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Published on: July 21, 2018
AURKB-mediated phosphorylation of metabolic enzyme CD73 drives immune suppression and renal cell carcinoma
Tianyu Tang1,2, Wuping Yang3, Minghao Lu3
1Department of Urology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. tangtianyu0701@zju.edu.cn.
Abstract:
Aberrant tumor metabolism plays a crucial role in establishing and sustaining an immunosuppressive microenvironment. CD73, a key enzyme in the purine metabolism pathway, is frequently overexpressed in tumors, leading to elevated extracellular adenosine (ADO) levels. This accumulation suppresses antitumor immune responses by promoting immune cell exhaustion, ultimately contributing to immunotherapy resistance. However, the mechanisms underlying CD73 upregulation in tumors remain poorly defined. Here, we identify aurora kinase B (AURKB) as a critical regulator of CD73 overexpression in renal cell carcinoma (RCC), orchestrating immune evasion and resistance to immune checkpoint therapy. AURKB is highly expressed in RCC, with its prognostic significance being especially evident in tumors with strong immunogenicity. Mechanistically, AURKB enhances CD73 expression, thereby promoting T cell dysfunction and immune suppression. Mass cytometry (CyTOF) analysis revealed that AURKB inhibition facilitates immune infiltration and alleviates immune exhaustion. We further demonstrate that AURKB directly interacts with CD73 and phosphorylates it at serine 429, which inhibits STUB1-mediated ubiquitination and proteasomal degradation of CD73. Targeting AURKB to modulate the post-translational stability of CD73 restores antitumor immunity and synergizes with immune checkpoint blockade in vivo. Collectively, this study uncovers a previously unrecognized AURKB-CD73 axis and provides a mechanistically informed strategy to enhance immunotherapy efficacy in RCC.
Insights
Aurora kinase B (AURKB) drives CD73 overexpression in renal cell carcinoma (RCC), promoting immune suppression and immunotherapy resistance. Targeting AURKB stabilizes CD73, restoring antitumor immunity and enhancing checkpoint blockade efficacy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Aberrant tumor metabolism fuels an immunosuppressive tumor microenvironment.
- CD73 overexpression elevates extracellular adenosine, suppressing antitumor immunity and causing immunotherapy resistance.
- Mechanisms of CD73 upregulation in tumors are not well understood.
Purpose of the Study:
- Identify regulators of CD73 overexpression in renal cell carcinoma (RCC).
- Elucidate the role of AURKB in CD73-mediated immune evasion and immunotherapy resistance.
- Investigate AURKB as a therapeutic target to enhance immunotherapy efficacy in RCC.
Main Methods:
- Analysis of AURKB expression in RCC tissues.
- Investigating the mechanistic link between AURKB and CD73 expression.
- Mass cytometry (CyTOF) to assess immune cell infiltration and exhaustion.
- In vivo studies evaluating AURKB inhibition in combination with immune checkpoint blockade.
Main Results:
- AURKB is highly expressed in RCC and correlates with poor prognosis in immunogenic tumors.
- AURKB enhances CD73 expression and promotes T cell dysfunction and immune suppression.
- AURKB directly phosphorylates CD73, inhibiting its degradation and stabilizing its expression.
- AURKB inhibition restores antitumor immunity and synergizes with immune checkpoint blockade in vivo.
Conclusions:
- AURKB is a critical regulator of CD73 overexpression in RCC, driving immune evasion.
- The AURKB-CD73 axis represents a novel mechanism of immunotherapy resistance.
- Targeting AURKB offers a promising strategy to enhance immunotherapy efficacy in RCC.
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