Mutant p53 Exploits Enhancers to Elevate Immunosuppressive Chemokine Expression and Impair Immune Checkpoint

Dig B Mahat1, Heena Kumra2, Sarah A Castro1

  • 1Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, 02139, USA.

Insights

A common pancreatic cancer mutation (p53R172H) creates an immunosuppressive tumor microenvironment, hindering cancer treatments. This occurs by increasing Cxcl1 chemokine expression, which promotes tumor growth and reduces immune checkpoint inhibitor efficacy.

Area of Science:

  • Oncology
  • Cancer Immunology
  • Molecular Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with limited treatment options.
  • Activating KRAS mutations and p53 alterations are common in PDAC.
  • The impact of these mutations on the tumor microenvironment (TME) and immune response is not fully understood.

Purpose of the Study:

  • To investigate how the p53R172H mutation influences the tumor microenvironment (TME) in pancreatic cancer.
  • To determine the mechanisms by which p53R172H affects tumor growth and response to immune checkpoint inhibitors (ICIs).

Main Methods:

  • Analysis of p53R172H effects on the TME and ICI efficacy in PDAC models.
  • Investigation of Cxcl1 chemokine upregulation as a mediator of p53R172H functions.
  • Mechanistic studies on p53R172H interaction with Cxcl1 gene enhancers, involving the NF-κB pathway.

Main Results:

  • The p53R172H mutation establishes an immunosuppressive TME, promoting tumor growth.
  • p53R172H diminishes the effectiveness of immune checkpoint inhibitors (ICIs).
  • Upregulation of the immunosuppressive chemokine Cxcl1 mediates these pro-tumorigenic effects, driven by p53R172H binding to Cxcl1 enhancers in an NF-κB-dependent manner.

Conclusions:

  • The p53R172H mutation hijacks enhancer activity to increase Cxcl1 expression.
  • This leads to an immunosuppressive TME that impairs ICI efficacy in PDAC.
  • Targeting this mechanism could offer new therapeutic strategies for pancreatic cancer.

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