Translation control of the immune checkpoint in cancer and its therapeutic targeting

Yichen Xu1,2, Mauro Poggio1,2, Hyun Yong Jin1,2

  • 1Department of Urology, University of California, San Francisco, San Francisco, CA, USA.

Nature Medicine
|January 16, 2019
PubMed

Insights

MYC and KRAS oncogenes cooperate in liver cancer to suppress immune responses by altering programmed-death-ligand 1 (PD-L1) translation. Targeting this mechanism with eFT508 reverses tumor aggression and metastasis.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Cancer cells evade immune surveillance by modulating messenger RNA expression.
  • The precise molecular mechanisms by which cancer cells achieve this remain largely unknown.

Purpose of the Study:

  • To investigate oncogene cooperation in liver cancer immunosurveillance using a novel mouse model.
  • To elucidate the molecular mechanisms of immune evasion driven by MYC and KRAS.

Main Methods:

  • Development of a MYC-overexpressing (MYCTg) and KRASG12D-mutated liver cancer mouse model.
  • Genome-wide ribosomal footprinting to analyze mRNA translation alterations.
  • Investigated the role of upstream open reading frames in PD-L1 translation regulation.
  • Tested the efficacy of eIF4E phosphorylation inhibitor eFT508 in reversing tumor characteristics.

Main Results:

  • MYCTg synergized with KRASG12D to induce aggressive liver tumors, metastasis, and reduced survival.
  • PD-L1 translation was repressed in KRASG12D tumors via 5' untranslated region elements, a mechanism bypassed in MYCTg;KRASG12D tumors.
  • eFT508 treatment reversed aggressive and metastatic phenotypes in MYCTg;KRASG12D tumors by upregulating PD-L1 translation.

Conclusions:

  • Distinct oncogenes manipulate immune-checkpoint protein translation to promote immune evasion.
  • This translational control mechanism of PD-L1 offers a novel therapeutic target for liver cancer immunotherapy.
  • Targeting eIF4E phosphorylation with compounds like eFT508 shows promise for treating aggressive, metastatic liver cancers.

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