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Androgen receptor inhibition increases MHC Class I expression and improves immune response in prostate cancer
University of California, San Francisco, San Francisco, CA, United States.ORCID iD: 0009-0007-2779-8824
Oregon Health & Science University, Portland, OR, United States.ORCID iD: 0000-0003-1245-4563
Oregon Health & Science University, Portland, OR, United States.ORCID iD: 0000-0002-5708-2794
University of Washington, Seattle, WA, United States.ORCID iD: 0000-0003-1720-5654
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2024 (English)In: Cancer Discovery, ISSN 2159-8274, E-ISSN 2159-8290, Vol. 15, no 3, p. 481-494Article in journal (Refereed) Published
Abstract [en]

Tumors escape immune detection and elimination through a variety of mechanisms. Here, we used prostate cancer as a model to examine how androgen-dependent tumors undergo immune evasion through downregulation of the major histocompatibility complex class I (MHCI). We report that response to immunotherapy in late-stage prostate cancer is associated with elevated MHC expression. To uncover the mechanism, we performed a whole genome CRISPRi screen and identified AR as a repressor of the MHCI pathway. Syngeneic mouse models of aggressive prostate cancer deficient in AR also demonstrated increased tumor immunogenicity and promoted T cell mediated tumor-control. Notably, the increase in MHCI expression upon androgen receptor blockade is transient and correlates with resistance to AR inhibition. Mechanistic studies identified androgen response elements upstream of MHCI transcription start sites which increased MHCI expression when deleted. Together, this body of work highlights another mechanism by which hormones can promote immune escape.

Place, publisher, year, edition, pages
American Association for Cancer Research (AACR) , 2024. Vol. 15, no 3, p. 481-494
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:kth:diva-357633DOI: 10.1158/2159-8290.cd-24-0559ISI: 001436670400008PubMedID: 39652470OAI: oai:DiVA.org:kth-357633DiVA, id: diva2:1919794
Note

QC 20250317

Available from: 2024-12-10 Created: 2024-12-10 Last updated: 2025-03-20Bibliographically approved

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Lundberg, Arian

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