Why a gene called CREB5 can make cancers stop responding to immunotherapy

Investigating CREB5-driven mechanisms of immune therapy resistance

NIH-funded research Massachusetts General Hospital · NIH-11247169

This project is looking at whether tumors that make extra CREB5 drive up collagen to turn off immune cells and cause resistance to anti-PD-1 immunotherapy, with the goal of helping people whose cancers do not respond to these drugs.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital NIH-funded
Lab location1 site (Boston, United States)
Project IDNIH-11247169 on NIH RePORTER

What this research studies

Researchers discovered CREB5 as a top hit in a large genetic screen that looked for genes that let tumors evade anti-PD-1 therapy. They will use laboratory tumor models and mice to raise or block CREB5 and measure how immune cells, especially CD8+ T cells, can enter and attack tumors. The team will study changes in gene activity and chromatin (including ATAC-seq and transcriptional profiling) to learn how CREB5 increases collagen and other extracellular matrix factors. They will also test whether removing the collagen receptor LAIR1 or adding a decoy LAIR2 can reverse the immune-blocking effect of CREB5.

Who could benefit from this research

Good fit: People whose cancers did not respond to or stopped responding to immune checkpoint drugs (for example anti-PD-1 therapies) would be most relevant.

Not a fit: Patients whose cancers are controlled by other treatments, those whose tumors do not use immune-checkpoint or collagen/LAIR1 pathways, or those too frail for experimental approaches may not directly benefit from this basic research.

Why it matters

Potential benefit: If successful, this work could point to new ways to prevent or reverse resistance to checkpoint immunotherapy so more cancer patients benefit from these treatments.

How similar studies have performed: Prior preclinical work shows collagen can suppress immune cells through LAIR1 and that blocking LAIR1 or using LAIR2 can restore immune responses in models, but focusing on CREB5 as a driver of this pathway is a newer approach.

Where this research is happening

Boston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.