Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade

Abstract Immune checkpoint blockade (ICB) has demonstrated efficacy in patients with melanoma, but many exhibit poor responses. Using single cell RNA sequencing of melanoma patient-derived circulating tumor cells (CTCs) and functional characterization using mouse melanoma models, we show that the KE...

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Main Authors: Douglas B. Fox, Richard Y. Ebright, Xin Hong, Hunter C. Russell, Hongshan Guo, Thomas J. LaSalle, Ben S. Wittner, Nicolas Poux, Joanna A. Vuille, Mehmet Toner, Nir Hacohen, Genevieve M. Boland, Debattama R. Sen, Ryan J. Sullivan, Shyamala Maheswaran, Daniel A. Haber
Format: Article
Language:English
Published: Nature Portfolio 2023-03-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-023-00362-3
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author Douglas B. Fox
Richard Y. Ebright
Xin Hong
Hunter C. Russell
Hongshan Guo
Thomas J. LaSalle
Ben S. Wittner
Nicolas Poux
Joanna A. Vuille
Mehmet Toner
Nir Hacohen
Genevieve M. Boland
Debattama R. Sen
Ryan J. Sullivan
Shyamala Maheswaran
Daniel A. Haber
author_facet Douglas B. Fox
Richard Y. Ebright
Xin Hong
Hunter C. Russell
Hongshan Guo
Thomas J. LaSalle
Ben S. Wittner
Nicolas Poux
Joanna A. Vuille
Mehmet Toner
Nir Hacohen
Genevieve M. Boland
Debattama R. Sen
Ryan J. Sullivan
Shyamala Maheswaran
Daniel A. Haber
author_sort Douglas B. Fox
collection DOAJ
description Abstract Immune checkpoint blockade (ICB) has demonstrated efficacy in patients with melanoma, but many exhibit poor responses. Using single cell RNA sequencing of melanoma patient-derived circulating tumor cells (CTCs) and functional characterization using mouse melanoma models, we show that the KEAP1/NRF2 pathway modulates sensitivity to ICB, independently of tumorigenesis. The NRF2 negative regulator, KEAP1, shows intrinsic variation in expression, leading to tumor heterogeneity and subclonal resistance.
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spelling doaj.art-0c4c7c44430b4c2d974ab834570483bb2023-12-02T07:48:06ZengNature Portfolionpj Precision Oncology2397-768X2023-03-01711710.1038/s41698-023-00362-3Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockadeDouglas B. Fox0Richard Y. Ebright1Xin Hong2Hunter C. Russell3Hongshan Guo4Thomas J. LaSalle5Ben S. Wittner6Nicolas Poux7Joanna A. Vuille8Mehmet Toner9Nir Hacohen10Genevieve M. Boland11Debattama R. Sen12Ryan J. Sullivan13Shyamala Maheswaran14Daniel A. Haber15Massachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolCenter for Engineering in Medicine, Massachusetts General Hospital and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolMassachusetts General Hospital Cancer Center and Harvard Medical SchoolAbstract Immune checkpoint blockade (ICB) has demonstrated efficacy in patients with melanoma, but many exhibit poor responses. Using single cell RNA sequencing of melanoma patient-derived circulating tumor cells (CTCs) and functional characterization using mouse melanoma models, we show that the KEAP1/NRF2 pathway modulates sensitivity to ICB, independently of tumorigenesis. The NRF2 negative regulator, KEAP1, shows intrinsic variation in expression, leading to tumor heterogeneity and subclonal resistance.https://doi.org/10.1038/s41698-023-00362-3
spellingShingle Douglas B. Fox
Richard Y. Ebright
Xin Hong
Hunter C. Russell
Hongshan Guo
Thomas J. LaSalle
Ben S. Wittner
Nicolas Poux
Joanna A. Vuille
Mehmet Toner
Nir Hacohen
Genevieve M. Boland
Debattama R. Sen
Ryan J. Sullivan
Shyamala Maheswaran
Daniel A. Haber
Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
npj Precision Oncology
title Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
title_full Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
title_fullStr Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
title_full_unstemmed Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
title_short Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade
title_sort downregulation of keap1 in melanoma promotes resistance to immune checkpoint blockade
url https://doi.org/10.1038/s41698-023-00362-3
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