Department of Biological Sciences, Boler-Parseghian Center for Rare and Neglected Diseases, Harper Cancer Research Institute, University of Notre Dame, Notre Dame, IN, United States.
Integrated Biomedical Sciences Graduate Program, University of Notre Dame, Notre Dame, IN, United States.
Front Immunol. 2022 Oct 20;13:1005045. doi: 10.3389/fimmu.2022.1005045. eCollection 2022.
Response resistance to the immune checkpoint blockade (ICB) immunotherapy remains a major clinical challenge that may be overcome through the rational combination of ICB and specific targeted therapeutics. One emerging combination strategy is based on sensitizing ICB-refractory tumors with antagonists of 90kD heat shock protein (Hsp90) that target all four isoforms. However, pan-Hsp90 inhibitors are limited by the modest efficacy, on-target and off-tumor toxicities, and induction of the heat shock response (HSR) that overrides the effect of Hsp90 inhibition. Recently, we developed Hsp90β-selective inhibitors that were cytotoxic to cancer cells but did not induce HSR . Here, we report that the Hsp90β inhibitor NDNB1182 downregulated CDK4 (an Hsp90β-dependent client protein) and induced the expression of endogenous retroviral elements and interferon-stimulated genes. In syngeneic mouse models of prostate cancer and breast cancer, NDNB1182 significantly augmented the efficacy of ICB therapy. Furthermore, NDNB1182 showed superior tolerability to the pan-Hsp90 inhibitor Ganetespib in mice. Our findings provide evidence that Hsp90β inhibition is a potentially effective and safe regimen to combine with ICB to treat immunotherapy-refractory solid tumors.
对免疫检查点阻断(ICB)免疫疗法的耐药性仍然是一个主要的临床挑战,通过将 ICB 与特定的靶向治疗药物合理联合,可能克服这一挑战。一种新兴的联合策略是基于用针对所有四个同工型的 90kD 热休克蛋白(Hsp90)拮抗剂敏化 ICB 耐药肿瘤。然而,泛 Hsp90 抑制剂受到适度疗效、靶内和肿瘤外毒性以及热休克反应(HSR)的诱导的限制,HSR 会抵消 Hsp90 抑制的作用。最近,我们开发了 Hsp90β 选择性抑制剂,这些抑制剂对癌细胞具有细胞毒性,但不会诱导 HSR。在这里,我们报告 Hsp90β 抑制剂 NDNB1182 下调 CDK4(Hsp90β 依赖性客户蛋白)并诱导内源性逆转录病毒元件和干扰素刺激基因的表达。在前列腺癌和乳腺癌的同基因小鼠模型中,NDNB1182 显著增强了 ICB 治疗的疗效。此外,NDNB1182 在小鼠中的耐受性优于泛 Hsp90 抑制剂 Ganetespib。我们的研究结果提供了证据,表明 Hsp90β 抑制是一种潜在有效的、安全的方案,可与 ICB 联合用于治疗免疫治疗耐药的实体瘤。