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Transcriptional downregulation of MHC class I and melanoma de- differentiation in resistance to PD-1 inhibition.

Jenny H Lee | Elena Shklovskaya | Su Yin Lim | Matteo S Carlino | Alexander M Menzies | Ashleigh Stewart | Bernadette Pedersen | Malama Irvine | Sara Alavi | Jean Y H Yang | Dario Strbenac | Robyn P M Saw | John F Thompson | James S Wilmott | Richard A Scolyer | Georgina V Long | Richard F Kefford | Helen Rizos
Nature communications | 2020

Transcriptomic signatures designed to predict melanoma patient responses to PD-1 blockade have been reported but rarely validated. We now show that intra-patient heterogeneity of tumor responses to PD-1 inhibition limit the predictive performance of these signatures. We reasoned that resistance mechanisms will reflect the tumor microenvironment, and thus we examined PD-1 inhibitor resistance relative to T-cell activity in 94 melanoma tumors collected at baseline and at time of PD-1 inhibitor progression. Tumors were analyzed using RNA sequencing and flow cytometry, and validated functionally. These analyses confirm that major histocompatibility complex (MHC) class I downregulation is a hallmark of resistance to PD-1 inhibitors and is associated with the MITFlow/AXLhigh de-differentiated phenotype and cancer-associated fibroblast signatures. We demonstrate that TGFß drives the treatment resistant phenotype (MITFlow/AXLhigh) and contributes to MHC class I downregulation in melanoma. Combinations of anti-PD-1 with drugs that target the TGFß signaling pathway and/or which reverse melanoma de-differentiation may be effective future therapeutic strategies.

Pubmed ID: 32312968

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This is a list of tools and resources that we have found mentioned in this publication.


SAMTOOLS (tool)

RRID:SCR_002105

Original SAMTOOLS package has been split into three separate repositories including Samtools, BCFtools and HTSlib. Samtools for manipulating next generation sequencing data used for reading, writing, editing, indexing,viewing nucleotide alignments in SAM,BAM,CRAM format. BCFtools used for reading, writing BCF2,VCF, gVCF files and calling, filtering, summarising SNP and short indel sequence variants. HTSlib used for reading, writing high throughput sequencing data.

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Systems Transcriptional Activity Reconstruction (tool)

RRID:SCR_005622

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Promega (tool)

RRID:SCR_006724

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PeproTech (tool)

RRID:SCR_006802

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Broad Institute (tool)

RRID:SCR_007073

Biomedical and genomic research center located in Cambridge, Massachusetts, United States. Nonprofit research organization under the name Broad Institute Inc., and is partners with Massachusetts Institute of Technology, Harvard University, and the five Harvard teaching hospitals. Dedicated to advance understanding of biology and treatment of human disease to improve human health.

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Thermo Fisher Scientific (tool)

RRID:SCR_008452

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FlowJo (tool)

RRID:SCR_008520

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RRID:SCR_008539

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RRID:SCR_008983

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Sigma-Aldrich (tool)

RRID:SCR_008988

American chemical, life science and biotechnology company owned by Merck KGaA. Merger of Sigma Chemical Company and Aldrich Chemical Company. Provides organic and inorganic chemicals, building blocks, reagents, advanced materials and stable isotopes for chemical synthesis, medicinal chemistry and materials science, antibiotics, buffers, carbohydrates, enzymes, forensic tools, hematology and histology, nucleotides, proteins, peptides, amino acids and their derivatives.

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LIMMA (tool)

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RRID:SCR_013311

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GENCODE (tool)

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RRID:SCR_016955

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RRID:SCR_017386

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RRID:CVCL_0063

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