Exploration of Epigenetic Concepts That Impact Cancer Immune Infiltration and Immunotherapy

A special issue of Biomolecules (ISSN 2218-273X). This special issue belongs to the section "Molecular Medicine".

Deadline for manuscript submissions: closed (31 October 2023) | Viewed by 2792

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Guest Editor
Department of Microbiology and Immunology, Weill Cornell Medical College, New York, NY 10065, USA
Interests: cancer genomics and epigenomics; cancer biomarker discovery; cancer drug resistance; predictive cancer biology; immuno-oncogenomics; cancer metastasis; early cancer detection
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Dear Colleagues,

Immune checkpoint inhibitors (ICI) have been a remarkable addition to the fast-expanding group of cancer treatment options. Drugs targeting CTLA4 (ipilimumab), PD-1 (nivolumab, pembrolizumab, cemiplimab, and dostarlimab), and PD-L1 (atezolizumab, avelumab, and durvalumab) have been approved for the treatment of a wide range of cancers. However, the accumulated clinical and research data have revealed that the effectiveness of ICIs can be limited by factors inherent to the biology of the tumors and their microenvironment. For example, the extent and type of tumor-infiltrating lymphocytes (TIL) surrounding cancer cells may determine if the patient will benefit from the treatment. To date, ICIs have been approved to treat cancers such as metastatic melanoma and MSI-high colorectal cancer, which generally exhibit high levels of TIL. The eventual aim is for ICI (and other forms of immunotherapy) to be a more cost-effective option against earlier-stage cancers. This possibility hinges on a deeper understanding of the biology of the interaction between cancer and immune cells and the associated immune toxicity of ICIs. It also necessitates identifying and testing new immunotherapeutic targets and the development of diagnostic assays (including non-invasive tools) that can accurately stratify patients based on predicted response to ICI therapy. The epigenetic regulatory processes play crucial roles in the interaction between immune and cancer cells. Integrated analyses of public genomic, epigenomic, and protein–DNA interaction datasets would indicate that the transcription of many immune-related genes, such as T cell receptor genes (e.g., CD3D), PRF1, GZMA, and the ICI targets CTLA4 and PDCD1, is highly regulated at the epigenetic level. In addition, several recent studies suggest that specific methylation markers in cancer tissues can be surrogate markers for TILs and T cell cytotoxic activity. The CpG methylation-driven repression of mismatch repair genes can lead to an elevated mutational burden, and, in turn, effecting the immunogenicity of tumor cells. Finally, given the importance of epigenetic processes in regulating immune processes, it would also be interesting to examine how epigenetic drugs (i.e., those targeting DNA methyltransferases, histone deacetylases, and bromodomain-containing proteins), as well as nutrition (which may also influence epigenetic processes), may modulate ICI. This convergence of cancer biology, therapeutics, epigenetics, immunology, and perhaps nutrition is genuinely fascinating. Authors interested in this field (basic, translational, or clinical) are welcome to contribute reviews or original research articles.

Dr. Manny D. Bacolod
Guest Editor

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Keywords

  • immunotherapy
  • epigenetics
  • methylation
  • microenvironment
  • immune checkpoint inhibitor
  • CTLA4
  • PDL1
  • PD1

Published Papers (1 paper)

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20 pages, 754 KiB  
Review
Dysregulation of SWI/SNF Chromatin Remodelers in NSCLC: Its Influence on Cancer Therapies including Immunotherapy
by Yijiang Shi and Daniel Sanghoon Shin
Biomolecules 2023, 13(6), 984; https://doi.org/10.3390/biom13060984 - 13 Jun 2023
Cited by 1 | Viewed by 2363
Abstract
Lung cancer is the leading cause of cancer death worldwide. Molecularly targeted therapeutics and immunotherapy revolutionized the clinical care of NSCLC patients. However, not all NSCLC patients harbor molecular targets (e.g., mutated EGFR), and only a subset benefits from immunotherapy. Moreover, we are [...] Read more.
Lung cancer is the leading cause of cancer death worldwide. Molecularly targeted therapeutics and immunotherapy revolutionized the clinical care of NSCLC patients. However, not all NSCLC patients harbor molecular targets (e.g., mutated EGFR), and only a subset benefits from immunotherapy. Moreover, we are lacking reliable biomarkers for immunotherapy, although PD-L1 expression has been mainly used for guiding front-line therapeutic options. Alterations of the SWI/SNF chromatin remodeler occur commonly in patients with NSCLC. This subset of NSCLC tumors tends to be undifferentiated and presents high heterogeneity in histology, and it shows a dismal prognosis because of poor response to the current standard therapies. Catalytic subunits SMARCA4/A2 and DNA binding subunits ARID1A/ARID1B/ARID2 as well as PBRM1 were identified to be the most commonly mutated subunits of SWI/SNF complexes in NSCLC. Mechanistically, alteration of these SWI/SNF subunits contributes to the tumorigenesis of NSCLC through compromising the function of critical tumor suppressor genes, enhancing oncogenic activity as well as impaired DNA repair capacity related to genomic instability. Several vulnerabilities of NSCLCS with altered SWI/SNF subunits were detected and evaluated clinically using EZH2 inhibitors, PROTACs of mutual synthetic lethal paralogs of the SWI/SNF subunits as well as PARP inhibitors. The response of NSCLC tumors with an alteration of SWI/SNF to ICIs might be confounded by the coexistence of mutations in genes capable of influencing patients’ response to ICIs. High heterogenicity in the tumor with SWI/SNF deficiency might also be responsible for the seemingly conflicting results of ICI treatment of NSCLC patients with alterations of SWI/SNF. In addition, an alteration of each different SWI/SNF subunit might have a unique impact on the response of NSCLC with deficient SWI/SNF subunits. Prospective studies are required to evaluate how the alterations of the SWI/SNF in the subset of NSCLC patients impact the response to ICI treatment. Finally, it is worthwhile to point out that combining inhibitors of other chromatin modulators with ICIs has been proven to be effective for the treatment of NSCLC with deficient SWI/SNF chromatin remodelers. Full article
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