DDR1 is identified as an immunotherapy target for microsatellite stable colon cancer by CRISPR screening

Miaoqing Wu1,2, Wenjuan Ma1,2,3, Guangzhao Lv1,2

  • 1Department of Colorectal Surgery, Sun Yat-sen University Cancer Centre, Guangzhou, Guangdong, PR China.

NPJ Precision Oncology
|November 7, 2024
PubMed

Insights

Targeting discoidin domain receptor 1 (DDR1) can overcome immunotherapy resistance in microsatellite stable colorectal cancer (CRC). Inhibiting DDR1 enhances CD8+ T cell infiltration and sensitizes CRC to PD-1 blockade, offering a new therapeutic strategy.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • The role of collagen and discoidin domain receptor 1 (DDR1) in colorectal cancer (CRC) immune response is not well understood.
  • Identifying mechanisms of immunotherapy resistance in microsatellite stable (MSS) CRC is crucial for improving patient outcomes.

Purpose of the Study:

  • To investigate the role of DDR1 in immunotherapy resistance in MSS CRC.
  • To identify DDR1 as a potential therapeutic target for overcoming resistance to immune checkpoint inhibitors.

Main Methods:

  • Pooled in vivo CRISPR/sgRNA screening in MSS CRC mouse models.
  • Assessment of CD8+ T cell infiltration and response to PD-1 blockade upon DDR1 knockdown or inhibition.
  • Analysis of DDR1-mediated signaling pathways, including EZH2, H3K27me3, and CXCL10 expression.
  • Correlation analysis of DDR1 and collagen I expression in MSS CRC patient specimens.

Main Results:

  • DDR1 was identified as a key factor in immunotherapy resistance in MSS CRC.
  • Knockdown or inhibition of DDR1 enhanced CD8+ T cell infiltration and sensitized MSS CRC to PD-1 blockade.
  • DDR1 signaling upregulates EZH2 and H3K27me3, suppressing CXCL10 transcription in the extracellular matrix (ECM).
  • DDR1 expression is positively correlated with collagen I in MSS CRC specimens.

Conclusions:

  • Targeting DDR1 is a potential strategy to overcome immunotherapy resistance in MSS CRC.
  • DDR1 inhibition can enhance anti-tumor immunity by increasing T cell infiltration and restoring CXCL10 expression.
  • The DDR1 inhibitor 7rh shows promise for treating MSS CRC patients resistant to immunotherapy.