Mind the GARP: How Glucocorticoids Unleash T Cells against Melanoma

Merel Roest1, Nuno Padrão1, Wilbert Zwart1

  • 1Department of Oncogenomics, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.

Cancer Discovery
|February 6, 2026
PubMed

Insights

Glucocorticoid receptor (GR) activation inhibits tumor immunity by downregulating GARP, which blocks TGFβ signaling. This finding reveals a new mechanism for enhancing CD8+ T cell antitumor activity and overcoming cancer immune resistance.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Glucocorticoid receptor (GR) plays a role in immune regulation.
  • Tumor-intrinsic mechanisms influencing immune evasion are critical in cancer progression.
  • Understanding resistance to immune checkpoint blockade is a major challenge in oncology.

Purpose of the Study:

  • To elucidate the tumor-intrinsic mechanism of glucocorticoid receptor (GR) activation in shaping the tumor immune microenvironment.
  • To investigate the role of GR in regulating glycoprotein A repetitions predominant (GARP) and its impact on TGFβ signaling.
  • To identify novel strategies for overcoming resistance to immune checkpoint blockade in cancer.

Main Methods:

  • In vivo and in vitro experiments were utilized to study GR signaling.
  • Analysis of GARP expression and its regulation by GR.
  • Assessment of TGFβ signaling pathway activity.
  • Evaluation of CD8+ T cell infiltration and antitumor function in the presence of GR activation.

Main Results:

  • GR activation was found to downregulate GARP expression within tumor cells.
  • Downregulation of GARP by GR leads to inhibition of TGFβ signaling.
  • This inhibition releases CD8+ T cells, enabling them to exert their antitumor activity.
  • The findings provide a mechanistic link between GR signaling and enhanced anti-tumor immunity.

Conclusions:

  • GR activation presents a tumor-intrinsic mechanism that enhances anti-tumor immunity by downregulating GARP and TGFβ signaling.
  • This pathway offers a potential therapeutic target for improving responses to immune checkpoint blockade in melanoma and other cancers.
  • Further research into GR-mediated regulation of tumor immunity could lead to novel cancer treatment strategies.

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