神经鞘瘤(MPNST)和其他癌症中常见的遗传事件,驱动了一种与上下文相关的免疫荒漠 TME。PRC2 的失活重新编程了染色质景观,导致细胞自主从已有的基础信号依赖性细胞反应(例如 IFN-γ 信号)转变为 PRC2 调节的发育和细胞分化转录程序。此外,PRC2 的失活通过减少趋化因子的产生以及损害抗原呈递和 T 细胞启动,导致肿瘤免疫浸润减少,从而导致对 ICB 的原发性耐药。肿瘤内递送失活的改良安卡拉牛痘病毒(MVA)增强了肿瘤免疫浸润,并使 PRC2 缺失的肿瘤对 ICB 敏感。我们的研究结果确定了 PRC2 失活介导的、与上下文相关的表观遗传重编程的分子机制,这些机制突显了癌症中的免疫荒漠表型。我们的研究还指出,肿瘤内递送免疫原性病毒是一种初始治疗策略,可调节免疫荒漠 TME 并利用 ICB 的临床获益。