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mTORC1 suppression by Trp53 mutation drives resistance to immune checkpoint blockade
Alireza Labani-Motlagh1, Yang Li2, David Shihong Gao2
1Center for Discovery and Innovation, Hackensack Meridian Health, Nutley, NJ, USA.
Abstract:
p53 is a critical tumor suppressor gene that inhibits cancer development by regulating cell cycle arrest, apoptosis, DNA repair, and metabolism. However, recent studies examining TP53 mutations in cancer immunotherapy have yielded inconsistent results, likely due to differences in tumor mutational burden (TMB) and the context-dependent roles of specific p53 mutants. In this study, we assessed the function of G242V and S258I Trp53 mutations in MC38 cells in the context of immunotherapy by generating Trp53 deletion and observed significantly enhanced responses to anti-PD-1 therapy. Trp53-null tumors showed increased CD8+ T cell infiltration and clonal expansion, along with reduced regulatory T (Treg) cells. Mechanistically, Trp53 deletion downregulated mTORC1 inhibitor genes, leading to elevated mTORC1 signaling and diminished autophagy, which sensitized tumor cells to IFN-γ and TNF-α-induced apoptosis. Besides mouse cells, we confirmed the human p53 mutants regulate the same sets of mTORC1 inhibitor genes in a human colorectal cancer cell line. Our findings demonstrate that certain p53 mutants, despite losing other canonical functions, retain wild type p53's ability to suppress mTORC1 and enhance autophagy, thereby inhibiting responses to immunotherapy.
Insights
Deleting the Trp53 gene enhances anti-PD-1 immunotherapy responses by increasing CD8+ T cell infiltration and reducing regulatory T cells. This involves downregulating mTORC1 inhibitors, diminishing autophagy, and sensitizing tumors to apoptosis.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- The tumor suppressor p53 plays a crucial role in cancer development.
- TP53 mutations have yielded inconsistent results in cancer immunotherapy.
- Tumor mutational burden and specific p53 mutant functions influence immunotherapy outcomes.
Purpose of the Study:
- To investigate the function of G242V and S258I Trp53 mutations in MC38 cells within the context of immunotherapy.
- To assess the impact of Trp53 deletion on anti-PD-1 therapy response.
- To elucidate the underlying mechanisms by which p53 mutations affect immunotherapy.
Main Methods:
- Generated Trp53 deletion in MC38 mouse cells.
- Assessed tumor responses to anti-PD-1 therapy.
- Analyzed CD8+ T cell infiltration, regulatory T (Treg) cells, mTORC1 signaling, and autophagy.
- Confirmed findings in a human colorectal cancer cell line.
Main Results:
- Trp53 deletion significantly enhanced responses to anti-PD-1 therapy.
- Trp53-null tumors exhibited increased CD8+ T cell infiltration and clonal expansion, with reduced Treg cells.
- Trp53 deletion downregulated mTORC1 inhibitor genes, elevated mTORC1 signaling, diminished autophagy, and sensitized tumor cells to IFN-γ and TNF-α-induced apoptosis.
- Human p53 mutants regulated the same mTORC1 inhibitor genes as observed in mouse cells.
Conclusions:
- Certain p53 mutants retain the ability to suppress mTORC1 and enhance autophagy, inhibiting immunotherapy responses.
- Trp53 deletion sensitizes tumors to immunotherapy by modulating the tumor microenvironment and cellular signaling pathways.
- Understanding the role of p53 mutants in immunotherapy is critical for developing effective cancer treatments.
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