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      An Evolutionarily Conserved Function of Polycomb Silences the MHC Class I Antigen Presentation Pathway and Enables Immune Evasion in Cancer

      research-article
      1 , 2 , 3 , , 1 , 2 , 12 , 1 , 2 , 12 , 1 , 4 , 1 , 2 , 1 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 5 , 11 , 6 , 6 , 7 , 1 , 2 , 1 , 2 , 1 , 2 , 1 , 2 , 8 , 1 , 2 , 2 , 8 , 9 , 1 , 2 , 3 , 4 , 10 , 1 , 2 , 8 , 13 , ∗∗
      Cancer Cell
      Cell Press
      MHC class I, antigen presentation, cancer, immune evasion, polycomb, EZH2, histone methyltransferase, epigenetic repression, immunotherapy, bivalency

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          Summary

          Loss of MHC class I (MHC-I) antigen presentation in cancer cells can elicit immunotherapy resistance. A genome-wide CRISPR/Cas9 screen identified an evolutionarily conserved function of polycomb repressive complex 2 (PRC2) that mediates coordinated transcriptional silencing of the MHC-I antigen processing pathway (MHC-I APP), promoting evasion of T cell-mediated immunity. MHC-I APP gene promoters in MHC-I low cancers harbor bivalent activating H3K4me3 and repressive H3K27me3 histone modifications, silencing basal MHC-I expression and restricting cytokine-induced upregulation. Bivalent chromatin at MHC-I APP genes is a normal developmental process active in embryonic stem cells and maintained during neural progenitor differentiation. This physiological MHC-I silencing highlights a conserved mechanism by which cancers arising from these primitive tissues exploit PRC2 activity to enable immune evasion.

          Graphical Abstract

          Highlights

          • PRC2 maintains bivalency at MHC-I antigen-processing genes silencing MHC-I expression

          • Cancer cells co-opt this conserved, lineage-specific PRC2 function to evade T cells

          • Pharmacological inhibition of PRC2 in MHC-I low cancers restores anti-tumor immunity

          • Immunotherapy resistance may arise via non-genomic routes that exploit PRC2 activity

          Abstract

          Burr et al. show that cancer cells co-opt PRC2 to evade immune surveillance. PRC2 maintains bivalency at the promoters of MHC-I antigen-processing pathway (MHC-I APP) genes to repress their basal and cytokine-activated expression. Inhibition of PRC2 restores the MHC-I APP and T cell-mediated anti-tumor immunity.

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          Most cited references41

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          Genome-wide recessive genetic screening in mammalian cells with a lentiviral CRISPR-guide RNA library.

          Identification of genes influencing a phenotype of interest is frequently achieved through genetic screening by RNA interference (RNAi) or knockouts. However, RNAi may only achieve partial depletion of gene activity, and knockout-based screens are difficult in diploid mammalian cells. Here we took advantage of the efficiency and high throughput of genome editing based on type II, clustered, regularly interspaced, short palindromic repeats (CRISPR)-CRISPR-associated (Cas) systems to introduce genome-wide targeted mutations in mouse embryonic stem cells (ESCs). We designed 87,897 guide RNAs (gRNAs) targeting 19,150 mouse protein-coding genes and used a lentiviral vector to express these gRNAs in ESCs that constitutively express Cas9. Screening the resulting ESC mutant libraries for resistance to either Clostridium septicum alpha-toxin or 6-thioguanine identified 27 known and 4 previously unknown genes implicated in these phenotypes. Our results demonstrate the potential for efficient loss-of-function screening using the CRISPR-Cas9 system.
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            Clinical and Genomic Characterization of Treatment-Emergent Small-Cell Neuroendocrine Prostate Cancer: A Multi-institutional Prospective Study

            Purpose The prevalence and features of treatment-emergent small-cell neuroendocrine prostate cancer (t-SCNC) are not well characterized in the era of modern androgen receptor (AR)–targeting therapy. We sought to characterize the clinical and genomic features of t-SCNC in a multi-institutional prospective study. Methods Patients with progressive, metastatic castration-resistant prostate cancer (mCRPC) underwent metastatic tumor biopsy and were followed for survival. Metastatic biopsy specimens underwent independent, blinded pathology review along with RNA/DNA sequencing. Results A total of 202 consecutive patients were enrolled. One hundred forty-eight (73%) had prior disease progression on abiraterone and/or enzalutamide. The biopsy evaluable rate was 79%. The overall incidence of t-SCNC detection was 17%. AR amplification and protein expression were present in 67% and 75%, respectively, of t-SCNC biopsy specimens. t-SCNC was detected at similar proportions in bone, node, and visceral organ biopsy specimens. Genomic alterations in the DNA repair pathway were nearly mutually exclusive with t-SCNC differentiation ( P = .035). Detection of t-SCNC was associated with shortened overall survival among patients with prior AR-targeting therapy for mCRPC (hazard ratio, 2.02; 95% CI, 1.07 to 3.82). Unsupervised hierarchical clustering of the transcriptome identified a small-cell–like cluster that further enriched for adverse survival outcomes (hazard ratio, 3.00; 95% CI, 1.25 to 7.19). A t-SCNC transcriptional signature was developed and validated in multiple external data sets with > 90% accuracy. Multiple transcriptional regulators of t-SCNC were identified, including the pancreatic neuroendocrine marker PDX1 . Conclusion t-SCNC is present in nearly one fifth of patients with mCRPC and is associated with shortened survival. The near-mutual exclusivity with DNA repair alterations suggests t-SCNC may be a distinct subset of mCRPC. Transcriptional profiling facilitates the identification of t-SCNC and novel therapeutic targets.
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              Melanomas resist T-cell therapy through inflammation-induced reversible dedifferentiation.

              Adoptive cell transfer therapies (ACTs) with cytotoxic T cells that target melanocytic antigens can achieve remissions in patients with metastatic melanomas, but tumours frequently relapse. Hypotheses explaining the acquired resistance to ACTs include the selection of antigen-deficient tumour cell variants and the induction of T-cell tolerance. However, the lack of appropriate experimental melanoma models has so far impeded clear insights into the underlying mechanisms. Here we establish an effective ACT protocol in a genetically engineered mouse melanoma model that recapitulates tumour regression, remission and relapse as seen in patients. We report the unexpected observation that melanomas acquire ACT resistance through an inflammation-induced reversible loss of melanocytic antigens. In serial transplantation experiments, melanoma cells switch between a differentiated and a dedifferentiated phenotype in response to T-cell-driven inflammatory stimuli. We identified the proinflammatory cytokine tumour necrosis factor (TNF)-α as a crucial factor that directly caused reversible dedifferentiation of mouse and human melanoma cells. Tumour cells exposed to TNF-α were poorly recognized by T cells specific for melanocytic antigens, whereas recognition by T cells specific for non-melanocytic antigens was unaffected or even increased. Our results demonstrate that the phenotypic plasticity of melanoma cells in an inflammatory microenvironment contributes to tumour relapse after initially successful T-cell immunotherapy. On the basis of our work, we propose that future ACT protocols should simultaneously target melanocytic and non-melanocytic antigens to ensure broad recognition of both differentiated and dedifferentiated melanoma cells, and include strategies to sustain T-cell effector functions by blocking immune-inhibitory mechanisms in the tumour microenvironment.
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                Author and article information

                Contributors
                Journal
                Cancer Cell
                Cancer Cell
                Cancer Cell
                Cell Press
                1535-6108
                1878-3686
                14 October 2019
                14 October 2019
                : 36
                : 4
                : 385-401.e8
                Affiliations
                [1 ]Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne, VIC 3000, Australia
                [2 ]Sir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, VIC 3052, Australia
                [3 ]Cambridge Institute for Medical Research, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0XY, UK
                [4 ]ACRF Cancer Biology and Stem Cell Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC 3052, Australia
                [5 ]Department of Biological Sciences, University of Southampton, Southampton, UK
                [6 ]Epigenetics Research Unit, Oncology R&D, GlaxoSmithKline, Collegeville, PA, USA
                [7 ]Epigenetics Research Unit, GlaxoSmithKline, Stevenage, UK
                [8 ]Centre for Cancer Research, University of Melbourne, Parkville, Australia
                [9 ]Department of Clinical Pathology, University of Melbourne, Melbourne, VIC, Australia
                [10 ]Department of Medical Biology, The University of Melbourne, Parkville, VIC 3010, Australia
                [11 ]Institute for Life Sciences, University of Southampton, Southampton, UK
                Author notes
                []Corresponding author marian.burr@ 123456petermac.org
                [∗∗ ]Corresponding author mark.dawson@ 123456petermac.org
                [12]

                These authors contributed equally

                [13]

                Lead Contact

                Article
                S1535-6108(19)30376-9
                10.1016/j.ccell.2019.08.008
                6876280
                31564637
                0691a01d-fe6a-461a-b4e7-52bc6f5238c8
                © 2019 The Authors

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 27 March 2019
                : 26 June 2019
                : 24 August 2019
                Categories
                Article

                Oncology & Radiotherapy
                mhc class i,antigen presentation,cancer,immune evasion,polycomb,ezh2,histone methyltransferase,epigenetic repression,immunotherapy,bivalency

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