- Zhou, Yixuan;
- Bastian, Ingmar Niels;
- Long, Mark D;
- Dow, Michelle;
- Li, Weihua;
- Liu, Tao;
- Ngu, Rachael Katie;
- Antonucci, Laura;
- Huang, Jian Yu;
- Phung, Qui T;
- Zhao, Xi-He;
- Banerjee, Sourav;
- Lin, Xue-Jia;
- Wang, Hongxia;
- Dang, Brian;
- Choi, Sylvia;
- Karin, Daniel;
- Su, Hua;
- Ellisman, Mark H;
- Jamieson, Christina;
- Bosenberg, Marcus;
- Cheng, Zhang;
- Haybaeck, Johannes;
- Kenner, Lukas;
- Fisch, Kathleen M;
- Bourgon, Richard;
- Hernandez, Genevive;
- Lill, Jennie R;
- Liu, Song;
- Carter, Hannah;
- Mellman, Ira;
- Karin, Michael;
- Shalapour, Shabnam
Many cancers evade immune rejection by suppressing major histocompatibility class I (MHC-I) antigen processing and presentation (AgPP). Such cancers do not respond to immune checkpoint inhibitor therapies (ICIT) such as PD-1/PD-L1 [PD-(L)1] blockade. Certain chemotherapeutic drugs augment tumor control by PD-(L)1 inhibitors through potentiation of T-cell priming but whether and how chemotherapy enhances MHC-I-dependent cancer cell recognition by cytotoxic T cells (CTLs) is not entirely clear. We now show that the lysine acetyl transferases p300/CREB binding protein (CBP) control MHC-I AgPPM expression and neoantigen amounts in human cancers. Moreover, we found that two distinct DNA damaging drugs, the platinoid oxaliplatin and the topoisomerase inhibitor mitoxantrone, strongly up-regulate MHC-I AgPP in a manner dependent on activation of nuclear factor kappa B (NF-κB), p300/CBP, and other transcription factors, but independently of autocrine IFNγ signaling. Accordingly, NF-κB and p300 ablations prevent chemotherapy-induced MHC-I AgPP and abrogate rejection of low MHC-I-expressing tumors by reinvigorated CD8+ CTLs. Drugs like oxaliplatin and mitoxantrone may be used to overcome resistance to PD-(L)1 inhibitors in tumors that had "epigenetically down-regulated," but had not permanently lost MHC-I AgPP activity.