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Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Nat+Commun 2017 ; 8 (ä): ä Nephropedia Template TP
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Tumor-associated B-cells induce tumor heterogeneity and therapy resistance #MMPMID28928360
Somasundaram R; Zhang G; Fukunaga-Kalabis M; Perego M; Krepler C; Xu X; Wagner C; Hristova D; Zhang J; Tian T; Wei Z; Liu Q; Garg K; Griss J; Hards R; Maurer M; Hafner C; Mayerhöfer M; Karanikas G; Jalili A; Bauer-Pohl V; Weihsengruber F; Rappersberger K; Koller J; Lang R; Hudgens C; Chen G; Tetzlaff M; Wu L; Frederick DT; Scolyer RA; Long GV; Damle M; Ellingsworth C; Grinman L; Choi H; Gavin BJ; Dunagin M; Raj A; Scholler N; Gross L; Beqiri M; Bennett K; Watson I; Schaider H; Davies MA; Wargo J; Czerniecki BJ; Schuchter L; Herlyn D; Flaherty K; Herlyn M; Wagner SN
Nat Commun 2017[]; 8 (ä): ä PMID28928360show ga
In melanoma, therapies with inhibitors to oncogenic BRAFV600E are highly effective but responses are often short-lived due to the emergence of drug-resistant tumor subpopulations. We describe here a mechanism of acquired drug resistance through the tumor microenvironment, which is mediated by human tumor-associated B cells. Human melanoma cells constitutively produce the growth factor FGF-2, which activates tumor-infiltrating B cells to produce the growth factor IGF-1. B-cell-derived IGF-1 is critical for resistance of melanomas to BRAF and MEK inhibitors due to emergence of heterogeneous subpopulations and activation of FGFR-3. Consistently, resistance of melanomas to BRAF and/or MEK inhibitors is associated with increased CD20 and IGF-1 transcript levels in tumors and IGF-1 expression in tumor-associated B cells. Furthermore, first clinical data from a pilot trial in therapy-resistant metastatic melanoma patients show anti-tumor activity through B-cell depletion by anti-CD20 antibody. Our findings establish a mechanism of acquired therapy resistance through tumor-associated B cells with important clinical implications.