ARID1A deficiency promotes mutability and potentiates therapeutic antitumor immunity unleashed by immune checkpoint

Jianfeng Shen1, Zhenlin Ju2, Wei Zhao2

  • 1Department of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Nature Medicine
|May 9, 2018
PubMed

Insights

Loss of ARID1A (AT-rich interaction domain 1A) impairs DNA repair, increasing cancer mutations. This deficiency may create vulnerabilities for immunotherapy, particularly with PD-L1 blockade.

Area of Science:

  • Oncology
  • Cancer Genomics
  • Molecular Biology

Background:

  • ARID1A (AT-rich interaction domain 1A) is frequently inactivated in various cancers, presenting a challenge for targeted therapy.
  • Understanding the functional consequences of ARID1A loss is crucial for identifying therapeutic vulnerabilities in ARID1A-mutant tumors.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying ARID1A deficiency in cancer.
  • To identify potential therapeutic strategies targeting ARID1A-mutant cancers.

Main Methods:

  • Proteomic screening to identify ARID1A interacting proteins.
  • Assays to assess mismatch repair (MMR) function and mutagenesis.
  • Analysis of genomic data for ARID1A mutation correlations.
  • In vivo studies using syngeneic mouse models of ARID1A-deficient ovarian cancer.
  • Evaluation of anti-PD-L1 antibody efficacy in ARID1A-deficient tumors.

Main Results:

  • ARID1A interacts with MSH2 and promotes its recruitment to chromatin, enhancing DNA mismatch repair (MMR).
  • ARID1A inactivation compromises MMR, leading to increased mutagenesis, a mutator phenotype, and microsatellite instability.
  • ARID1A deficiency correlates with a C>T mutation pattern and elevated mutation load across multiple cancer types.
  • ARID1A-deficient ovarian tumors exhibit increased tumor-infiltrating lymphocytes and PD-L1 expression.
  • Anti-PD-L1 therapy effectively reduced tumor burden and improved survival in mice with ARID1A-deficient tumors.

Conclusions:

  • ARID1A deficiency impairs MMR, contributing to a mutator phenotype in cancer.
  • ARID1A loss may sensitize tumors to immune checkpoint blockade therapy, such as anti-PD-L1 treatment.

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