Transition to a mesenchymal state in neuroblastoma confers resistance to anti-GD2 antibody via reduced expression of ST8SIA1
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Transition to a mesenchymal state in neuroblastoma confers resistance to anti-GD2 antibody via reduced expression of ST8SIA1. / Mabe, Nathaniel W; Huang, Min; Dalton, Guillermo N; Alexe, Gabriela; Schaefer, Daniel A; Geraghty, Anna C; Robichaud, Amanda L; Conway, Amy S; Khalid, Delan; Mader, Marius M; Belk, Julia A; Ross, Kenneth N; Sheffer, Michal; Linde, Miles H; Ly, Nghi; Yao, Winnie; Rotiroti, Maria Caterina; Smith, Benjamin A H; Wernig, Marius; Bertozzi, Carolyn R; Monje, Michelle; Mitsiades, Constantine S; Majeti, Ravindra; Satpathy, Ansuman T; Stegmaier, Kimberly; Majzner, Robbie G.
In: NAT CANCER, Vol. 3, No. 8, 08.2022, p. 976-993.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Transition to a mesenchymal state in neuroblastoma confers resistance to anti-GD2 antibody via reduced expression of ST8SIA1
AU - Mabe, Nathaniel W
AU - Huang, Min
AU - Dalton, Guillermo N
AU - Alexe, Gabriela
AU - Schaefer, Daniel A
AU - Geraghty, Anna C
AU - Robichaud, Amanda L
AU - Conway, Amy S
AU - Khalid, Delan
AU - Mader, Marius M
AU - Belk, Julia A
AU - Ross, Kenneth N
AU - Sheffer, Michal
AU - Linde, Miles H
AU - Ly, Nghi
AU - Yao, Winnie
AU - Rotiroti, Maria Caterina
AU - Smith, Benjamin A H
AU - Wernig, Marius
AU - Bertozzi, Carolyn R
AU - Monje, Michelle
AU - Mitsiades, Constantine S
AU - Majeti, Ravindra
AU - Satpathy, Ansuman T
AU - Stegmaier, Kimberly
AU - Majzner, Robbie G
N1 - © 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.
PY - 2022/8
Y1 - 2022/8
N2 - Immunotherapy with anti-GD2 antibodies has advanced the treatment of children with high-risk neuroblastoma, but nearly half of patients relapse, and little is known about mechanisms of resistance to anti-GD2 therapy. Here, we show that reduced GD2 expression was significantly correlated with the mesenchymal cell state in neuroblastoma and that a forced adrenergic-to-mesenchymal transition (AMT) conferred downregulation of GD2 and resistance to anti-GD2 antibody. Mechanistically, low-GD2-expressing cell lines demonstrated significantly reduced expression of the ganglioside synthesis enzyme ST8SIA1 (GD3 synthase), resulting in a bottlenecking of GD2 synthesis. Pharmacologic inhibition of EZH2 resulted in epigenetic rewiring of mesenchymal neuroblastoma cells and re-expression of ST8SIA1, restoring surface expression of GD2 and sensitivity to anti-GD2 antibody. These data identify developmental lineage as a key determinant of sensitivity to anti-GD2 based immunotherapies and credential EZH2 inhibitors for clinical testing in combination with anti-GD2 antibody to enhance outcomes for children with neuroblastoma.
AB - Immunotherapy with anti-GD2 antibodies has advanced the treatment of children with high-risk neuroblastoma, but nearly half of patients relapse, and little is known about mechanisms of resistance to anti-GD2 therapy. Here, we show that reduced GD2 expression was significantly correlated with the mesenchymal cell state in neuroblastoma and that a forced adrenergic-to-mesenchymal transition (AMT) conferred downregulation of GD2 and resistance to anti-GD2 antibody. Mechanistically, low-GD2-expressing cell lines demonstrated significantly reduced expression of the ganglioside synthesis enzyme ST8SIA1 (GD3 synthase), resulting in a bottlenecking of GD2 synthesis. Pharmacologic inhibition of EZH2 resulted in epigenetic rewiring of mesenchymal neuroblastoma cells and re-expression of ST8SIA1, restoring surface expression of GD2 and sensitivity to anti-GD2 antibody. These data identify developmental lineage as a key determinant of sensitivity to anti-GD2 based immunotherapies and credential EZH2 inhibitors for clinical testing in combination with anti-GD2 antibody to enhance outcomes for children with neuroblastoma.
KW - Antibodies, Monoclonal
KW - Child
KW - Gangliosides
KW - Humans
KW - Immunotherapy
KW - Neoplasm Recurrence, Local/chemically induced
KW - Neuroblastoma/drug therapy
U2 - 10.1038/s43018-022-00405-x
DO - 10.1038/s43018-022-00405-x
M3 - SCORING: Journal article
C2 - 35817829
VL - 3
SP - 976
EP - 993
JO - NAT CANCER
JF - NAT CANCER
SN - 2662-1347
IS - 8
ER -