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Gasdermin E (GSDME) drives anti-melanoma immunity by promoting T cell infiltration. GSDME-mediated pyroptosis is crucial for effective BRAF inhibitor plus MEK inhibitor therapy in melanoma.

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Area of Science:

  • Immunology
  • Oncology
  • Cell Biology

Background:

  • BRAF inhibitors plus MEK inhibitors (BRAFi + MEKi) enhance anti-melanoma immunity via pyroptosis, a cell death process mediated by gasdermin E (GSDME).
  • The precise mechanisms by which GSDME influences tumor immunity remain incompletely understood.

Purpose of the Study:

  • To investigate the role of GSDME in modulating the intratumoral immune microenvironment during BRAFi + MEKi treatment for melanoma.
  • To elucidate how GSDME affects immune cell infiltration and function, particularly regulatory T cells (Tregs).

Main Methods:

  • Single-cell RNA-sequencing (scRNA-seq) and flow cytometry were employed on melanoma models.
  • Gsdme knockout (KO) and engineered Gsdme mutant melanoma models were utilized.
  • BRAFi + MEKi treatment, alone and in combination with a TLR9 agonist, was administered.

Main Results:

  • Gsdme KO tumors exhibited reduced infiltration of T cells, NK cells, and Tregs compared to control tumors.
  • Tregs within Gsdme KO tumors showed diminished expression of the interleukin-2 receptor and suppressive markers.
  • Melanoma treatment with BRAFi + MEKi combined with a TLR9 agonist suppressed tumor regrowth and further decreased intratumoral Tregs in Gsdme-deficient models.

Conclusions:

  • GSDME plays a critical role in orchestrating the intratumoral immune response in melanoma treated with BRAFi + MEKi.
  • GSDME-mediated pyroptosis is essential for optimal T cell and NK cell infiltration and for reducing the suppressive function of Tregs.
  • Targeting GSDME or enhancing its function may represent a therapeutic strategy to improve responses to BRAFi + MEKi therapy in melanoma.