[PDF][PDF] A TCF4-dependent gene regulatory network confers resistance to immunotherapy in melanoma

J Pozniak, D Pedri, E Landeloos, Y Van Herck… - Cell, 2024 - cell.com
J Pozniak, D Pedri, E Landeloos, Y Van Herck, A Antoranz, L Vanwynsberghe, A Nowosad
Cell, 2024cell.com
To better understand intrinsic resistance to immune checkpoint blockade (ICB), we
established a comprehensive view of the cellular architecture of the treatment-naive
melanoma ecosystem and studied its evolution under ICB. Using single-cell, spatial multi-
omics, we showed that the tumor microenvironment promotes the emergence of a complex
melanoma transcriptomic landscape. Melanoma cells harboring a mesenchymal-like (MES)
state, a population known to confer resistance to targeted therapy, were significantly …
Summary
To better understand intrinsic resistance to immune checkpoint blockade (ICB), we established a comprehensive view of the cellular architecture of the treatment-naive melanoma ecosystem and studied its evolution under ICB. Using single-cell, spatial multi-omics, we showed that the tumor microenvironment promotes the emergence of a complex melanoma transcriptomic landscape. Melanoma cells harboring a mesenchymal-like (MES) state, a population known to confer resistance to targeted therapy, were significantly enriched in early on-treatment biopsies from non-responders to ICB. TCF4 serves as the hub of this landscape by being a master regulator of the MES signature and a suppressor of the melanocytic and antigen presentation transcriptional programs. Targeting TCF4 genetically or pharmacologically, using a bromodomain inhibitor, increased immunogenicity and sensitivity of MES cells to ICB and targeted therapy. We thereby uncovered a TCF4-dependent regulatory network that orchestrates multiple transcriptional programs and contributes to resistance to both targeted therapy and ICB in melanoma.
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