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Published on: September 25, 2018
Melanoma response to anti-PD-L1 immunotherapy requires JAK1 signaling, but not JAK2
Na Luo1,2, Luigi Formisano2, Paula I Gonzalez-Ericsson3
1Department of Anatomy and Histology, School of Medicine, Nankai University, Tianjin, China.
Abstract:
Immunotherapies targeting programmed cell death protein 1 (PD-1) or its ligand, programmed cell death ligand 1 (PD-L1), dramatically improve the survival of melanoma patients. However, only ∼40% of treated patients demonstrate a clinical response to single-agent anti-PD-1 therapy. An intact tumor response to type-II interferon (i.e. IFN-γ) correlates with response to anti-PD-1, and patients with de novo or acquired resistance may harbor loss-of-function alterations in the JAK/STAT pathway, which lies downstream of the interferon gamma receptor (IFNGR1/2). In this study, we dissected the specific roles of individual JAK/STAT pathway members on the IFN-γ response, and identified JAK1 as the primary mediator of JAK/STAT signaling associated with IFN-γ-induced expression of antigen-presenting molecules MHC-I and MHC-II, as well as PD-L1 and the cytostatic response to IFN-γ. In contrast to the crucial role of JAK1, JAK2 was largely dispensable in mediating most IFN-γ effects. In a mouse melanoma model, inhibition of JAK1/2 in combination with anti-PD-L1 therapy partially blocked anti-tumor immunologic responses, while selective JAK2 inhibition appeared to augment therapy. Amplification of JAK/STAT signaling in tumor cells through genetic inhibition of the negative regulator PTPN2 potentiated IFN-γ response in vitro and in vivo, and may be a target to enhance immunotherapy efficacy.
Insights
Janus kinase 1 (JAK1) is key for interferon-gamma responses in melanoma, influencing programmed cell death protein 1 ligand 1 (PD-L1) expression. Targeting JAK1 may enhance immunotherapy effectiveness.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Immunotherapies targeting PD-1/PD-L1 improve melanoma survival but response rates are limited.
- Tumor response to interferon-gamma (IFN-γ) correlates with anti-PD-1 efficacy.
- Resistance to immunotherapy can be linked to JAK/STAT pathway dysfunction downstream of IFNGR1/2.
Purpose of the Study:
- To investigate the specific roles of JAK/STAT pathway members in mediating IFN-γ responses.
- To identify key mediators of IFN-γ-induced signaling relevant to immunotherapy.
Main Methods:
- Dissection of individual JAK/STAT pathway member functions.
- Assessment of IFN-γ-induced expression of MHC-I, MHC-II, and PD-L1.
- Evaluation of JAK inhibition in a mouse melanoma model combined with anti-PD-L1 therapy.
- Genetic manipulation of PTPN2 to amplify JAK/STAT signaling.
Main Results:
- JAK1 was identified as the primary mediator of IFN-γ signaling, crucial for inducing MHC-I, MHC-II, PD-L1, and cytostatic effects.
- JAK2 played a largely dispensable role in most IFN-γ-mediated effects.
- Combined JAK1/2 inhibition with anti-PD-L1 therapy partially impaired anti-tumor immune responses.
- Selective JAK2 inhibition appeared to enhance anti-PD-L1 therapy.
- Inhibition of PTPN2 potentiated IFN-γ responses both in vitro and in vivo.
Conclusions:
- JAK1 is a critical regulator of IFN-γ responses and PD-L1 expression in melanoma.
- JAK2 inhibition may enhance immunotherapy, while JAK1/2 inhibition could be detrimental.
- Enhancing JAK/STAT signaling, for example by inhibiting PTPN2, could be a strategy to improve immunotherapy efficacy in melanoma.
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