Immune surveillance of brain metastatic cancer cells is mediated by IFITM1

Xiaofei She1,2, Shijun Shen3, Guang Chen1,2

  • 1Cancer Center and Research Institute of Intestinal Diseases, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

The EMBO Journal
|February 17, 2023
PubMed

Insights

Loss of interferon-induced transmembrane protein 1 (IFITM1) promotes brain metastasis by hindering immune responses. Increasing IFITM1 expression combined with PD-1 blockade may reduce brain metastasis.

Area of Science:

  • Immunology
  • Oncology
  • Genetics

Background:

  • Brain metastasis, particularly from lung cancer, significantly increases cancer morbidity and mortality.
  • The mechanisms underlying metastatic colonization, the most complex step in cancer spread, remain poorly understood.
  • Understanding how cancer cells overcome immune surveillance in the brain is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the role of interferon-induced transmembrane protein 1 (IFITM1) in brain metastasis of lung cancer.
  • To elucidate the mechanisms by which IFITM1 influences the brain's immune microenvironment and cancer cell evasion.
  • To explore the therapeutic potential of targeting IFITM1 in combination with immune checkpoint inhibitors.

Main Methods:

  • Genome-wide CRISPR-Cas9 screening in vivo to identify genes involved in brain colonization.
  • Analysis of IFITM1 expression in incipient brain metastatic cells.
  • Assessment of microglia activation, CD8+ T cell activity, and immune cell interactions.
  • Correlation of IFITM1 expression with clinical trial data of immune checkpoint blockade therapy.
  • Evaluation of IFITM1's effect on PD-1 blockade efficacy in mouse models.

Main Results:

  • Loss of IFITM1 was found to promote brain colonization of human lung cancer cells.
  • High IFITM1 expression in metastatic cells enhances microglia activation and CD8+ T cell cytolytic activity via MHC class I.
  • Activated microglia and CD8+ T cells cooperate to eliminate cancer cells through interferon-gamma release, phagocytosis, and T-cell-mediated killing.
  • IFITM1 expression positively correlated with response to immune checkpoint blockade therapy in human trials.
  • IFITM1 enhanced the efficacy of PD-1 blockade in suppressing brain metastasis in mice.

Conclusions:

  • Metastatic cancer cells utilize IFITM1 to evade innate and adaptive immune responses in the brain.
  • IFITM1 plays a critical role in modulating the brain's immune microenvironment to facilitate metastatic colonization.
  • Combination therapy involving enhanced IFITM1 expression in metastatic cells and PD-1 blockade presents a promising strategy for reducing brain metastasis.

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