BIRC2 Expression Impairs Anti-Cancer Immunity and Immunotherapy Efficacy

Cell Rep. 2020 Aug 25;32(8):108073. doi: 10.1016/j.celrep.2020.108073.

Abstract

Immune checkpoint blockade (ICB) has led to therapeutic responses in some cancer patients for whom no effective treatment previously existed. ICB acts on T lymphocytes and other immune cells that are inactivated due to checkpoint signals that inhibit their infiltration and function within tumors. But for more than 80% of patients, immunotherapy has not been effective. Here, we demonstrate a cancer-cell-intrinsic mechanism of immune evasion and resistance to ICB mediated by baculoviral IAP repeat-containing 2 (BIRC2). Knockdown of BIRC2 expression in mouse melanoma or breast cancer cells increases expression of the chemokine CXCL9 and impairs tumor growth by increasing the number of intratumoral activated CD8+ T cells and natural killer cells. Administration of anti-CXCL9 neutralizing antibody inhibits the recruitment of CD8+ T cells and natural killer cells to BIRC2-deficient tumors. Most importantly, BIRC2 deficiency dramatically increases the sensitivity of mouse melanoma and breast tumors to anti-CTLA4 and/or anti-PD1 ICB.

Keywords: NF-κB; anti-tumor immunity; cancer immunosuppression; hypoxia-inducible factors; tumor microenvironment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Humans
  • Immunity, Innate / immunology*
  • Immunotherapy / methods*
  • Inhibitor of Apoptosis Proteins / metabolism*
  • Mice
  • Tumor Microenvironment
  • Ubiquitin-Protein Ligases / metabolism*

Substances

  • Inhibitor of Apoptosis Proteins
  • BIRC2 protein, human
  • Ubiquitin-Protein Ligases