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Targeting ULK1 Decreases IFNγ-Mediated Resistance to Immune Checkpoint Inhibitors
Sarah E Fenton1,2, Markella Zannikou1,2, Liliana Ilut1
1Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, Illinois.
Abstract:
Immune checkpoint inhibitors (ICI) have transformed the treatment of melanoma. However, the majority of patients have primary or acquired resistance to ICIs, limiting durable responses and patient survival. IFNγ signaling and the expression of IFNγ-stimulated genes correlate with either response or resistance to ICIs, in a context-dependent manner. While IFNγ-inducible immunostimulatory genes are required for response to ICIs, chronic IFNγ signaling induces the expression of immunosuppressive genes, promoting resistance to these therapies. Here, we show that high levels of Unc-51 like kinase 1 (ULK1) correlate with poor survival in patients with melanoma and overexpression of ULK1 in melanoma cells enhances IFNγ-induced expression of immunosuppressive genes, with minimal effects on the expression of immunostimulatory genes. In contrast, genetic or pharmacologic inhibition of ULK1 reduces expression of IFNγ-induced immunosuppressive genes. ULK1 binds IRF1 in the nuclear compartment of melanoma cells, controlling its binding to the programmed death-ligand 1 promoter region. In addition, pharmacologic inhibition of ULK1 in combination with anti-programmed cell death protein 1 therapy further reduces melanoma tumor growth in vivo. Our data suggest that targeting ULK1 represses IFNγ-dependent immunosuppression. These findings support the combination of ULK1 drug-targeted inhibition with ICIs for the treatment of patients with melanoma to improve response rates and patient outcomes.
Implications:
This study identifies ULK1, activated downstream of IFNγ signaling, as a druggable target to overcome resistance mechanisms to ICI therapy in metastatic melanoma.
Insights
Targeting Unc-51 like kinase 1 (ULK1) may overcome resistance to immune checkpoint inhibitors (ICI) in melanoma. Inhibiting ULK1 reduces immunosuppressive genes and enhances ICI therapy effectiveness, improving patient outcomes.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint inhibitors (ICIs) have revolutionized melanoma treatment, but resistance remains a significant challenge.
- Interferon-gamma (IFNγ) signaling plays a dual role, promoting response or resistance to ICIs depending on context.
- Chronic IFNγ signaling can induce immunosuppressive genes, contributing to therapeutic resistance.
Purpose of the Study:
- To investigate the role of Unc-51 like kinase 1 (ULK1) in IFNγ-mediated immunosuppression in melanoma.
- To determine if ULK1 is a druggable target to overcome resistance to ICIs in melanoma.
Main Methods:
- Correlating ULK1 levels with patient survival in melanoma.
- Overexpressing or inhibiting ULK1 in melanoma cells to assess effects on IFNγ-stimulated genes.
- Investigating ULK1's interaction with IRF1 and its role in regulating the PD-L1 promoter.
- Evaluating the efficacy of ULK1 inhibition combined with anti-PD-1 therapy in vivo.
Main Results:
- High ULK1 levels correlate with poor melanoma patient survival.
- ULK1 overexpression enhances IFNγ-induced immunosuppressive genes while minimally affecting immunostimulatory genes.
- ULK1 inhibition reduces IFNγ-induced immunosuppressive gene expression.
- ULK1 interacts with IRF1, influencing its binding to the PD-L1 promoter.
- Combined ULK1 inhibition and anti-PD-1 therapy reduced tumor growth in vivo.
Conclusions:
- ULK1 is activated downstream of IFNγ signaling and promotes melanoma immunosuppression.
- Targeting ULK1 represents a novel strategy to overcome resistance to ICIs in melanoma.
- Combining ULK1 inhibition with ICIs may improve treatment response and outcomes for melanoma patients.
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