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Table 4 Immune-modulating effects of APOBEC3s by cancer type

From: APOBEC3-mediated mutagenesis in cancer: causes, clinical significance and therapeutic potential

Cancer type

APOBEC3(s)*

Effect on immune system

Immune features associated with APOBEC3s

Study type

References

Adrenal

3B

Suppressive

Decreased immune cell infiltration

Patient

[162]

Gastric

3B

Suppressive

Fewer CD8+ T cells expressing effector antigens and immune checkpoint proteins

Patient

[37]

Liver

3B

Suppressive

More immunosuppressive mediators such as MDSCs and TAMs

Mouse

[163]

Breast

3B

Activating

More CD4+ and CD8+ T cells with increased IFN-γ and cytotoxic granzyme B production. Fewer T-reg, Th2, and TAM cells

Mouse

[164]

 

3B

Activating

More tumor-infiltrating lymphocytes

Patient

[165]

 

3B

Activating

Immune activation in pan-cancer analysis

Patient

[162]

 

3C-H

Activating

More CD8+ T-cells with greater receptor diversity and cytolytic activity

Patient

[48]

Bladder

3B

Activating

Enrichment of immune-related signatures, including IFN-γ

Patient

[46]

 

Mutation burden

Activating

Higher neoantigen loads, activated CD4+ T cells, CD8+ T cells, and M1 cells. Fewer MDSCs and naïve CD4+ T cells

Patient

[160]

 

3B

Activating

More cytotoxic T-cells with a higher CD8+/CD3+ ratio

Patient

[35]

Glioma

3B, 3C, 3D, 3F, 3G, 3H

Activating

Increased myeloid cell infiltration, IFN-γ signaling, and PD-L1/2 expression

Patient

[51]

Lung

3B

Activating

More activated CD4+ T cells, CD8+ T cells, and NK cells. Fewer regulatory T cells

Patient

[166]

 

3B

Activating

Upregulation of immune genes and more T cell infiltration to the tumor site

Patient

[36]

 

Mutation burden

Activating

Enrichment of interferon pathways

Patient

[89]

Melanoma

3B

Activating

Immune activation in a multi-cancer analysis

Patient

[162]

Ovarian

3B

Activating

Greater tumor immune cell infiltration

Patient

[41]

 

3G

Activating

Higher immune cell counts in the tumor microenvironment

Patient

[167]

  1. *Where applicable, “mutation burden” refers to APOBEC3-induced mutation burden