Evidence map›Paper›PMID 40091029›Full record

ArticleMolecular cancer2025

IL-4 mediated TAP2 downregulation is a dominant and reversible mechanism of immune evasion and immunotherapy resistance in non-small cell lung cancer.

Kishu Ranjan, Barani Kumar Rajendran, Imad Ud Deen, Adrien Costantini, Miguel Lopez de Rodas, Shruti S Desai, Frankie Scallo, Nicole Gianino, Soldano Ferrone, Kurt A Schalper

Abstract read
In one paragraph

Article in Molecular cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kishu RanjanDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Barani Kumar RajendranDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Imad Ud DeenDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Adrien CostantiniDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Miguel Lopez de RodasDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Shruti S DesaiDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Frankie ScalloDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Nicole GianinoDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA.
Soldano FerroneDepartment of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, 02114, USA.
Kurt A SchalperDepartment of Pathology, School of Medicine, Brady Memorial Laboratory, Yale University, Room BML 113, New Haven, CT, 06520, USA. kurt.schalper@yale.edu.

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 1985 to 2026
$85.0M
Yale SPORE in Lung Cancer (YSILC): The Biology and Personalized Treatment of Lung CancerP50CA196530 · NCI · YALE UNIVERSITY · PI Harriet M. Kluger · 2015 to 2026
$31.1M
Quantitative and Spatially-Resolved Analysis of the Tumor Immune Contexture for Optimal Diagnosis and Treatment of Lung CancerR37CA245154 · NCI · YALE UNIVERSITY · PI SCHALPER, KURT A · 2020 to 2025
$2.6M
Understanding the role and clinical potential of dominant immune suppressive myeloid-cell responses in human cancerR01CA262377 · NCI · YALE UNIVERSITY · PI SCHALPER, KURT A · 2021 to 2025
$1.9M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysisS10OD030363 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2022 to 2022
$1.2M
High Content Imaging System for Microscopy-Based High-Throughput AssaysS10OD032384 · OD · YALE UNIVERSITY · PI SUROVTSEVA, YULIA · 2022 to 2022
$230k
ROLE OF THE HLA ANTIGEN PRESENTING MACHINERY (APM) IN RESISTANCE TO PD-1 AXIS BLOCKADE IN NON-SMALL CELL LUNG CANCERR03CA219603 · NCI · YALE UNIVERSITY · PI FERRONE, SOLDANO, SCHALPER, KURT A · 2019 to 2020
$184k
National Institutes of Health, United States R37CA245154NCI NIH HHS P30 CA016359NCI NIH HHS P50 CA196530NCI NIH HHS R01 CA262377NCI NIH HHS R03 CA219603NCI NIH HHS R37 CA245154NIH HHS R03CA219603NIH HHS S10 OD030363NIH HHS S10 OD032384Yale SPORE in Lung Cancer P50CA196530
6 · The paper itself

Abstract

backgroundResistance to both naturally occurring anti-cancer immunity and to immunotherapy is common in patients with aggressive non-small cell lung cancer (NSCLC). Recent studies indicate a role of loss of the HLA class-I antigen presentation machinery (APM) protein β-2-microglobulin in acquired resistance to immune checkpoint blockers. However, the mechanisms, functional consequences and therapeutic potential of APM defects in NSCLC remain poorly understood.

methodsUsing multiplexed immunofluorescence, we spatially mapped CD8

resultsWe identified cancer cell selective TAP2 protein downregulation in 42.4% of treatment naïve NSCLCs associated with reduced sensitivity to immune checkpoint blockers. TAP1 downregulation occurred in 24.4% of lung tumors without survival impact. Silencing of TAP2 in lung cancer cells altered key intracellular immunomodulatory pathways, limited sensitivity to proinflammatory cytokines, reduced the levels of surface peptide-HLA complexes and protected malignant cells from tumor antigen-specific T-cell killing via SOCS1 upregulation. TAP2 loss in human NSCLCs was associated with reduced TAP2 promoter chromatin accessibility and elevated IL-4 IL-4 expression. Treatment with IL-4 reduced TAP2 levels and the chromatin accessibility of the TAP2 gene promoter in NSCLC cells and reproduced all the functional consequences of TAP2 loss. In intact human NSCLC, IL-4 IL-4 transcripts were detected in intratumoral myeloid cells and IL-4Rα blockade increased human NSCLC cell killing by autologous TILs. Epigenetic modulators and other drugs with known anti-cancer activity increased TAP2 expression and its function in lung cancer cells.

conclusionsOur study reveals previously unrecognized functions of TAP2 beyond antigen presentation and establishes a reversible multi-cellular axis mediating adaptive immune evasion and immunotherapy resistance with clinical potential.

Indexed as

ATP Binding Cassette Transporter, Subfamily B, Member 2ATP Binding Cassette Transporter, Subfamily B, Member 3Carcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmImmune EvasionInterleukin-4Lung NeoplasmsCD8-Positive T-LymphocytesCell Line, TumorDown-RegulationGene Expression Regulation, NeoplasticHumansImmunotherapyLymphocytes, Tumor-InfiltratingATP Binding Cassette Transporter, Subfamily B, Member 2ATP Binding Cassette Transporter, Subfamily B, Member 3Interleukin-4TAP1 protein, humanTAP2 protein, humanBiomarkersCD11bCD8 T-cellEpigeneticsHLA class IIL-4RαImmunotherapyTAP2

Identifiers

PMID40091029
PMCPMC11912681

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.