Disrupted BRCA1-PALB2 interaction induces tumor immunosuppression and T-lymphocyte infiltration in HCC through

Hui Ma1,2,3, Zhihua Kang2,3, Tzeh Keong Foo2,3

  • 1Liver Cancer Institute , Zhongshan Hospital , Fudan University , Shanghai , China.

Abstract

Insights

Disrupting the BRCA1-PALB2 interaction in mice increases susceptibility to hepatocellular carcinoma (HCC). This defect activates the cGAS-STING pathway, causing immunosuppression and T-lymphocyte infiltration, which paradoxically improves response to PD-1 antibody treatment.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • BRCA1 and PALB2 proteins are crucial for DNA repair via homologous recombination.
  • Disruption of the BRCA1-PALB2 interaction is implicated in tumorigenesis, but its role in hepatocellular carcinoma (HCC) is unclear.
  • Understanding this interaction's role in HCC is vital for developing targeted therapies.

Purpose of the Study:

  • To investigate the role of BRCA1-PALB2 interaction disruption in HCC development and immune microenvironment.
  • To elucidate the underlying molecular mechanisms connecting DNA damage, immune response, and HCC progression.
  • To assess the therapeutic potential of PD-1 antibody treatment in the context of BRCA1-PALB2 pathway defects.

Main Methods:

  • Utilized a mouse model with disrupted BRCA1-PALB2 interaction to study HCC susceptibility.
  • Analyzed tumor immune infiltration, including T-lymphocytes and M1 macrophages.
  • Investigated the activation of the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) signaling pathway.
  • Examined the expression of programmed cell death 1 ligand 1 (PD-L1) and its regulation via the STING-interferon regulatory factor 3 (IRF3) pathway.
  • Assessed the efficacy of programmed cell death 1 (PD-1) antibody treatment.

Main Results:

  • Mice with disrupted BRCA1-PALB2 interaction exhibited increased susceptibility to HCC.
  • HCC tumors showed significant T-lymphocyte infiltration and responded better to PD-1 antibody treatment.
  • Disruption led to persistent DNA damage, activating the cGAS-STING pathway in malignant hepatocytes and M1 macrophages.
  • Activated cGAS-STING pathway upregulated PD-L1, causing immunosuppression and facilitating tumor progression.
  • Activated M1 macrophages recruited T lymphocytes, contributing to tumor infiltration.

Conclusions:

  • Defective BRCA pathway-induced DNA damage triggers tumor immunosuppression and T-lymphocyte infiltration in HCC via the cGAS-STING pathway.
  • This study provides insights into tumor immune microenvironment remodeling in HCC.
  • Findings may enhance the effectiveness of PD-1 antibody treatment for HCC patients with BRCA pathway defects.

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