Pharmacologic modulation of RNA splicing enhances anti-tumor immunity Journal Article


Authors: Lu, S. X.; De Neef, E.; Thomas, J. D.; Sabio, E.; Rousseau, B.; Gigoux, M.; Knorr, D. A.; Greenbaum, B.; Elhanati, Y.; Hogg, S. J.; Chow, A.; Ghosh, A.; Xie, A.; Zamarin, D.; Cui, D.; Erickson, C.; Singer, M.; Cho, H.; Wang, E.; Lu, B.; Durham, B. H.; Shah, H.; Chowell, D.; Gabel, A. M.; Shen, Y.; Liu, J.; Jin, J.; Rhodes, M. C.; Taylor, R. E.; Molina, H.; Wolchok, J. D.; Merghoub, T.; Diaz, L. A. Jr; Abdel-Wahab, O.; Bradley, R. K.
Article Title: Pharmacologic modulation of RNA splicing enhances anti-tumor immunity
Abstract: Although mutations in DNA are the best-studied source of neoantigens that determine response to immune checkpoint blockade, alterations in RNA splicing within cancer cells could similarly result in neoepitope production. However, the endogenous antigenicity and clinical potential of such splicing-derived epitopes have not been tested. Here, we demonstrate that pharmacologic modulation of splicing via specific drug classes generates bona fide neoantigens and elicits anti-tumor immunity, augmenting checkpoint immunotherapy. Splicing modulation inhibited tumor growth and enhanced checkpoint blockade in a manner dependent on host T cells and peptides presented on tumor MHC class I. Splicing modulation induced stereotyped splicing changes across tumor types, altering the MHC I-bound immunopeptidome to yield splicing-derived neoepitopes that trigger an anti-tumor T cell response in vivo. These data definitively identify splicing modulation as an untapped source of immunogenic peptides and provide a means to enhance response to checkpoint blockade that is readily translatable to the clinic. © 2021 Elsevier Inc.
Keywords: immunotherapy; rna splicing; splicing; immune checkpoint blockade; prmts; neoantigens; pd1; rbm39; neoepitopes; immunopeptidome
Journal Title: Cell
Volume: 184
Issue: 15
ISSN: 0092-8674
Publisher: Cell Press  
Date Published: 2021-07-22
Start Page: 4032
End Page: 4047.e31
Language: English
DOI: 10.1016/j.cell.2021.05.038
PUBMED: 34171309
PROVIDER: scopus
PMCID: PMC8684350
DOI/URL:
Notes: Article -- Export Date: 2 August 2021 -- Source: Scopus
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MSK Authors
  1. Jedd D Wolchok
    905 Wolchok
  2. Taha Merghoub
    364 Merghoub
  3. Dmitriy Zamarin
    201 Zamarin
  4. Arnab Ghosh
    64 Ghosh
  5. Sydney X Lu
    100 Lu
  6. Benjamin Heath Durham
    115 Durham
  7. Hana Cho
    21 Cho
  8. Erich Sabio
    9 Sabio
  9. Luis Alberto Diaz
    149 Diaz
  10. Mathieu Gigoux
    23 Gigoux
  11. David A Knorr
    22 Knorr
  12. Andrew Chow
    45 Chow
  13. Harshal R Shah
    2 Shah
  14. Simon John Hogg
    26 Hogg
  15. Eric Wang
    11 Wang
  16. Daniel Cui
    6 Cui
  17. Michael Emet Zuri Singer
    8 Singer
  18. Bin Lu
    6 Lu