Targeting DNA Methylation and EZH2 Activity to Overcome Melanoma Resistance to Immunotherapy

被引:185
作者
Al Emran, Abdullah [1 ]
Chatterjee, Aniruddha [2 ,3 ]
Rodger, Euan J. [2 ,3 ]
Tiffen, Jessamy C. [1 ]
Gallagher, Stuart J. [1 ]
Eccles, Michael R. [2 ,3 ]
Hersey, Peter [1 ]
机构
[1] Univ Sydney, Royal Prince Alfred Hosp, Centenary Inst, Melanoma Immunol & Oncol Grp, Camperdown, NSW 2050, Australia
[2] Univ Otago, Dunedin Sch Med, Dept Pathol, 270 Great King St, Dunedin 9054, New Zealand
[3] Maurice Wilkins Ctr Mol Biodiscovery, Level,3A Symonds St, Auckland, New Zealand
基金
英国医学研究理事会;
关键词
CD8; T-CELLS; SILENCED GENES; STAGE-III; CANCER; EXPRESSION; PD-1; INHIBITOR; CHROMATIN; DIFFERENTIATION; PATHWAYS;
D O I
10.1016/j.it.2019.02.004
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Methylation of DNA at CpG sites is the most common and stable of epigenetic changes in cancer. Hypermethylation acts to limit immune checkpoint blockade immunotherapy by inhibiting endogenous interferon responses needed for recognition of cancer cells. By contrast, global hypomethylation results in the expression of programmed death ligand 1 (PD-L1) and inhibitory cytokines, accompanied by epithelial-mesenchymal changes that can contribute to immunosuppression. The drivers of these contrasting methylation states are not well understood. DNA methylation also plays a key role in cytotoxic T cell 'exhaustion' associated with tumor progression. We present an updated exploratory analysis of how DNA methylation may define patient subgroups and can be targeted to develop tailored treatment combinations to help improve patient outcomes.
引用
收藏
页码:328 / 344
页数:17
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