Inhibition of autophagy-related protein 7 enhances anti-tumor immune response and improves efficacy of immune checkpoint blockade in microsatellite instability colorectal cancer

© 2024. The Author(s)..

BACKGROUND: The efficacy of anti-PD-1 therapy is primarily hindered by the limited T-cell immune response rate and immune evasion capacity of tumor cells. Autophagy-related protein 7 (ATG7) plays an important role in autophagy and it has been linked to cancer. However, the role of ATG7 in the effect of immune checkpoint blockade (ICB) treatment on high microsatellite instability (MSI-H)/mismatch repair deficiency (dMMR) CRC is still poorly understood.

METHODS: In this study, patients from the cancer genome altas (TCGA) COAD/READ cohorts were used to investigate the biological mechanism driving ATG7 development. Several assays were conducted including the colony formation, cell viability, qRT-PCR, western blot, immunofluorescence, flow cytometry, ELISA, immunohistochemistry staining and in vivo tumorigenicity tests.

RESULTS: We found that ATG7 plays a crucial role in MSI-H CRC. Its knockdown decreased tumor growth and caused an infiltration of CD8+ T effector cells in vivo. ATG7 inhibition restored surface major histocompatibility complex I (MHC-I) levels, causing improved antigen presentation and anti-tumor T cell response by activating reactive oxygen species (ROS)/NF-κB pathway. Meanwhile, ATG7 inhibition also suppressed cholesterol accumulation and augmentation of anti-tumor immune responses. Combining ATG7 inhibition and statins improved the therapeutic benefit of anti-PD-1 in MSI-H CRC. Importantly, CRC patients with high expression of both ATG7 and recombinant 3-hydroxy-3-methylglutaryl coenzyme A reductase (HMGCR) experienced worse prognosis compared to those with low ATG7 and HMGCR expression.

CONCLUSIONS: Inhibition of ATG7 leads to upregulation of MHC-I expression, augments immune response and suppresses cholesterol accumulation. These findings demonstrate that ATG7 inhibition has therapeutic potential and application of statins can increase the sensitivity to immune checkpoint inhibitors.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Journal of experimental & clinical cancer research : CR - 43(2024), 1 vom: 16. Apr., Seite 114

Sprache:

Englisch

Beteiligte Personen:

Zhang, Wenxin [VerfasserIn]
Chen, Lu [VerfasserIn]
Liu, Jiafeng [VerfasserIn]
Chen, Bicui [VerfasserIn]
Shi, Huanying [VerfasserIn]
Chen, Haifei [VerfasserIn]
Qi, Huijie [VerfasserIn]
Wu, Zimei [VerfasserIn]
Mao, Xiang [VerfasserIn]
Wang, Xinhai [VerfasserIn]
Huang, Yuxin [VerfasserIn]
Li, Jiyifan [VerfasserIn]
Yu, Zheng [VerfasserIn]
Zhong, Mingkang [VerfasserIn]
Wang, Tianxiao [VerfasserIn]
Li, Qunyi [VerfasserIn]

Links:

Volltext

Themen:

97C5T2UQ7J
ATG7
Autophagy-Related Protein 7
CD8
Cholesterol
Colorectal cancer
EC 6.2.1.45
Hydroxymethylglutaryl-CoA Reductase Inhibitors
Immune Checkpoint Inhibitors
Journal Article
PD-1

Anmerkungen:

Date Completed 18.04.2024

Date Revised 25.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s13046-024-03023-w

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371169232