SOX17 enables immune evasion of early colorectal adenomas and cancers.

TitleSOX17 enables immune evasion of early colorectal adenomas and cancers.
Publication TypeJournal Article
Year of Publication2024
AuthorsGoto N, Westcott PMK, Goto S, Imada S, Taylor MS, Eng G, Braverman J, Deshpande V, Jacks T, Agudo J, Yilmaz ÖH
JournalNature
Volume627
Issue8004
Pagination636-645
Date Published2024 Mar
ISSN1476-4687
KeywordsAdenoma, Animals, CD8-Positive T-Lymphocytes, Chromatin, Colorectal Neoplasms, Disease Progression, Endoderm, Gene Expression Profiling, Humans, Immune Evasion, Interferon-gamma, Mice, Mutation, Organoids, SOXF Transcription Factors, Tumor Microenvironment
Abstract

A hallmark of cancer is the avoidance of immune destruction. This process has been primarily investigated in locally advanced or metastatic cancer1-3; however, much less is known about how pre-malignant or early invasive tumours evade immune detection. Here, to understand this process in early colorectal cancers (CRCs), we investigated how naive colon cancer organoids that were engineered in vitro to harbour Apc-null, KrasG12D and Trp53-null (AKP) mutations adapted to the in vivo native colonic environment. Comprehensive transcriptomic and chromatin analyses revealed that the endoderm-specifying transcription factor SOX17 became strongly upregulated in vivo. Notably, whereas SOX17 loss did not affect AKP organoid propagation in vitro, its loss markedly reduced the ability of AKP tumours to persist in vivo. The small fraction of SOX17-null tumours that grew displayed notable interferon-γ (IFNγ)-producing effector-like CD8+ T cell infiltrates in contrast to the immune-suppressive microenvironment in wild-type counterparts. Mechanistically, in both endogenous Apc-null pre-malignant adenomas and transplanted organoid-derived AKP CRCs, SOX17 suppresses the ability of tumour cells to sense and respond to IFNγ, preventing anti-tumour T cell responses. Finally, SOX17 engages a fetal intestinal programme that drives differentiation away from LGR5+ tumour cells to produce immune-evasive LGR5- tumour cells with lower expression of major histocompatibility complex class I (MHC-I). We propose that SOX17 is a transcription factor that is engaged during the early steps of colon cancer to orchestrate an immune-evasive programme that permits CRC initiation and progression.

DOI10.1038/s41586-024-07135-3
Alternate JournalNature
PubMed ID38418875
PubMed Central IDPMC11969226
Grant ListR01 CA245314 / CA / NCI NIH HHS / United States
R01 DK126545 / DK / NIDDK NIH HHS / United States
K99 AG045144 / AG / NIA NIH HHS / United States
P30 CA014051 / CA / NCI NIH HHS / United States
F32 CA254314 / CA / NCI NIH HHS / United States
P30 CA045508 / CA / NCI NIH HHS / United States
K99 AG076987 / AG / NIA NIH HHS / United States
R01 DK132544 / DK / NIDDK NIH HHS / United States
R01 CA257523 / CA / NCI NIH HHS / United States
K22 CA279501 / CA / NCI NIH HHS / United States
U54 CA224068 / CA / NCI NIH HHS / United States
R01 DK133919 / DK / NIDDK NIH HHS / United States