EGFR activation disrupts immunotherapy response via SHP2-mediated suppression of tumor-intrinsic response to IFN-γ

Wei-Tao Zhuang1,2, Lan-Lan Pang1, Li-Yang Hu3

  • 1Department of Medical Oncology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.

Insights

Epidermal growth factor receptor (EGFR) activation hinders anti-tumor immunity by suppressing interferon-gamma (IFN-γ) response. SHP2 inhibition overcomes this resistance, restoring immune checkpoint blockade (ICB) sensitivity in EGFR-driven cancers.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Epidermal growth factor receptor (EGFR)-activating mutations confer resistance to immune checkpoint blockade (ICB) in lung cancer.
  • The exact mechanisms driving this resistance and effective therapeutic strategies are not fully understood.

Purpose of the Study:

  • To elucidate the molecular mechanisms by which EGFR signaling antagonizes antitumor immune responses.
  • To identify therapeutic strategies to overcome ICB resistance in EGFR-driven tumors.

Main Methods:

  • Investigated the impact of EGFR overexpression and amplification on ICB response in various cancer models.
  • Performed functional studies to assess cellular response to interferon-gamma (IFN-γ) under EGFR activation.
  • Utilized mechanistic studies involving SHP2 and STAT1 signaling pathways.
  • Evaluated the efficacy of SHP2 inhibition in restoring ICB sensitivity.

Main Results:

  • EGFR activation, through overexpression or amplification, impairs cellular response to IFN-γ following ICB treatment.
  • This suppression reduces T cell recruitment, antigen presentation, and activation, thereby weakening antitumor immunity.
  • EGFR signaling activates SHP2, which accelerates STAT1 dephosphorylation, prematurely terminating the IFN-γ response.
  • SHP2 inhibition effectively restored ICB sensitivity in EGFR-activated tumors, reducing tumor burden with a good safety profile.

Conclusions:

  • The EGFR/SHP2 axis acts as a critical negative regulator of IFN-γ-mediated antitumor responses during immunotherapy.
  • Targeting the SHP2 pathway presents a promising therapeutic strategy to overcome ICB resistance in EGFR-driven cancers, including lung cancer.

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