Multimodal pooled Perturb-CITE-seq screens in patient models define mechanisms of cancer immune evasion

Chris J Frangieh1,2, Johannes C Melms3,4, Pratiksha I Thakore1

  • 1Klarman Cell Observatory, Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Nature Genetics
|March 2, 2021
PubMed

Insights

New Perturb-CITE-seq technology reveals CD58 loss as a novel mechanism of immune evasion in melanoma, contributing to resistance against immune checkpoint inhibitors (ICIs). This discovery offers new avenues for cancer therapy.

Area of Science:

  • Immunology
  • Cancer Biology
  • Genomics

Background:

  • Resistance to immune checkpoint inhibitors (ICIs) poses a significant challenge in cancer treatment.
  • Understanding the molecular mechanisms underlying this resistance is crucial for developing effective therapies.

Purpose of the Study:

  • To develop and apply a novel Perturb-CITE-sequencing (Perturb-CITE-seq) platform to identify mechanisms of cancer cell-intrinsic ICI resistance (ICR).
  • To uncover novel pathways and molecular players involved in immune evasion.

Main Methods:

  • Developed Perturb-CITE-seq, integrating pooled CRISPR-Cas9 perturbations with single-cell transcriptome and protein profiling.
  • Applied the platform to patient-derived melanoma cells and tumor-infiltrating lymphocyte (TIL) co-cultures, analyzing ~218,000 cells across ~750 perturbations.
  • Profiled RNA and 20 proteins to assess functional impacts on ICI resistance.

Main Results:

  • Re-identified known ICR mechanisms, including defects in interferon-gamma (IFN-γ)-JAK/STAT and antigen-presentation pathways.
  • Discovered CD58 loss/downregulation as a novel mechanism conferring immune evasion.
  • Observed CD58 downregulation in tumors from melanoma patients with ICR, independent of IFN-γ signaling and MHC expression.

Conclusions:

  • Perturb-CITE-seq provides a powerful framework for dissecting complex biological mechanisms using multimodal single-cell readouts.
  • CD58 represents a potentially clinically relevant target for overcoming ICI resistance in melanoma.
  • CD58-mediated immune evasion acts orthogonally to established ICR mechanisms, highlighting a new therapeutic strategy.