Issues
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Cover Image
Cover Image
Glioblastoma (GBM) is considered an “immunologically cold” tumor, and immunotherapy has limited clinical benefit. To probe the immune landscape of gliomas and identify targetable molecular mechanisms, Ye, Ai, and colleagues used single-cell sequencing of the GBM tumor immune microenvironment (TIME) and showed that microglia are under severe oxidative stress that promotes GBM proliferation and aggressiveness. Additionally, oxidative stress in these microglia induces immunometabolic reprogramming of the brain TIME and disrupts their antigen presentation to CD8+ T cells. Mechanistically, nuclear receptor subfamily 4 group A member 2 (NR4A2)–dependent transcriptional activity is induced by microglial oxidative stress, leading to activation of squalene monooxygenase (SQLE) and subsequent dysregulation of cholesterol homeostasis. Pharmacologic inhibition of NR4A2 reduced the protumorigenic TIME, and NR4A2 or SQLE inhibition enhanced immune checkpoint blockade efficacy in vivo, suggesting synergistic vulnerabilities in this immunologically cold tumor through microglial metabolic reprogramming. For more information, see the article by Ye, Ai, and colleagues on page 974. Artwork by Xinyue Hu. - PDF Icon PDF LinkTable of Contents
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Editorial
In This Issue
In the Spotlight
In Focus
Review
Research Brief
Dynamics of Age- versus Therapy-Related Clonal Hematopoiesis in Long-term Survivors of Pediatric Cancer
Deep sequencing of 2,860 long-term survivors of pediatric cancer identified accelerated clonal hematopoiesis (CH) and characterized STAT3 as a CH gene specific to Hodgkin lymphoma survivors.
Research Articles
Genomic Instability and Protumoral Inflammation Are Associated with Primary Resistance to Anti–PD-1 + Antiangiogenesis in Malignant Pleural Mesothelioma
Cancer cell genomic instability correlates with proinflammatory IL6 and IL8 production, VEGF, as well as regulatory T cells and is associated with primary resistance to immunotherapy and antiangiogenics in patients with advanced mesothelioma.
Blocking Genomic Instability Prevents Acquired Resistance to MAPK Inhibitor Therapy in Melanoma
Focal amplicons via extrachromosomal DNA and intrachromosomal complex genomic rearrangements drive acquired MAPK inhibitor resistance, revealing nonhomologous end-joining DNA repair as key to their biogenesis and thereby DNA-PKCS as a cotarget to prevent resistance.
Intratumoral Heterogeneity and Clonal Evolution Induced by HPV Integration
High-resolution analysis of genomic rearrangements at human papillomavirus (HPV) integration sites reveals heterocateny, which implicates the capture, amplification, and recombination of host and viral DNA by HPV integration as its mechanism.
Extrachromosomal DNA Amplification Contributes to Small Cell Lung Cancer Heterogeneity and Is Associated with Worse Outcomes
In small cell lung cancer, extrachromosomal DNAs (ecDNA) serve as MYC-amplifying units that contribute to disease heterogeneity as well as enable transcriptional flexibility that may promote the worse survival outcomes seen in tumors harboring ecDNA amplifications.
Antibody–Exatecan Conjugates with a Novel Self-immolative Moiety Overcome Resistance in Colon and Lung Cancer
An antibody–drug conjugate (ADC) class that combines a novel self-immolative T moiety and the topoisomerase I inhibitor exatecan displays higher therapeutic indices to overcome intrinsic or induced tumor resistance to current ADCs while also improving ADC stability to limit off-target toxicities.
Targeting Microglial Metabolic Rewiring Synergizes with Immune-Checkpoint Blockade Therapy for Glioblastoma
Tumor-associated microglia undergo oxidative stress to dysregulate orphan nuclear receptor NR4A2 signaling of SQLE-mediated cholesterol metabolism, offering synergistic vulnerabilities with immune checkpoint blockade therapy for glioblastoma.
LKB1-Dependent Regulation of TPI1 Creates a Divergent Metabolic Liability between Human and Mouse Lung Adenocarcinoma
Differences in the effects of LKB1 loss in human versus murine lung adenocarcinoma are attributed to differential TPI1 regulation that leads to divergent metabolic liabilities and has implications for therapeutic targeting in cancer.
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