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Updated: Sep 25, 2025

Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
A loss-of-function polymorphism in ATG16L1 compromises therapeutic outcome in head and neck carcinoma patients
Julie Le Naour1,2,3, Zsofia Sztupinszki4,5,6, Vincent Carbonnier1,2,3
1Equipe labellisée par la Ligue contre le cancer, Université de Paris, Sorbonne Université, INSERM U1138, Centre de Recherche des Cordeliers, Institut Universitaire de France, Paris, France.
Abstract:
The anticancer immune response is shaped by immunogenic cell stress and death pathways. Thus, cancer cells can release danger-associated molecular patterns that act on pattern recognition receptors expressed by dendritic cells and their precursors to elicit an antitumor immune response. Here, we investigated the impact of single nucleotide polymorphisms (SNPs) in genes affecting this cancer-immunity dialogue in the context of head and neck squamous cell carcinoma (HNSCC). We observed that homozygosity for a loss-of-function SNP (rs2241880, leading to the substitution of a threonine residue in position 300 by an alanine) affecting autophagy related 16 like 1 (ATG16L1) is coupled to poor progression-free survival in platinum-treated HNSCC patients. This result was obtained on a cohort of patients enrolled at the Gustave Roussy Cancer Campus and was validated on an independent cohort of The Cancer Genome Atlas (TCGA). Homozygosity in rs2241880 is well known to predispose to Crohn's disease, and epidemiological associations between Crohn's disease and HNSCC have been reported at the levels of cancer incidence and prognosis. We speculate that rs2241880 might be partially responsible for this association.
Insights
A specific genetic variation in the autophagy gene ATG16L1 is linked to worse outcomes for head and neck cancer patients treated with platinum. This finding may explain links between Crohn's disease and head and neck squamous cell carcinoma.
Area of Science:
- Immunology
- Oncology
- Genetics
Background:
- Anticancer immune responses are influenced by cell stress and death pathways.
- Cancer cells release danger signals that activate immune cells like dendritic cells, initiating antitumor responses.
- Genetic variations can impact this cancer-immunity dialogue.
Purpose of the Study:
- To investigate the effect of single nucleotide polymorphisms (SNPs) in genes involved in the cancer-immunity interaction.
- To analyze these effects in the context of head and neck squamous cell carcinoma (HNSCC).
Main Methods:
- Genotyping analysis of SNPs in HNSCC patient cohorts.
- Correlation of SNP genotypes with clinical outcomes, specifically progression-free survival in platinum-treated patients.
- Validation of findings using independent patient cohorts, including The Cancer Genome Atlas (TCGA).
Main Results:
- Homozygosity for a loss-of-function SNP (rs2241880) in the autophagy gene ATG16L1 was associated with poor progression-free survival in platinum-treated HNSCC patients.
- This association was confirmed in both the Gustave Roussy and TCGA cohorts.
- The rs2241880 SNP is known to predispose individuals to Crohn's disease.
Conclusions:
- The ATG16L1 rs2241880 genotype may be a prognostic biomarker for HNSCC patients receiving platinum therapy.
- This genetic factor could contribute to the observed epidemiological links between Crohn's disease and HNSCC incidence and prognosis.
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