2017
DOI: 10.1186/s13148-017-0354-2
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Epigenetic modifications of the immune-checkpoint genes CTLA4 and PDCD1 in non-small cell lung cancer results in increased expression

Abstract: Targeting checkpoint inhibitors using monoclonal antibodies results in significantly better outcome of cancer patients compared to conventional chemotherapy. However, the current companion diagnostics to predict response is so far suboptimal, since they base on more or less reliable immunohistochemical approaches. In order to overcome these limitations, we analyzed epigenetic modifications of PDCD1 (PD1), CD274 (PD-L1), and CTLA4 in NSCLC tissues from 39 patients. Results were correlated with transcriptome dat… Show more

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Cited by 55 publications
(51 citation statements)
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References 6 publications
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“…Consequently, DNA methylation might also be suitable as a quantitative surrogate biomarker for T cell exhaustion. Since CTLA-4 expression has been shown to correlate inversely with promoter methylation in various malignancies (33)(34)(35), CTLA4 hypomethylation in tumors might be a surrogate biomarker for the state of T cell exhaustion. Such a second mechanism might add to the ability of mCTLA4 to assess the amount of CTLA-4-expressing and ICB-responding tumor cells, thereby explaining its high performance as a predictive biomarker.…”
Section: Discussionmentioning
confidence: 99%
“…Consequently, DNA methylation might also be suitable as a quantitative surrogate biomarker for T cell exhaustion. Since CTLA-4 expression has been shown to correlate inversely with promoter methylation in various malignancies (33)(34)(35), CTLA4 hypomethylation in tumors might be a surrogate biomarker for the state of T cell exhaustion. Such a second mechanism might add to the ability of mCTLA4 to assess the amount of CTLA-4-expressing and ICB-responding tumor cells, thereby explaining its high performance as a predictive biomarker.…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, DNA methylation seems to control PD-1, PD-L1, PD-L2, and CTLA-4 gene expression; when these genes are silenced, the antigen presentation and the immune cytotoxic effects are inhibited [180,181]. The hypermethylation-derived silencing of CTLA-4 and PD-1 was also observed in baseline tumor biopsies compared to their pair-matched tissues in NSCLC patients [87]. In addition, in colorectal cancer, PD-L1 expression is associated with CpG island hypermethylation in a subpopulation of BRAF V600E carriers with high infiltration of CD3 + T cells [182].…”
Section: Emerging Evidence Supporting the Roles Of Dna Methylation Anmentioning
confidence: 96%
“…Immune checkpoint inhibitors are one of the promising treatments for cancer, especially the drugs targeting either the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) or the programmed death 1 (PD1), yet the mechanisms are still not clear [36][37][38]. Here we examined the effect of miR-493 on PD-L1 and found that miR-493 regulates the expression of PD-L1 by c-JUN and then the sensitivity of EC cells to DDP.…”
Section: Mir-493 Regulates the Expression Of Pd-l1mentioning
confidence: 96%