Association of methylation of homologous repair genes with expression of immune checkpoints in squamous cell carcinoma of head and neck, lung and cervix.

Authors

null

Damian Tobias Rieke

Charité Comprehensive Cancer Center, Berlin, Germany

Damian Tobias Rieke , Sebastian Ochsenreither , Frederick Klauschen , Inge Tinhofer , Ulrich Keilholz

Organizations

Charité Comprehensive Cancer Center, Berlin, Germany, Department of Hematology and Medical Oncology, Charité, CBF, Berlin, Germany, Institute of Pathology, Charité Universitätsmedizin, Berlin, Germany, Dept. of Radiooncology and Radiotherapy, Charité Unversity Hospital and German Cancer Research Center Heidelberg (DKFZ)/German Cancer Consortium (DKTK) partner site Berlin, Berlin, Germany, Department for Hemato-Oncology, Comprehensive Cancer Center, Charité-University Medicine, Berlin, Germany

Research Funding

Other

Background: Immune checkpoints are an emerging treatment target. Microsatellite instability (MSI), mutational load and checkpoint expression are imperfect predictors of treatment efficacy. We here describe a link between DNA repair gene methylation and expression of immune checkpoints in tumor tissue. Methods: A list of DNA repair genes (179 genes) was established from literature. mRNA expression and methylation status was extracted from TCGA data. Correlation analysis of DNA repair gene methylation status and expression of immune checkpoint gene mRNA was performed (cbioportal.org) in HNSSC (279 samples) and validated in other cancer types. Statistical analysis was carried out in R. Results: In HNSCC, methylation of 15 DNA repair genes was identified to be positively correlated to expression of PD-L1 and CTLA4 expression (cutoff: Spearman coefficient r > 0.3). Subgroup analysis revealed statistically significant enrichment for the homologous recombination pathway (p = 0.003). Methylation of candidate genes was associated with reduced expression. Among candidate genes, RAD51B and XRCC3 methylation showed the highest correlation with PD-L1 (r = 0.471, r = 0.472) and CTLA4 (r = 0.525, r = 0.616) expression (p values < 2.2x10-16). Methylation of these DNA repair genes was associated with expression of other checkpoint (CD28, PD-1, TIM-3, LAG-3, VISTA, ICOS, BTLA), ligand (PD-L2, CD80/86), IFNg, MHC-class 1 and T-cell associated genes (FOXP3, CD8A). These findings could be reproduced in independent datasets of lung squamous and cervical carcinoma and, to various extents, also in non-squamous cancer histologies (e.g. melanoma, lung adenocarcinoma). Conclusions: We propose for the first time a link between DNA repair gene methylation and expression of immune checkpoints identified in HNSCC and validated for lung and cervical cancer with similar effects also seen in other cancer types. We hypothesize that homologous recombination deficiency (HRD) may be mediated by DNA repair gene hypermethylation and linked to an immune-evasive phenotype. Correlation of DNA repair gene methylation and clinical efficacy of checkpoint inhibitors should be investigated.

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Abstract Details

Meeting

2016 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Tumor Biology

Track

Tumor Biology

Sub Track

Immunobiology

Citation

J Clin Oncol 34, 2016 (suppl; abstr 11543)

DOI

10.1200/JCO.2016.34.15_suppl.11543

Abstract #

11543

Poster Bd #

240

Abstract Disclosures

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