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Updated: Jun 27, 2025

Studying Triple Negative Breast Cancer Using Orthotopic Breast Cancer Model
Published on: March 20, 2020
Loss of NEDD8 in cancer cells causes vulnerability to immune checkpoint blockade in triple-negative breast cancer
Irineos Papakyriacou1, Ginte Kutkaite2,3, Marta Rúbies Bedós1
1Science for Life Laboratory, Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Abstract:
Immune checkpoint blockade therapy aims to activate the immune system to eliminate cancer cells. However, clinical benefits are only recorded in a subset of patients. Here, we leverage genome-wide CRISPR/Cas9 screens in a Tumor-Immune co-Culture System focusing on triple-negative breast cancer (TNBC). We reveal that NEDD8 loss in cancer cells causes a vulnerability to nivolumab (anti-PD-1). Genetic deletion of NEDD8 only delays cell division initially but cell proliferation is unaffected after recovery. Since the NEDD8 gene is commonly essential, we validate this observation with additional CRISPR screens and uncover enhanced immunogenicity in NEDD8 deficient cells using proteomics. In female immunocompetent mice, PD-1 blockade lacks efficacy against established EO771 breast cancer tumors. In contrast, we observe tumor regression mediated by CD8+ T cells against Nedd8 deficient EO771 tumors after PD-1 blockade. In essence, we provide evidence that NEDD8 is conditionally essential in TNBC and presents as a synergistic drug target for PD-1/L1 blockade therapy.
Insights
Targeting NEDD8 in triple-negative breast cancer (TNBC) enhances immune checkpoint blockade therapy. Loss of NEDD8 makes TNBC cells vulnerable to PD-1 blockade, improving immunotherapy efficacy.
Area of Science:
- Immunology
- Oncology
- Genetics
Background:
- Immune checkpoint blockade therapy shows limited efficacy in a subset of cancer patients.
- Triple-negative breast cancer (TNBC) remains a challenging malignancy with limited treatment options.
Purpose of the Study:
- To identify novel therapeutic targets for enhancing immune checkpoint blockade in TNBC.
- To investigate the role of NEDD8 in TNBC response to PD-1 blockade.
Main Methods:
- Genome-wide CRISPR/Cas9 screens in a co-culture system of tumor and immune cells.
- Proteomic analysis to assess immunogenicity of NEDD8-deficient cells.
- In vivo studies using immunocompetent mice bearing EO771 breast cancer tumors.
Main Results:
- NEDD8 loss in cancer cells sensitizes them to nivolumab (anti-PD-1) therapy.
- NEDD8-deficient cells exhibit enhanced immunogenicity.
- PD-1 blockade effectively regresses established Nedd8-deficient EO771 tumors in mice, mediated by CD8+ T cells.
Conclusions:
- NEDD8 is conditionally essential in TNBC and represents a potential synergistic target for PD-1/L1 blockade.
- Targeting NEDD8 could improve clinical benefits of immunotherapy for TNBC patients.
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