Tumor-associated B-cells induce tumor heterogeneity and therapy resistance.

Tumor-associated B-cells induce tumor heterogeneity and therapy resistance.
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DOI:
10.1038/s41467-017-00452-4
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发表时间:
2017-09-19
影响因子:
16.6
通讯作者:
Wagner SN
Wagner SN
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Somasundaram R;Zhang G;Fukunaga-Kalabis M;Perego M;Krepler C;Xu X;Wagner C;Hristova D;Zhang J;Tian T;Wei Z;Liu Q;Garg K;Griss J;Hards R;Maurer M;Hafner C;Mayerhöfer M;Karanikas G;Jalili A;Bauer-Pohl V;Weihsengruber F;Rappersberger K;Koller J;Lang R;Hudgens C;Chen G;Tetzlaff M;Wu L;Frederick DT;Scolyer RA;Long GV;Damle M;Ellingsworth C;Grinman L;Choi H;Gavin BJ;Dunagin M;Raj A;Scholler N;Gross L;Beqiri M;Bennett K;Watson I;Schaider H;Davies MA;Wargo J;Czerniecki BJ;Schuchter L;Herlyn D;Flaherty K;Herlyn M;Wagner SN

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In melanoma, therapies with inhibitors to oncogenic BRAFV600E are highly effective but responses are often short-lived due to the emergence of drug-resistant tumor subpopulations. We describe here a mechanism of acquired drug resistance through the tumor microenvironment, which is mediated by human tumor-associated B cells. Human melanoma cells constitutively produce the growth factor FGF-2, which activates tumor-infiltrating B cells to produce the growth factor IGF-1. B-cell-derived IGF-1 is critical for resistance of melanomas to BRAF and MEK inhibitors due to emergence of heterogeneous subpopulations and activation of FGFR-3. Consistently, resistance of melanomas to BRAF and/or MEK inhibitors is associated with increased CD20 and IGF-1 transcript levels in tumors and IGF-1 expression in tumor-associated B cells. Furthermore, first clinical data from a pilot trial in therapy-resistant metastatic melanoma patients show anti-tumor activity through B-cell depletion by anti-CD20 antibody. Our findings establish a mechanism of acquired therapy resistance through tumor-associated B cells with important clinical implications. Resistance to BRAFV600E inhibitors often occurs in melanoma patients. Here, the authors describe a potential mechanism of acquired drug resistance mediated by tumor-associated B cells-derived IGF-1.
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