[HTML][HTML] IDO1 Expression in Ovarian Cancer Induces PD-1 in T Cells via Aryl Hydrocarbon Receptor Activation

A Amobi-McCloud, R Muthuswamy, S Battaglia… - Frontiers in …, 2021 - frontiersin.org
A Amobi-McCloud, R Muthuswamy, S Battaglia, H Yu, T Liu, J Wang, V Putluri, PK Singh
Frontiers in immunology, 2021frontiersin.org
The immunoregulatory enzyme, indoleamine 2, 3-dioxygenase (IDO1) and the PD-1/PD-L1
axis are potent mechanisms that impede effective anti-tumor immunity in ovarian cancer.
However, whether the IDO pathway regulates PD-1 expression in T cells is currently
unknown. Here we show that tumoral IDO1 expression led to profound changes in
tryptophan, nicotinate/nicotinamide, and purine metabolic pathways in the ovarian tumor
microenvironment, and to an increased frequency of PD-1+ CD8+ tumor infiltrating T cells …
The immunoregulatory enzyme, indoleamine 2,3-dioxygenase (IDO1) and the PD-1/PD-L1 axis are potent mechanisms that impede effective anti-tumor immunity in ovarian cancer. However, whether the IDO pathway regulates PD-1 expression in T cells is currently unknown. Here we show that tumoral IDO1 expression led to profound changes in tryptophan, nicotinate/nicotinamide, and purine metabolic pathways in the ovarian tumor microenvironment, and to an increased frequency of PD-1+CD8+ tumor infiltrating T cells. We determined that activation of the aryl hydrocarbon receptor (AHR) by kynurenine induced PD-1 expression, and this effect was significantly abrogated by the AHR antagonist CH223191. Mechanistically, kynurenine alters chromatin accessibility in regulatory regions of T cell inhibitory receptors, allowing AHR to bind to consensus XRE motifs in the promoter region of PD-1. These results enable the design of strategies to target the IDO1 and AHR pathways for enhancing anti-tumor immunity in ovarian cancer.
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