Mo et al. discovered that CTLA-4 is expressed not only in activated T cells but also in most human melanoma cell lines and normal human melanocytes, and its expression is controlled by IFNγ signaling via the JAK/STAT pathway and by the IFNγ-independent MAPK pathway. A subset of melanoma patients receiving anti-CTLA-4 therapy had upregulated IFNγ and CTLA-4 gene expression in the tumor, which correlated with durable response, suggesting that the success of anti-CTLA-4 therapy may be due in part to targeting melanoma cells themselves.

CTLA-4 is a cell surface receptor on T cells that functions as an immune checkpoint molecule to enforce tolerance to cognate antigens. Anti-CTLA-4 immunotherapy is highly effective at reactivating T cell responses against melanoma, which is postulated to be due to targeting CTLA-4 on T cells. Here we report that CTLA-4 is also highly expressed by most human melanoma cell lines, as well as in normal human melanocytes. Interferon-gamma (IFNG) signaling activated the expression of the human CTLA-4 gene in a melanocyte and melanoma cell-specific manner. Mechanistically, IFNG activated CTLA-4 expression through JAK1/2-dependent phosphorylation of STAT1, which bound a specific gamma-activated sequence (GAS) site on the CTLA-4 promoter, thereby licensing CBP/p300-mediated histone acetylation and local chromatin opening. In melanoma cell lines, elevated baseline expression relied upon constitutive activation of the MAPK pathway. Notably, RNA-seq analyses of melanoma specimens obtained from patients who had received anti-CTLA-4 immunotherapy (ipilimumab) showed upregulation of an IFNG-response gene expression signature, including CTLA-4 itself, which correlated significantly with durable response. Taken together, our results raise the possibility that CTLA-4 targeting on melanoma cells may contribute to the clinical immunobiology of anti-CTLA-4 responses.

Author Info: (1) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine. (2) Fels Institute for Cancer Research and Molecular Biology, Temple University Sc

Author Info: (1) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine. (2) Fels Institute for Cancer Research and Molecular Biology, Temple University School of Medicine. (3) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine. (4) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine. (5) Fels Institute for Cancer Research and Molecular Biology, Temple University School of Medicine. (6) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine. (7) Medical Genetics & Molecular Biochemistry, Temple University School of Medicine. (8) Fels Institute for Cancer Research and Molecular Biology, Temple University. (9) Fels Institute for Cancer Reserach, Temple University School of Medicine. (10) Fels Institute for Cancer Research & Molecular Biology, Temple University School of Medicine zaidi@temple.edu.