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Published on: June 12, 2021
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.
Abstract:
Epidermal growth factor receptor-activating (EGFR-activating) mutations are established biomarkers of resistance to immune checkpoint blockade (ICB) in lung cancer, yet the precise molecular mechanism and effective therapeutic strategies remain elusive. In this study, we show that EGFR overexpression and amplification recapitulated the negative effect of EGFR driver mutations on the ICB response, indicating a proactive involvement of EGFR signaling in antagonizing the antitumor immune response. Functional studies unveiled that EGFR activation suppressed the cellular response to IFN-γ following ICB treatment across multiple cancer models. This impairment in IFN-γ responsiveness further limited the upregulation of T cell-recruiting chemokines and antigen presentation, resulting in reduced T cell infiltration and activation, ultimately undermining antitumor immunity. Mechanistically, EGFR promotes Src homology 2-containing protein tyrosine phosphatase 2 (SHP2) activation to accelerate STAT1 dephosphorylation, leading to premature termination of the IFN-γ response. SHP2 inhibition restored ICB sensitivity in EGFR-activated tumors, significantly reducing tumor burden while maintaining a favorable safety profile. Our findings suggest that the EGFR/SHP2 axis functions as a molecular brake to disrupt the initiation and amplification of the IFN-γ-mediated antitumor response during immunotherapy. This discovery unveils a potential avenue to overcome immunotherapy resistance in EGFR-driven tumors, particularly lung cancer, through SHP2-targeted combination strategies.
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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