An EBNA1-YAP signaling axis drives immune escape through CD276 in EBV-associated gastric cancer
Binhao Huang1,2, Mengqi Liu1,3, Yantao Duan1,2
1Department of Gastric Surgery, Fudan University Shanghai Cancer Center, Fudan University, Shanghai, China.
Abstract:
Clinical efficacy of anti-PD1 immunotherapy often yields low response rates in Epstein-Barr virus-associated gastric cancer (EBVaGC). To gain insights into immune escape mechanisms and discover critical molecules in anti-tumor immunity, we performed an immune checkpoint screening using transcriptome profiling and immunohistochemistry analyses. We identified CD276 as an independent immunosuppressive molecule that correlates with poor EBVaGC prognosis. Our in vitro and in vivo experiments demonstrate the role of CD276 in inducing T cell apoptosis and diminishing chemokine secretion, thereby dampening immune response and facilitating tumor progression. Mechanistically, we discovered that YAP/TEAD4 chromatin occupancy at CD276 regulatory regions leads to its transcriptional upregulation in EBVaGC, driven by EBNA1-stimulated MST1/2-LATS1/2-YAP signaling. Notably, in a humanized xenograft mouse model, EBVaGC with elevated CD276 levels exhibited resistance to anti-PD1 immunotherapy, while targeting CD276 in combination with PD1 blockade significantly reduced tumor size. Collectively, our findings elucidate the EBNA1-YAP-CD276 axis as a novel mechanism of immune escape in EBVaGC, providing insights for enhanced immunotherapeutic strategies.
Insights
Researchers identified CD276 as a key molecule driving immune evasion in Epstein-Barr virus-associated gastric cancer (EBVaGC). Targeting CD276 alongside PD1 blockade shows promise for improving anti-tumor immunity in EBVaGC patients.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Epstein-Barr virus-associated gastric cancer (EBVaGC) shows limited response to anti-PD1 immunotherapy.
- Understanding immune escape mechanisms is crucial for developing effective cancer treatments.
Purpose of the Study:
- To identify novel immune checkpoint molecules involved in EBVaGC immune escape.
- To elucidate the mechanism of CD276-mediated immunosuppression in EBVaGC.
- To evaluate CD276 as a therapeutic target in combination with PD1 blockade.
Main Methods:
- Immune checkpoint screening using transcriptome profiling and immunohistochemistry.
- In vitro and in vivo experiments to assess CD276 function.
- Mechanism studies involving YAP/TEAD4 signaling and EBNA1.
- Evaluation of combination therapy in a humanized xenograft mouse model.
Main Results:
- CD276 was identified as an independent immunosuppressive molecule correlating with poor EBVaGC prognosis.
- CD276 induces T cell apoptosis and reduces chemokine secretion, hindering anti-tumor immunity.
- The EBNA1-YAP-CD276 axis drives CD276 upregulation in EBVaGC.
- Combined CD276 and PD1 blockade significantly reduced tumor size in a preclinical model.
Conclusions:
- The EBNA1-YAP-CD276 axis represents a novel mechanism of immune escape in EBVaGC.
- CD276 is a potential therapeutic target to overcome resistance to anti-PD1 immunotherapy in EBVaGC.
- Targeting CD276 offers a promising strategy for enhancing anti-tumor immunity in EBVaGC.
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