Cell-autonomous inflammation of BRCA1-deficient ovarian cancers drives both tumor-intrinsic immunoreactivity and immune resistance through STING
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Published version
Author(s)
Type
Journal Article
Abstract
We investigated mechanisms leading to inflammation and immunoreactivity in ovarian tumors with homologous recombination deficiency. BRCA1lossis found to lead to transcriptional reprogramming in tumor cells and cell-intrinsic inflammation involving type I IFN and STING.BRCA1-mutated (BRCA1mut) tumors are thus T-cell inflamed at baseline. Genetic deletion or methylation of DNA-sensing/IFN genes or CCL5chemokineare identified as potential mechanism to attenuate T cell inflammation. Alternatively, in BRCA1mutcancersretaining inflammation, STING up regulates VEGF-A, mediating immune resistance and tumor progression. Tumor intrinsic STING elimination reduces neoangiogenesis, increasesCD8+T cell infiltration and reverts therapeutic resistance to dual immune checkpoint blockade(ICB). VEGF-A blockade phenocopies genetic STING loss and synergizes with IC Band/or PARP inhibitors to control the outgrowth of Trp53-/-Brca1-/-but notBrca1+/+ovarian tumors in vivo, offering rational combinatorial therapies for HRD cancers
Date Issued
2021-07-20
Date Acceptance
2021-06-25
Citation
Cell Reports, 2021, 36 (3), pp.1-31
ISSN
2211-1247
Publisher
Elsevier
Start Page
1
End Page
31
Journal / Book Title
Cell Reports
Volume
36
Issue
3
Copyright Statement
© 2021 The Authors. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Sponsor
Cancer Research UK
Ovarian Cancer Action
Identifier
https://www.sciencedirect.com/science/article/pii/S2211124721008251?via%3Dihub
Grant Number
RG71079
n/a
Subjects
BRCA1
CTLA-4
DNA sensing
ICB
PARPi
PD-L1
STING
T cells
VEGF-A
angiogenesis
dual immune checkpoint blockade
ovarian cancer
type I IFN
0601 Biochemistry and Cell Biology
1116 Medical Physiology
Publication Status
Published
Date Publish Online
2021-07-21