An organoid-based screen for epigenetic inhibitors that stimulate antigen presentation and potentiate T-cell-mediated cytotoxicity

  • Nat Biomed Eng. 2021 Nov;5(11):1320-1335. doi: 10.1038/s41551-021-00805-x.
Zhuolong Zhou  1 Kevin Van der Jeught  1 Yuanzhang Fang  1 Tao Yu  1 Yujing Li  1 Zheng Ao  2 Sheng Liu  3 Lu Zhang  1  4 Yang Yang  1  5 Haniyeh Eyvani  1 Mary L Cox  6 Xiyu Wang  1 Xiaoming He  7 Guang Ji  4 Bryan P Schneider  6  8 Feng Guo  2 Jun Wan  1  3  6 Xinna Zhang  9  10 Xiongbin Lu  11  12  13
Affiliations
  • 1. Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA.
  • 2. Department of Intelligent Systems Engineering, Indiana University, Bloomington, IN, USA.
  • 3. Center for Computational Biology and Bioinformatics, Indiana University School of Medicine, Indianapolis, IN, USA.
  • 4. Institute of Digestive Diseases, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
  • 5. Experiment Center for Science and Technology, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
  • 6. Melvin and Bren Simon Comprehensive Cancer Center, Indiana University School of Medicine, Indianapolis, IN, USA.
  • 7. Fischell Department of Bioengineering, University of Maryland, College Park, MD, USA.
  • 8. Division of Hematology/Oncology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
  • 9. Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA. [email protected].
  • 10. Melvin and Bren Simon Comprehensive Cancer Center, Indiana University School of Medicine, Indianapolis, IN, USA. [email protected].
  • 11. Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA. [email protected].
  • 12. Center for Computational Biology and Bioinformatics, Indiana University School of Medicine, Indianapolis, IN, USA. [email protected].
  • 13. Melvin and Bren Simon Comprehensive Cancer Center, Indiana University School of Medicine, Indianapolis, IN, USA. [email protected].
Abstract

In breast Cancer, genetic heterogeneity, the lack of actionable targets and immune evasion all contribute to the limited clinical response rates to immune checkpoint blockade therapy. Here, we report a high-throughput screen based on the functional interaction of mouse- or patient-derived breast tumour organoids and tumour-specific cytotoxic T cells for the identification of epigenetic inhibitors that promote antigen presentation and potentiate T-cell-mediated cytotoxicity. We show that the epigenetic inhibitors GSK-LSD1, CUDC-101 and BML-210, identified by the screen, display antitumour activities in orthotopic mammary tumours in mice, that they upregulate antigen presentation mediated by the major histocompatibility complex class I on breast tumour cells and that treatment with BML-210 substantially sensitized breast tumours to the inhibitor of the checkpoint programmed death-1. Standardized measurements of tumour-cell killing activity facilitated by tumour-organoid-T-cell screens may help with the identification of candidate immunotherapeutics for a range of cancers.

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