KEAP1 mutation in lung adenocarcinoma promotes immune evasion and immunotherapy resistance
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KEAP1 mutation in lung adenocarcinoma promotes immune evasion and immunotherapy resistance. / Zavitsanou, Anastasia Maria; Pillai, Ray; Hao, Yuan; Wu, Warren L.; Bartnicki, Eric; Karakousi, Triantafyllia; Rajalingam, Sahith; Herrera, Alberto; Karatza, Angeliki; Rashidfarrokhi, Ali; Solis, Sabrina; Ciampricotti, Metamia; Yeaton, Anna H.; Ivanova, Ellie; Wohlhieter, Corrin A.; Buus, Terkild B.; Hayashi, Makiko; Karadal-Ferrena, Burcu; Pass, Harvey I.; Poirier, John T.; Rudin, Charles M.; Wong, Kwok Kin; Moreira, Andre L.; Khanna, Kamal M.; Tsirigos, Aristotelis; Papagiannakopoulos, Thales; Koralov, Sergei B.
In: Cell Reports, Vol. 42, No. 11, 113295, 28.11.2023, p. 1-25.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - KEAP1 mutation in lung adenocarcinoma promotes immune evasion and immunotherapy resistance
AU - Zavitsanou, Anastasia Maria
AU - Pillai, Ray
AU - Hao, Yuan
AU - Wu, Warren L.
AU - Bartnicki, Eric
AU - Karakousi, Triantafyllia
AU - Rajalingam, Sahith
AU - Herrera, Alberto
AU - Karatza, Angeliki
AU - Rashidfarrokhi, Ali
AU - Solis, Sabrina
AU - Ciampricotti, Metamia
AU - Yeaton, Anna H.
AU - Ivanova, Ellie
AU - Wohlhieter, Corrin A.
AU - Buus, Terkild B.
AU - Hayashi, Makiko
AU - Karadal-Ferrena, Burcu
AU - Pass, Harvey I.
AU - Poirier, John T.
AU - Rudin, Charles M.
AU - Wong, Kwok Kin
AU - Moreira, Andre L.
AU - Khanna, Kamal M.
AU - Tsirigos, Aristotelis
AU - Papagiannakopoulos, Thales
AU - Koralov, Sergei B.
N1 - Publisher Copyright: © 2023 The Author(s)
PY - 2023/11/28
Y1 - 2023/11/28
N2 - Lung cancer treatment has benefited greatly through advancements in immunotherapies. However, immunotherapy often fails in patients with specific mutations like KEAP1, which are frequently found in lung adenocarcinoma. We established an antigenic lung cancer model and used it to explore how Keap1 mutations remodel the tumor immune microenvironment. Using single-cell technology and depletion studies, we demonstrate that Keap1-mutant tumors diminish dendritic cell and T cell responses driving immunotherapy resistance. This observation was corroborated in patient samples. CRISPR-Cas9-mediated gene targeting revealed that hyperactivation of the NRF2 antioxidant pathway is responsible for diminished immune responses in Keap1-mutant tumors. Importantly, we demonstrate that combining glutaminase inhibition with immune checkpoint blockade can reverse immunosuppression, making Keap1-mutant tumors susceptible to immunotherapy. Our study provides new insight into the role of KEAP1 mutations in immune evasion, paving the way for novel immune-based therapeutic strategies for KEAP1-mutant cancers.
AB - Lung cancer treatment has benefited greatly through advancements in immunotherapies. However, immunotherapy often fails in patients with specific mutations like KEAP1, which are frequently found in lung adenocarcinoma. We established an antigenic lung cancer model and used it to explore how Keap1 mutations remodel the tumor immune microenvironment. Using single-cell technology and depletion studies, we demonstrate that Keap1-mutant tumors diminish dendritic cell and T cell responses driving immunotherapy resistance. This observation was corroborated in patient samples. CRISPR-Cas9-mediated gene targeting revealed that hyperactivation of the NRF2 antioxidant pathway is responsible for diminished immune responses in Keap1-mutant tumors. Importantly, we demonstrate that combining glutaminase inhibition with immune checkpoint blockade can reverse immunosuppression, making Keap1-mutant tumors susceptible to immunotherapy. Our study provides new insight into the role of KEAP1 mutations in immune evasion, paving the way for novel immune-based therapeutic strategies for KEAP1-mutant cancers.
KW - adenocarcinoma
KW - CD103 DC
KW - CP: Cancer
KW - CP: Immunology
KW - immune surveillance
KW - immunotherapy
KW - KEAP1
KW - LUAD
KW - lung cancer
KW - NRF2
KW - NSCLC
KW - T cell
U2 - 10.1016/j.celrep.2023.113295
DO - 10.1016/j.celrep.2023.113295
M3 - Journal article
C2 - 37889752
AN - SCOPUS:85174808583
VL - 42
SP - 1
EP - 25
JO - Cell Reports
JF - Cell Reports
SN - 2211-1247
IS - 11
M1 - 113295
ER -
ID: 373833137