MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas

<jats:p>Combining multiple therapeutic strategies in NRAS/BRAF mutant melanoma—namely MEK/BRAF kinase inhibitors, immune checkpoint inhibitors (ICIs), and targeted immunotherapies—may offer an improved survival benefit by overcoming limitations associated with any individual therapy. Still, op...

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Main Authors: Stopfer, Lauren E, Rettko, Nicholas J, Leddy, Owen, Mesfin, Joshua M, Brown, Eric, Winski, Shannon, Bryson, Bryan, Wells, James A, White, Forest M
Other Authors: Massachusetts Institute of Technology. Department of Biological Engineering
Format: Article
Language:English
Published: Proceedings of the National Academy of Sciences 2023
Online Access:https://hdl.handle.net/1721.1/147778
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author Stopfer, Lauren E
Rettko, Nicholas J
Leddy, Owen
Mesfin, Joshua M
Brown, Eric
Winski, Shannon
Bryson, Bryan
Wells, James A
White, Forest M
author2 Massachusetts Institute of Technology. Department of Biological Engineering
author_facet Massachusetts Institute of Technology. Department of Biological Engineering
Stopfer, Lauren E
Rettko, Nicholas J
Leddy, Owen
Mesfin, Joshua M
Brown, Eric
Winski, Shannon
Bryson, Bryan
Wells, James A
White, Forest M
author_sort Stopfer, Lauren E
collection MIT
description <jats:p>Combining multiple therapeutic strategies in NRAS/BRAF mutant melanoma—namely MEK/BRAF kinase inhibitors, immune checkpoint inhibitors (ICIs), and targeted immunotherapies—may offer an improved survival benefit by overcoming limitations associated with any individual therapy. Still, optimal combination, order, and timing of administration remains under investigation. Here, we measure how MEK inhibition (MEKi) alters anti-tumor immunity by utilizing quantitative immunopeptidomics to profile changes in the peptide major histocompatibility molecules (pMHC) repertoire. These data reveal a collection of tumor antigens whose presentation levels are selectively augmented following therapy, including several epitopes present at over 1,000 copies per cell. We leveraged the tunable abundance of MEKi-modulated antigens by targeting four epitopes with pMHC-specific T cell engagers and antibody drug conjugates, enhancing cell killing in tumor cells following MEK inhibition. These results highlight drug treatment as a means to enhance immunotherapy efficacy by targeting specific upregulated pMHCs and provide a methodological framework for identifying, quantifying, and therapeutically targeting additional epitopes of interest.</jats:p>
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spelling mit-1721.1/1477782023-02-01T03:07:02Z MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas Stopfer, Lauren E Rettko, Nicholas J Leddy, Owen Mesfin, Joshua M Brown, Eric Winski, Shannon Bryson, Bryan Wells, James A White, Forest M Massachusetts Institute of Technology. Department of Biological Engineering <jats:p>Combining multiple therapeutic strategies in NRAS/BRAF mutant melanoma—namely MEK/BRAF kinase inhibitors, immune checkpoint inhibitors (ICIs), and targeted immunotherapies—may offer an improved survival benefit by overcoming limitations associated with any individual therapy. Still, optimal combination, order, and timing of administration remains under investigation. Here, we measure how MEK inhibition (MEKi) alters anti-tumor immunity by utilizing quantitative immunopeptidomics to profile changes in the peptide major histocompatibility molecules (pMHC) repertoire. These data reveal a collection of tumor antigens whose presentation levels are selectively augmented following therapy, including several epitopes present at over 1,000 copies per cell. We leveraged the tunable abundance of MEKi-modulated antigens by targeting four epitopes with pMHC-specific T cell engagers and antibody drug conjugates, enhancing cell killing in tumor cells following MEK inhibition. These results highlight drug treatment as a means to enhance immunotherapy efficacy by targeting specific upregulated pMHCs and provide a methodological framework for identifying, quantifying, and therapeutically targeting additional epitopes of interest.</jats:p> 2023-01-30T15:01:43Z 2023-01-30T15:01:43Z 2022-12-06 2023-01-30T14:48:19Z Article http://purl.org/eprint/type/JournalArticle https://hdl.handle.net/1721.1/147778 Stopfer, Lauren E, Rettko, Nicholas J, Leddy, Owen, Mesfin, Joshua M, Brown, Eric et al. 2022. "MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas." Proceedings of the National Academy of Sciences, 119 (49). en 10.1073/pnas.2208900119 Proceedings of the National Academy of Sciences Creative Commons Attribution-NonCommercial-NoDerivs License http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Proceedings of the National Academy of Sciences PNAS
spellingShingle Stopfer, Lauren E
Rettko, Nicholas J
Leddy, Owen
Mesfin, Joshua M
Brown, Eric
Winski, Shannon
Bryson, Bryan
Wells, James A
White, Forest M
MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title_full MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title_fullStr MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title_full_unstemmed MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title_short MEK inhibition enhances presentation of targetable MHC-I tumor antigens in mutant melanomas
title_sort mek inhibition enhances presentation of targetable mhc i tumor antigens in mutant melanomas
url https://hdl.handle.net/1721.1/147778
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