Department of Dermatology, University of Yamanashi, Yamanashi, Japan.
Department of Cell Biology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
J Dermatol. 2018 Dec;45(12):1434-1439. doi: 10.1111/1346-8138.14651. Epub 2018 Sep 17.
Serine/threonine-protein kinase B-Raf (BRAF) inhibitors are very effective in treating melanoma with BRAF mutations. BRAF inhibitors suppress aberrant growth of melanoma cells caused by BRAF mutations. BRAF mutations reportedly result in melanoma cells releasing immunosuppressive factors, and BRAF inhibitors elicit anti-melanoma immune responses by reducing such factors. However, immunological characteristics of tumor cells that acquire resistance to BRAF inhibitors remain unknown. Here, we compared immunological characteristics between a melanoma cell line and its vemurafenib-resistant subline. No differences were observed in the status of BRAF mutations, expression of surface molecules related to antitumor T-cell responses or recognition by human leukocyte antigen-A*0201-matched melanoma-specific cytotoxic T lymphocytes in a short-term co-culture assay. However, resistant tumor cells released high amounts of interleukin-10 depending on aberrant activation of Akt signaling, and dendritic cell functions were considerably suppressed by culture supernatants of the resistant cells. Our findings demonstrated a novel immunological mechanism contributing to tumor growth owing to drug resistance to BRAF inhibitors.
丝氨酸/苏氨酸蛋白激酶 B-Raf(BRAF)抑制剂在治疗 BRAF 突变型黑色素瘤方面非常有效。BRAF 抑制剂抑制由 BRAF 突变引起的黑色素瘤细胞的异常生长。据报道,BRAF 突变导致黑色素瘤细胞释放免疫抑制因子,而 BRAF 抑制剂通过减少这些因子来引发抗黑色素瘤免疫反应。然而,对 BRAF 抑制剂产生耐药性的肿瘤细胞的免疫特性尚不清楚。在这里,我们比较了黑色素瘤细胞系及其vemurafenib 耐药亚系之间的免疫特性。在短期共培养试验中,BRAF 突变状态、与抗肿瘤 T 细胞反应相关的表面分子的表达或与人白细胞抗原-A*0201 匹配的黑色素瘤特异性细胞毒性 T 淋巴细胞的识别均无差异。然而,耐药肿瘤细胞根据 Akt 信号的异常激活释放大量白细胞介素-10,并且树突状细胞功能被耐药细胞的培养上清液显著抑制。我们的研究结果表明,一种新的免疫机制导致了肿瘤生长,这归因于对 BRAF 抑制剂的耐药性。