Abstract
TGF-β is a cytokine thought to function as a tumor promoter in advanced malignancies. In this setting, TGF-β increases cancer cell proliferation, survival, and migration, and orchestrates complex, pro-tumorigenic changes in the tumor microenvironment. Here, we find that in melanoma, integrin β1-mediated TGF-β activation may also produce tumor suppression via an altered host response. In the A375 human melanoma cell nu/nu xenograft model, we demonstrate that cell surface integrin β1-activation increases TGF-β activity, resulting in stromal activation, neo-angiogenesis and, unexpectedly for this nude mouse model, increase in the number of intra-tumoral CD8+ T lymphocytes within the tumor microenvironment. This is associated with attenuation of tumor growth and long-term survival benefit. Correspondingly, in human melanomas, TGF-β1 correlates with integrin β1/TGF-β1 activation and the expression of markers for vasculature and stromal activation. Surprisingly, this integrin β1/TGF-β1 transcriptional footprint also correlates with the expression of markers for tumor-infiltrating lymphocytes, multiple immune checkpoints and regulatory pathways, and, importantly, better long-term survival of patients. These correlations are unique to melanoma, in that we do not observe similar associations between β1 integrin/TGF-β1 activation and better long-term survival in other human tumor types. These results suggest that activation of TGF-β1 in melanoma may be associated with the generation of an anti-tumor host response that warrants further study.
Highlights
High-grade melanoma is one of the most aggressive human tumors; it is highly metastatic and generally resistant to systemic chemotherapy [1]
We confirmed that TS2/16 activates integrin β1, as the total number of active β1 integrins on the cell surface measured by FACS was increased in A375 cells treated with TS2/16 (S1D Fig)
Malignant melanoma was the only tumor type where TGFB1 expression significantly correlated with all four variables and overall survival, suggesting that the integrin β1 / TGF-β1 / host response phenotype we identified might be uniquely associated with anti-melanoma activity (Fig 3)
Summary
High-grade melanoma is one of the most aggressive human tumors; it is highly metastatic and generally resistant to systemic chemotherapy [1]. For advanced melanoma patients with BRAF or NRAS mutations (28%), additional targeted drugs, while useful for controlling disease, are rarely curative due to therapy resistance [2,3,4,5,6]. Komen for the Cure (IIR 12223648), http://ww. Html, and Harvard-Ludwig Center for Cancer Research
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