Hypoxia promotes tumor immune evasion by suppressing MHC-I expression and antigen presentation

Hala Estephan1, Arun Tailor2, Robert Parker2

  • 1Department of Oncology, The University of Oxford, Oxford, OX3 7DQ, UK.

The EMBO Journal
|January 3, 2025
PubMed

Insights

Hypoxia in tumors downregulates MHC class I and reduces T-cell recognition. Inhibiting autophagy or mitochondrial metabolism can restore antigen presentation and improve anti-tumor immunity.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Hypoxia, low oxygen, is prevalent in solid tumors.
  • Hypoxia is linked to resistance to cancer therapies, including immunotherapy.
  • Hypoxic tumors can evade T-cell recognition and killing.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which hypoxia promotes tumor immune evasion.
  • To investigate the impact of hypoxia on MHC class I expression and antigen presentation.
  • To explore therapeutic strategies targeting hypoxia-induced immune suppression.

Main Methods:

  • Analysis of hypoxic tumors to assess MHC class I expression and the immunopeptidome.
  • Investigating the role of autophagy and the unfolded protein response (UPR) in hypoxia-induced immune evasion.
  • Utilizing immunopeptidomics-based liquid chromatography-mass spectrometry (LC-MS).
  • Employing a respiratory complex-I inhibitor in experimental tumors.

Main Results:

  • Hypoxia downregulates MHC class I expression and reduces the presentation of antigens (immunopeptidome) in an oxygen-dependent manner.
  • Hypoxia activates autophagy via the PERK arm of the UPR, contributing to decreased antigen presentation.
  • Inhibition of autophagy under hypoxic conditions enhances antigen presentation.
  • Reducing mitochondrial metabolism with a complex-I inhibitor increases tumor oxygenation, MHC class I levels, and the immunopeptidome.

Conclusions:

  • Hypoxia drives tumor immune evasion by downregulating MHC class I and antigen presentation through autophagy activation.
  • Targeting hypoxia-induced autophagy or mitochondrial metabolism may represent novel therapeutic strategies to enhance anti-tumor immunity.

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