Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance

Hypoxia is a common feature of solid tumors that has previously been linked to resistance to radiotherapy and chemotherapy, and more recently to immunotherapy. In particular, hypoxic tumors exclude T cells and inhibit their activity, suggesting that tumor cells acquire a mechanism to evade T cell re...

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Main Authors: Estephan, H, Tailor, A, Parker, R, Kreamer, M, Papandreou, I, Campo, L, Easton, A, Moon, EJ, Denko, N, Ternette, N, Hammond, E, Giaccia, A
Format: Journal article
Language:English
Published: EMBO Press 2025
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author Estephan, H
Tailor, A
Parker, R
Kreamer, M
Papandreou, I
Campo, L
Easton, A
Moon, EJ
Denko, N
Ternette, N
Hammond, E
Giaccia, A
author_facet Estephan, H
Tailor, A
Parker, R
Kreamer, M
Papandreou, I
Campo, L
Easton, A
Moon, EJ
Denko, N
Ternette, N
Hammond, E
Giaccia, A
author_sort Estephan, H
collection OXFORD
description Hypoxia is a common feature of solid tumors that has previously been linked to resistance to radiotherapy and chemotherapy, and more recently to immunotherapy. In particular, hypoxic tumors exclude T cells and inhibit their activity, suggesting that tumor cells acquire a mechanism to evade T cell recognition and killing. Our analysis of hypoxic tumors indicates that hypoxia downregulates MHC I expression and its bound peptides (the immunopeptidome). Hypoxia decreases MHC I expression in an oxygen-dependent manner, mediated by the activation of autophagy through the PERK arm of the unfolded protein response. Using an immunopeptidomics-based LC-MS approach, we found a significant reduction in presented antigens under hypoxia. Inhibition of autophagy under hypoxia enhanced antigen presentation. In experimental tumors, reducing mitochondrial metabolism through a complex I inhibitor increases tumor oxygenation and both MHC I levels as well as the immunopeptidome. These data provide the molecular mechanism governing tumor immune evasion in hypoxic conditions, offering novel insights for therapeutic interventions targeting hypoxia-induced alterations in antigen presentation.
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spelling oxford-uuid:361f2c17-1c06-4fa4-816b-da9e11b7ccd02025-01-06T13:51:29ZHypoxia inhibits MHC I expression and antigen presentation to escape immune surveillanceJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:361f2c17-1c06-4fa4-816b-da9e11b7ccd0EnglishSymplectic ElementsEMBO Press2025Estephan, HTailor, AParker, RKreamer, MPapandreou, ICampo, LEaston, AMoon, EJDenko, NTernette, NHammond, EGiaccia, AHypoxia is a common feature of solid tumors that has previously been linked to resistance to radiotherapy and chemotherapy, and more recently to immunotherapy. In particular, hypoxic tumors exclude T cells and inhibit their activity, suggesting that tumor cells acquire a mechanism to evade T cell recognition and killing. Our analysis of hypoxic tumors indicates that hypoxia downregulates MHC I expression and its bound peptides (the immunopeptidome). Hypoxia decreases MHC I expression in an oxygen-dependent manner, mediated by the activation of autophagy through the PERK arm of the unfolded protein response. Using an immunopeptidomics-based LC-MS approach, we found a significant reduction in presented antigens under hypoxia. Inhibition of autophagy under hypoxia enhanced antigen presentation. In experimental tumors, reducing mitochondrial metabolism through a complex I inhibitor increases tumor oxygenation and both MHC I levels as well as the immunopeptidome. These data provide the molecular mechanism governing tumor immune evasion in hypoxic conditions, offering novel insights for therapeutic interventions targeting hypoxia-induced alterations in antigen presentation.
spellingShingle Estephan, H
Tailor, A
Parker, R
Kreamer, M
Papandreou, I
Campo, L
Easton, A
Moon, EJ
Denko, N
Ternette, N
Hammond, E
Giaccia, A
Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title_full Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title_fullStr Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title_full_unstemmed Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title_short Hypoxia inhibits MHC I expression and antigen presentation to escape immune surveillance
title_sort hypoxia inhibits mhc i expression and antigen presentation to escape immune surveillance
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