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FIGURE 8 from Dabrafenib Alters MDSC Differentiation and Function by Activation of GCN2

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posted on 2024-03-13, 14:20 authored by M. Teresa Ciudad, Rene Quevedo, Sara Lamorte, Robbie Jin, Nadine Nzirorera, Marianne Koritzinsky, Tracy L. McGaha

Dabrafenib reduces MDSC accumulation in the tumor microenvironment. Mice were implanted with 3 × 105 YUMM1.7 cells subcutaneously in the right flank. On day 10 after tumor implantation, mice were either treated with 30 mg/kg of dabrafenib or the equivalent volume of DMSO for 7 consecutive days (n = 10 per group). Mice were sacrificed on day 20 after tumor implantation. A, Number of total live cells in bone marrow, isolated from one tibia and femur per mouse after red cells lysis. P value was determined by two-tailed unpaired Student t test. Significance considered P < 0.05. B, Frequency of MDSCs (CD45+CD3negCD19negCD11b+MHCIIneg) from total live cells (left), from immune cells (middle), and absolute counts of MDSCs (right) in bone marrow. P value was determined by two-tailed unpaired Student t test. Significance considered P < 0.05. C, Representative contour plot of Ly6C and Ly6G expression in total MDSCs (CD45+CD3negCD19negCD11b+MHCIIneg) in bone marrow. Gates show median frequency of m-MDSCs (Ly6C+Ly6Gneg), PMN-MDSCs (Ly6C+Ly6G+) and cells with intermediate phenotype (Int, Ly6CintLy6Gint). D, Frequency of MDSCs subtypes described in C. P values were determined by two-way ANOVA with Šidák correction post-test. Significance considered P < 0.05. E, Frequency of MDSCs (CD45+CD3negCD19negCD11b+MHCIIneg) from total immune cells. P value was determined by two-tailed unpaired Student t test. Significance considered P < 0.05. F, Number of circulating MDSCs (CD45+CD3negCD19negCD11b+MHCIIneg) per microliter of blood. G, Representative contour plot of Ly6C and Ly6G expression in total MDSCs (CD45+CD3negCD19negCD11b+MHCIIneg) in blood. Gates show simplified nomenclature for all four subpopulations Ly6Cint (A), Ly6Chi (B), Ly6CintLy6Gint (C), and Ly6CintLy6Ghi (D). H, Frequency of MDSC subtypes described in F. P values were determined by two-way ANOVA with Šidák correction post-test. Significance considered P < 0.05. I, Absolute counts of MDSC subtypes described in F and G per microliter of blood. P values were determined by two-way ANOVA with Šidák correction post-test. Significance considered P < 0.05. J, Number of intratumoral MDSCs (CD45+CD11b+MHCIIneg) per milligram of tumor. P value was determined by two-tailed unpaired Student t test. Significance considered P < 0.05. K, Representative contour plot of Ly6C and Ly6G expression in total intratumoral MDSCs (CD45+CD3negCD19negNK1.1negCD11cnegCD11b+MHCIIneg). Gates show median frequency of m-MDSCs (Ly6Chi) and PMN-MDSCs (Ly6ChiLy6Ghi). L, Absolute counts of MDSC subtypes described in J per milligram of tumor. P values were determined by two-way ANOVA with Šidák correction post-test. Significance considered P < 0.05. M, Mice were implanted with 1 × 106 YUMMER cells subcutaneously in the right flank and 12 days later treated with dabrafenib as described above. Plots are representative contour plots of Ly6C and Ly6G expression in total intratumoral MDSCs (CD45+CD3negCD19negNK1.1negCD11cnegCD11b+MHCIIneg). Graphs show relative frequency of m-MDSCs (i.e., Ly6Chi, left graph) and more mature Ly6G+Ly6Cneg PMN cells from total MDSCs (right graph). P value was determined by two-tailed unpaired Student t test. Significance considered P < 0.05. All panels are representative of three independent experiments. DAB = dabrafenib.

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HHS | National Institutes of Health (NIH)

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ARTICLE ABSTRACT

The effect of targeted therapeutics on anticancer immune responses is poorly understood. The BRAF inhibitor dabrafenib has been reported to activate the integrated stress response (ISR) kinase GCN2, and the therapeutic effect has been partially attributed to GCN2 activation. Because ISR signaling is a key component of myeloid-derived suppressor cell (MDSC) development and function, we measured the effect of dabrafenib on MDSC differentiation and suppressive activity. Our data showed that dabrafenib attenuated MDSC ability to suppress T-cell activity, which was associated with a GCN2-dependent block of the transition from monocytic progenitor to polymorphonuclear (PMN)-MDSCs and proliferative arrest resulting in PMN-MDSC loss. Transcriptional profiling revealed that dabrafenib-driven GCN2 activation altered metabolic features in MDSCs enhancing oxidative respiration, and attenuated transcriptional programs required for PMN development. Moreover, we observed a broad downregulation of transcriptional networks associated with PMN developmental pathways, and increased activity of transcriptional regulons driven by Atf5, Mafg, and Zbtb7a. This transcriptional program alteration underlies the basis for PMN-MDSC developmental arrest, skewing immature MDSC development toward monocytic lineage cells. In vivo, we observed a pronounced reduction in PMN-MDSCs in dabrafenib-treated tumor-bearing mice suggesting that dabrafenib impacts MDSC populations systemically and locally, in the tumor immune infiltrate. Thus, our data reveal transcriptional networks that govern MDSC developmental programs, and the impact of GCN2 stress signaling on the innate immune landscape in tumors, providing novel insight into potentially beneficial off-target effects of dabrafenib. An important, but poorly understood, aspect of targeted therapeutics for cancer is the effect on antitumor immune responses. This article shows that off-target effects of dabrafenib activating the kinase GCN2 impact MDSC development and function reducing PMN-MDSCs in vitro and in vivo. This has important implications for our understanding of how this BRAF inhibitor impacts tumor growth and provides novel therapeutic target and combination possibilities.