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BCG-Induced Tumor Immunity Requires Tumor-Intrinsic CIITA Independent of MHC-II.


ABSTRACT: For decades, BCG immunotherapy has been the standard of care for non-muscle-invasive bladder cancer. Despite this clinical experience, the mechanism by which BCG stimulates tumor-eliminating immunity is unclear, and there is still a need for more accurate prediction of clinical outcomes in advance of treatment initiation. We have shown that BCG stimulates tumor-specific T-cell immunity that requires tumor cell expression of the IFNγ receptor (IFNGR); however, the downstream components of IFNGR signaling responsible for responsiveness to BCG are unknown. Here, we demonstrate that the IFNγ-driven, tumor cell intrinsic expression of the class II transactivator CIITA is required for activation of a tumor-specific CD4 T-cell response and BCG-induced tumor immunity. Despite the established role for CIITA in controlling MHC-II antigen presentation machinery, the requirement for CIITA is independent of MHC-II and associated genes. Rather, we find that CIITA is required for a broader tumor-intrinsic transcriptional program linked to critical pathways of tumor immunity via mechanisms that remain to be determined. Tumor cell intrinsic expression of CIITA is not required for a response to immunotherapy targeting programmed cell death protein 1 (PD-1), suggesting that different modalities of immunotherapy for bladder cancer could be employed based on tumor-intrinsic characteristics.

SUBMITTER: Redelman-Sidi G 

PROVIDER: S-EPMC9532361 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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BCG-Induced Tumor Immunity Requires Tumor-Intrinsic CIITA Independent of MHC-II.

Redelman-Sidi Gil G   Binyamin Anna A   Antonelli Anthony C AC   Catalano Will W   Bean James J   Al-Ahmadie Hikmat H   Jungbluth Achim A AA   Glickman Michael S MS  

Cancer immunology research 20221001 10


For decades, BCG immunotherapy has been the standard of care for non-muscle-invasive bladder cancer. Despite this clinical experience, the mechanism by which BCG stimulates tumor-eliminating immunity is unclear, and there is still a need for more accurate prediction of clinical outcomes in advance of treatment initiation. We have shown that BCG stimulates tumor-specific T-cell immunity that requires tumor cell expression of the IFNγ receptor (IFNGR); however, the downstream components of IFNGR s  ...[more]

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