PBRM1 loss defines a nonimmunogenic tumor phenotype associated with checkpoint inhibitor resistance in renal carcinoma

PBRM1缺失定义了一种非免疫原性肿瘤表型,该表型与肾癌中的免疫检查点抑制剂耐药性相关。

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作者:Xian-De Liu # ,Wen Kong # ,Christine B Peterson ,Daniel J McGrail ,Anh Hoang ,Xuesong Zhang ,Truong Lam ,Patrick G Pilie ,Haifeng Zhu ,Kathryn E Beckermann ,Scott M Haake ,Sevinj Isgandrova ,Margarita Martinez-Moczygemba ,Nidhi Sahni ,Nizar M Tannir ,Shiaw-Yih Lin ,W Kimryn Rathmell ,Eric Jonasch

Abstract

A non-immunogenic tumor microenvironment (TME) is a significant barrier to immune checkpoint blockade (ICB) response. The impact of Polybromo-1 (PBRM1) on TME and response to ICB in renal cell carcinoma (RCC) remains to be resolved. Here we show that PBRM1/Pbrm1 deficiency reduces the binding of brahma-related gene 1 (BRG1) to the IFNγ receptor 2 (Ifngr2) promoter, decreasing STAT1 phosphorylation and the subsequent expression of IFNγ target genes. An analysis of 3 independent patient cohorts and of murine pre-clinical models reveals that PBRM1 loss is associated with a less immunogenic TME and upregulated angiogenesis. Pbrm1 deficient Renca subcutaneous tumors in mice are more resistance to ICB, and a retrospective analysis of the IMmotion150 RCC study also suggests that PBRM1 mutation reduces benefit from ICB. Our study sheds light on the influence of PBRM1 mutations on IFNγ-STAT1 signaling and TME, and can inform additional preclinical and clinical studies in RCC.

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