Endogenous retrovirus expression is associated with response to immune checkpoint blockade in clear cell renal cell

Anshuman Panda1,2, Aguirre A de Cubas3, Mark Stein1,4

  • 1Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.

JCI Insight
|August 24, 2018
PubMed

Insights

Abnormal expression of endogenous retroviruses (ERVs) in tumors correlates with immune checkpoint activation. Higher ERV3-2 expression predicts better response to immune checkpoint blockade (ICB) in clear cell renal cell carcinoma (ccRCC).

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Predicting response to immune checkpoint blockade (ICB) in clear cell renal cell carcinoma (ccRCC) remains challenging.
  • Endogenous retroviruses (ERVs) are increasingly recognized for their role in cancer immunity.

Purpose of the Study:

  • To investigate the association between endogenous retrovirus (ERV) expression, immune checkpoint activation (ICA), and ICB response in ccRCC.
  • To identify potential biomarkers for ICB treatment efficacy.

Main Methods:

  • Identification of 20 potentially immunogenic ERVs (πERVs) in ccRCC using The Cancer Genome Atlas data.
  • Stratification of ccRCC tumors into high, medium, and low πERV expression groups.
  • Analysis of immune infiltration, checkpoint pathway gene expression, and ERV3-2 levels in relation to ICB response in a cohort of ccRCC patients.

Main Results:

  • πERV-high ccRCC tumors exhibited increased immune infiltration and checkpoint pathway upregulation compared to πERV-low tumors.
  • ERV expression correlated with histone methylation and chromatin regulation genes, and was enriched in BAP1 mutant ccRCC.
  • ERV3-2 expression was associated with ICA across 11 solid cancers and significantly higher in responders versus nonresponders to ICB in ccRCC.

Conclusions:

  • Abnormal πERV expression is linked to immune checkpoint activation in ccRCC and other solid tumors.
  • ERV3-2 expression serves as a potential predictive biomarker for ICB response in ccRCC patients.

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