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Pharmacological suppression of the OTUD4/CD73 proteolytic axis revives antitumor immunity against immune-suppressive breast cancers
Yueming Zhu, … , Bin Zhang, Yong Wan
Yueming Zhu, … , Bin Zhang, Yong Wan
Published March 26, 2024
Citation Information: J Clin Invest. 2024;134(10):e176390. https://doi.org/10.1172/JCI176390.
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Research Article Oncology

Pharmacological suppression of the OTUD4/CD73 proteolytic axis revives antitumor immunity against immune-suppressive breast cancers

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Abstract

Despite widespread utilization of immunotherapy, treating immune-cold tumors remains a challenge. Multiomic analyses and experimental validation identified the OTUD4/CD73 proteolytic axis as a promising target in treating immune-suppressive triple negative breast cancer (TNBC). Mechanistically, deubiquitylation of CD73 by OTUD4 counteracted its ubiquitylation by TRIM21, resulting in CD73 stabilization inhibiting tumor immune responses. We further demonstrated the importance of TGF-β signaling for orchestrating the OTUD4/CD73 proteolytic axis within tumor cells. Spatial transcriptomics profiling discovered spatially resolved features of interacting malignant and immune cells pertaining to expression levels of OTUD4 and CD73. In addition, ST80, a newly developed inhibitor, specifically disrupted proteolytic interaction between CD73 and OTUD4, leading to reinvigoration of cytotoxic CD8+ T cell activities. In preclinical models of TNBC, ST80 treatment sensitized refractory tumors to anti-PD-L1 therapy. Collectively, our findings uncover what we believe to be a novel strategy for targeting the immunosuppressive OTUD4/CD73 proteolytic axis in treating immune-suppressive breast cancers with the inhibitor ST80.

Authors

Yueming Zhu, Anupam Banerjee, Ping Xie, Andrey A. Ivanov, Amad Uddin, Qiao Jiao, Junlong Jack Chi, Lidan Zeng, Ji Young Lee, Yifan Xue, Xinghua Lu, Massimo Cristofanilli, William J. Gradishar, Curtis J. Henry, Theresa W. Gillespie, Manali Ajay Bhave, Kevin Kalinsky, Haian Fu, Ivet Bahar, Bin Zhang, Yong Wan

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Figure 4

Stabilization of CD73 by OTUD4 in immune-cold tumors is orchestrated in response to TGF-β signaling.

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Stabilization of CD73 by OTUD4 in immune-cold tumors is orchestrated in ...
(A) MSigDB-based pathway enrichment analysis shows that CD73 expression in TCGA TNBC samples is positively correlated with TGF-β signaling hallmark. (B) MDA-MB468-ShTRIM21 cells were treated with IFN-γ (100 μg/mL), and OTUD4 and CD73 protein levels were determined. (C) Spearman’s rank correlation analysis using CPTAC data set showing the CD73 protein expression is highly positively correlated with TGF-β signaling pathway–related proteins. (D) The MSigDB-based pathway enrichment analysis showing that OTUD4 expression in TCGA TNBC samples is positively correlated with TGF-β signaling hallmark. (E) Spearman’s correlation analysis showing the positive correlation between OTUD4 expression and TGF-β signaling pathway. (F) MDA-MB468 were treated with 3 ng/mL TGF-β, OTUD4, and CD73 protein levels were determined by immunoblotting. (G) MDA-MB468-CD73-V5 were treated with 3 ng/mL TGF-β, CD73 immune complexes were immunoprecipitated and ubiquitylation levels were determined. (H) MDA-MB468 cells were treated with 3 ng/mL TGF-β, adenosine production levels were determined. (I) MDA-MB468 cells were treated with CHX and MG-132. Cell lysates were collected at indicated time points and followed by measuring CD73 protein expression. (J and K) MDA-MB468-ShCon and MDA-MB468-ShOTUD4 were treated with 3 ng/mL TGF-β, OTUD4 and CD73 protein levels (J) and adenosine production (K) were determined. (L) MDA-MB468-CD73WT and MDA-MB468-CD73V300P/I301Q cells were treated with 3 ng/mL TGF-β, V5-tagged CD73 and CD73V300P/I301Q were immunoprecipitated and ubiquitylation level was determined. (M and N) CD73 protein turnover rate (M) and adenosine production level (N) were determined in MDA-MB468-CD73V300P/I301Q and TGF-β–treated MDA-MB468-CD73V300P/I301Q cells. Data (mean ± SEM) are representative of at least 3 independent experiments. *P < 0.05 and ****P < 0.0001, by unpaired t test, 1-way ANOVA with Tukey’s multiple comparisons test.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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