The BRCA2 mutation status shapes the immune phenotype of prostate cancer

Maximilian Jenzer1,2, Peter Keß1, Cathleen Nientiedt1,2

  • 1Section of Molecular Urooncology, Department of Urology, University of Heidelberg School of Medicine, Im Neuenheimer Feld 517, 69120, Heidelberg, Germany.

Insights

Prostate cancer with BRCA2 mutations shows increased immune cell infiltration within tumors, unlike wild-type cancers. This suggests potential for immune therapies targeting BRCA2-mutated prostate tumors.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • DNA damage repair gene mutations (BRCA1/2, ATM) are implicated in prostate cancer development.
  • The impact of these mutations on anti-tumor immunity in prostate cancer remains largely unexplored.

Purpose of the Study:

  • To investigate the relationship between BRCA1/2 mutations and the immune microenvironment in prostate cancer.
  • To compare immune cell infiltration patterns in BRCA2-mutated versus wild-type prostate tumors.

Main Methods:

  • Characterization of immune infiltrates using T-cell receptor sequencing and immunohistochemistry (CD45, CD4, CD8, FOXP3, CD163).
  • Analysis of eight BRCA2-mutated tumors against eight BRCA1/2 wild-type tumors.
  • Comparison of seven BRCA2 or ATM-mutated prostate cancer biopsies with wild-type tumors.

Main Results:

  • BRCA2-mutated tumors exhibited significantly higher intratumoral immune cell infiltration compared to extratumoral infiltration seen in wild-type tumors.
  • The ratio of intratumoral to extratumoral immune cells was significantly higher for CD4, CD8, and FOXP3 markers in BRCA2-mutated tumors.
  • A trend towards a lower intratumoral CD8 to FOXP3 ratio in BRCA2-mutated tumors suggests a more suppressed immune microenvironment.

Conclusions:

  • BRCA2 mutations alter the immune cell distribution within prostate tumors, increasing intratumoral infiltration.
  • Findings support the potential application of immunooncology approaches for BRCA2-mutated prostate cancer.
  • Targeting immunosuppressive T-cell populations may enhance treatment efficacy in these patients.

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