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Publication : ALKBH5 regulates anti-PD-1 therapy response by modulating lactate and suppressive immune cell accumulation in tumor microenvironment.

First Author  Li N Year  2020
Journal  Proc Natl Acad Sci U S A Volume  117
Issue  33 Pages  20159-20170
PubMed ID  32747553 Mgi Jnum  J:294079
Mgi Id  MGI:6451898 Doi  10.1073/pnas.1918986117
Citation  Li N, et al. (2020) ALKBH5 regulates anti-PD-1 therapy response by modulating lactate and suppressive immune cell accumulation in tumor microenvironment. Proc Natl Acad Sci U S A 117(33):20159-20170
abstractText  Although immune checkpoint blockade (ICB) therapy has revolutionized cancer treatment, many patients do not respond or develop resistance to ICB. N(6) -methylation of adenosine (m(6)A) in RNA regulates many pathophysiological processes. Here, we show that deletion of the m(6)A demethylase Alkbh5 sensitized tumors to cancer immunotherapy. Alkbh5 has effects on m(6)A density and splicing events in tumors during ICB. Alkbh5 modulates Mct4/Slc16a3 expression and lactate content of the tumor microenvironment and the composition of tumor-infiltrating Treg and myeloid-derived suppressor cells. Importantly, a small-molecule Alkbh5 inhibitor enhanced the efficacy of cancer immunotherapy. Notably, the ALKBH5 gene mutation and expression status of melanoma patients correlate with their response to immunotherapy. Our results suggest that m(6)A demethylases in tumor cells contribute to the efficacy of immunotherapy and identify ALKBH5 as a potential therapeutic target to enhance immunotherapy outcome in melanoma, colorectal, and potentially other cancers.
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