Downregulation of KEAP1 in melanoma promotes resistance to immune checkpoint blockade

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作者
Douglas B. Fox
Richard Y. Ebright
Xin Hong
Hunter C. Russell
Hongshan Guo
Thomas J. LaSalle
Ben S. Wittner
Nicolas Poux
Joanna A. Vuille
Mehmet Toner
Nir Hacohen
Genevieve M. Boland
Debattama R. Sen
Ryan J. Sullivan
Shyamala Maheswaran
Daniel A. Haber
机构
[1] Massachusetts General Hospital Cancer Center and Harvard Medical School,Center for Engineering in Medicine
[2] Broad Institute of Harvard and MIT,Department of Surgery
[3] Massachusetts General Hospital and Harvard Medical School,Department of Medicine
[4] Shriners Hospitals for Children,Department of Biochemistry, School of Medicine and Key University Laboratory of Metabolism and Health of Guangdong
[5] Massachusetts General Hospital and Harvard Medical School,Liangzhu Laboratory
[6] Massachusetts General Hospital and Harvard Medical School,undefined
[7] Howard Hughes Medical Institute,undefined
[8] Southern University of Science and Technology,undefined
[9] Zhejiang University Medical Center,undefined
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摘要
Immune checkpoint blockade (ICB) has demonstrated efficacy in patients with melanoma, but many exhibit poor responses. Using single cell RNA sequencing of melanoma patient-derived circulating tumor cells (CTCs) and functional characterization using mouse melanoma models, we show that the KEAP1/NRF2 pathway modulates sensitivity to ICB, independently of tumorigenesis. The NRF2 negative regulator, KEAP1, shows intrinsic variation in expression, leading to tumor heterogeneity and subclonal resistance.
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