An organoid-based screen for epigenetic inhibitors that stimulate antigen presentation and potentiate T-cell-mediated

Zhuolong Zhou1, Kevin Van der Jeught1, Yuanzhang Fang1

  • 1Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.

Insights

New epigenetic inhibitors enhance breast cancer antigen presentation and T-cell killing. These compounds, identified via organoid screening, show promise in sensitizing tumors to immune checkpoint blockade therapy.

Area of Science:

  • Oncology
  • Immunology
  • Epigenetics

Background:

  • Breast cancer exhibits limited response to immune checkpoint blockade due to genetic heterogeneity, lack of targets, and immune evasion.
  • Identifying novel therapeutic strategies is crucial to improve treatment efficacy.

Purpose of the Study:

  • To identify epigenetic inhibitors that enhance antigen presentation and T-cell-mediated cytotoxicity in breast cancer.
  • To evaluate the efficacy of identified inhibitors in preclinical models and their potential to overcome resistance to immune checkpoint blockade.

Main Methods:

  • A high-throughput screen utilizing functional interactions between breast tumor organoids and cytotoxic T cells.
  • Assessment of epigenetic inhibitors (GSK-LSD1, CUDC-101, BML-210) in orthotopic mouse models.
  • Evaluation of major histocompatibility complex class I (MHC-I) upregulation and T-cell-mediated tumor cell killing.

Main Results:

  • The screen identified GSK-LSD1, CUDC-101, and BML-210 as epigenetic inhibitors with anti-tumor activity.
  • These inhibitors upregulated MHC-I expression on breast tumor cells, enhancing antigen presentation.
  • BML-210 treatment sensitized breast tumors to anti-programmed death-1 (PD-1) therapy.

Conclusions:

  • Epigenetic inhibitors can enhance anti-tumor immunity by promoting antigen presentation and T-cell cytotoxicity.
  • Tumor-organoid-T-cell screens are valuable for identifying novel immunotherapeutic candidates.
  • Targeting epigenetic mechanisms offers a promising strategy to improve responses to immune checkpoint blockade in breast cancer.

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