Uveal melanoma (UM) is the most common primary eye malignancy in adults and up to 50% of patients subsequently develop systemic metastasis. Metastatic uveal melanoma (MUM) is highly resistant to immunotherapy. One of the mechanisms for resistance would be the immune-suppressive tumor microenvironment. Here, we have investigated the role of tryptophan 2,3-dioxygenase (TDO) in UM. Both TDO and indoleamine 2,3-dioxygenase (IDO) catalyze tryptophan and produce kynurenine, which could cause inhibition of T cell immune responses. We first studied the expression of TDO on tumor tissue specimens obtained from UM hepatic metastasis. High expression of TDO protein was confirmed in all hepatic metastasis. TDO was positive in both normal hepatocytes and the tumor cells with relatively higher expression in tumor cells. On the other hand, IDO protein remained undetectable in all of the MUM specimens. UM cell lines established from metastasis also expressed TDO protein and increasing kynurenine levels were detected in the supernatant of MUM cell culture. In TCGA database, higher TDO2 expression in primary UM significantly correlated to BAP1 mutation and monosomy 3. These results indicate that TDO might be one of the key mechanisms for resistance to immunotherapy in UM.
Expression of tryptophan 2,3-dioxygenase in metastatic uveal melanoma
Creators
Mizue Terai - Sidney Kimmel Cancer Center
Eric Londin - Thomas Jefferson University
Ankit Rochani - Thomas Jefferson University
Emma Link - Drexel University
Bao Lam - Sidney Kimmel Cancer Center
Gagan Kaushal - Thomas Jefferson University
Alok Bhushan - Thomas Jefferson University
Marlana Orloff - Thomas Jefferson University
Takami Sato - Thomas Jefferson University
Publication Details
Cancers, v 12(2), 405
Publisher
MDPI
Number of pages
14
Grant note
Aurore Lebrun
Meggie Danielson
Thomas Jefferson University (100008513)
Eye Melanoma Research Fund
Thomas Jefferson University (http://data.elsevier.com/vocabulary/SciValFunders/100008513)
Resource Type
Journal article
Language
English
Academic Unit
College of Medicine
Web of Science ID
WOS:000522477300151
Scopus ID
2-s2.0-85079453375
Other Identifier
991021860773004721
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