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Published on: September 13, 2019
SWI/SNF Complex Alterations in Tumors with Rhabdoid Features: Novel Therapeutic Approaches and Opportunities for
Juan José Soto-Castillo1, Lucía Llavata-Marti2, Roser Fort-Culillas2
1Medical Oncology Department, Catalan Institute of Oncology (ICO), 08908 Hospitalet de Llobregat, Spain.
Abstract:
The SWItch/Sucrose Non-Fermentable (SWI/SNF) chromatin-remodeling complex is one of the most remarkably altered epigenetic regulators in cancer. Pathogenic mutations in genes encoding SWI/SNF-related proteins have been recently described in many solid tumors, including rare and aggressive malignancies with rhabdoid features with no standard therapies in advanced or metastatic settings. In recent years, clinical trials with targeted drugs aimed at restoring its function have shown discouraging results. However, preclinical data have found an association between these epigenetic alterations and response to immune therapy. Thus, the rationale for immunotherapy strategies in SWI/SNF complex alteration-related tumors is strong. Here, we review the SWI/SNF complex and how its dysfunction drives the oncogenesis of rhabdoid tumors and the proposed strategies to revert this alteration and promising novel therapeutic approaches, including immune checkpoint inhibition and adoptive cell therapy.
Insights
Mutations in the SWItch/Sucrose Non-Fermentable (SWI/SNF) complex drive aggressive cancers. Immunotherapy shows promise for treating these tumors, offering new hope where targeted therapies have failed.
Area of Science:
- Oncology
- Epigenetics
- Cancer Biology
Background:
- The SWItch/Sucrose Non-Fermentable (SWI/SNF) complex is a key epigenetic regulator frequently altered in various cancers.
- Mutations in SWI/SNF components are prevalent in rare, aggressive rhabdoid tumors lacking effective treatments for advanced disease.
Purpose of the Study:
- To review the role of SWI/SNF complex dysfunction in rhabdoid tumor oncogenesis.
- To explore novel therapeutic strategies for SWI/SNF-altered cancers, focusing on immunotherapy.
Main Methods:
- Literature review of SWI/SNF complex function in cancer.
- Analysis of preclinical data linking SWI/SNF alterations to immunotherapy response.
- Overview of emerging therapeutic approaches.
Main Results:
- SWI/SNF complex dysfunction is a significant driver of rhabdoid tumor development.
- Targeted therapies aimed at restoring SWI/SNF function have yielded limited clinical success.
- Preclinical evidence suggests a strong rationale for immunotherapy in SWI/SNF-altered tumors.
Conclusions:
- Dysregulation of the SWI/SNF complex contributes to cancer, particularly rhabdoid tumors.
- Immunotherapy, including immune checkpoint inhibition and adoptive cell therapy, represents a promising therapeutic avenue for these malignancies.
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