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Intrinsic failure of immune activation in NRAS -mutant melanoma reveals a targetable mechanism of checkpoint resistance

海报缩略图:Intrinsic failure of immune activation in NRAS -mutant melanoma reveals a targetable mechanism of checkpoint resistance
编号 176 展板 19 时间 4/19 02:00–05:00 区域 Section 8 主讲 Inyoung Cho, BS
分会场 Immune Cell Biology and Tumor-Immune Crosstalk
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作者与单位

Inyoung Cho1, Sung Eun Kim2, Joong-Bae Ahn3, Sang Joon Shin3

1Department of Clinical Drug Discovery and Development, Yonsei University College of Medicine, Seoul, Korea, Republic of,2Department of Medicine, Yonsei University College of Medicine, Seoul, Korea, Republic of,3Division of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Seoul, Korea, Republic of

摘要 Abstract

Background: Melanoma is frequently driven by MAPK pathway mutations, most prominently BRAF (~50%) and NRAS (20-30%). Unlike BRAF -mutant melanoma, which benefits from effective targeted therapies, NRAS -mutant melanoma responds poorly to MEK inhibition and lacks approved targeted options, contributing to poorer outcomes. This limitation has encouraged immunotherapy-based combinations, yet responses to immune checkpoint blockade (ICB) remain variable. We found that NRAS -mutant melanoma exhibits high immune-gene activity in cancer cells alone but shows suppressed inducibility upon immune stimulation, indicating an intrinsic failure to activate immune programs that may limit ICB responsiveness. Methods: DEG and pathway analyses were performed using DESeq2 and GSEA with TCGA-SKCM (tumor biopsy) and CCLE/DepMap (cell line RNA-seq) datasets. “Shift genes” were defined by comparing relative expression between cell line-intrinsic and tumor datasets, selecting genes with the largest directional changes and significant adjusted p-values (FDR < 0.05, moderated t-tests). Anti-PD-1-resistant cell lines were generated through serial in vivo selection involving repeated implantation and anti-PD-1 treatment of NRAS -mutant melanoma until tumor growth matched untreated controls. Results: RNA expression analysis of NRAS -mutant melanoma cell lines revealed strong intrinsic immune-gene activity; however, this activity was markedly reduced in TCGA tumors, indicating suppressed inducibility in the tumor setting. Among the T cell-inflamed GEP genes-an established immune signature highly expressed in tumors responding to anti-PD-1 therapy-MHC class II-related genes and CCL5 showed the most pronounced reduction (≈1.3-1.4-fold), while most others remained stable. Consistent with these findings, NRAS -mutant murine melanoma cell lines exhibited high basal immune-gene expression but nearly 200-fold weaker induction following Interferon-gamma stimulation-used to evaluate inducible immune-gene responses-compared with wild-type cells. Anti-PD-1-resistant models mirrored this pattern, suggesting that such immune non-responsiveness reflects an inherent characteristic of NRAS -mutant melanoma. Conclusion: The immunotherapy responsiveness of NRAS -mutant melanoma remains uncertain, underscoring the need to define its immune features. Our findings indicate that the immune unresponsiveness in this subtype reflects a fundamental, cell-intrinsic limitation rather than an acquired consequence, suggesting a targetable mechanism to improve ICB outcomes.
利益披露 Disclosure
I. Cho, None.. S. Kim, None.. J. Ahn, None.. S. Shin, None.

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