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APR-246 可提高肿瘤抗原性而不依赖于 p53。

APR-246 increases tumor antigenicity independent of p53.

机构信息

https://ror.org/02r109517 Department of Pharmacology, Swim Across America and Ludwig Collaborative Laboratory, Weill Cornell Medicine, New York, NY, USA.

https://ror.org/02r109517 Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.

出版信息

Life Sci Alliance. 2023 Oct 27;7(1). doi: 10.26508/lsa.202301999. Print 2024 Jan.

DOI:10.26508/lsa.202301999
PMID:37891002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10610029/
Abstract

We previously reported that activation of p53 by APR-246 reprograms tumor-associated macrophages to overcome immune checkpoint blockade resistance. Here, we demonstrate that APR-246 and its active moiety, methylene quinuclidinone (MQ) can enhance the immunogenicity of tumor cells directly. MQ treatment of murine B16F10 melanoma cells promoted activation of melanoma-specific CD8 T cells and increased the efficacy of a tumor cell vaccine using MQ-treated cells even when the B16F10 cells lacked p53. We then designed a novel combination of APR-246 with the TLR-4 agonist, monophosphoryl lipid A, and a CD40 agonist to further enhance these immunogenic effects and demonstrated a significant antitumor response. We propose that the immunogenic effect of MQ can be linked to its thiol-reactive alkylating ability as we observed similar immunogenic effects with the broad-spectrum cysteine-reactive compound, iodoacetamide. Our results thus indicate that combination of APR-246 with immunomodulatory agents may elicit effective antitumor immune response irrespective of the tumor's p53 mutation status.

摘要

我们之前曾报道,APR-246 通过激活 p53 重编程肿瘤相关巨噬细胞,克服免疫检查点阻断耐药性。在这里,我们证明 APR-246 及其活性部分亚甲基喹诺酮(MQ)可以直接增强肿瘤细胞的免疫原性。MQ 处理小鼠 B16F10 黑色素瘤细胞促进了黑色素瘤特异性 CD8 T 细胞的激活,并增加了使用 MQ 处理细胞的肿瘤细胞疫苗的疗效,即使 B16F10 细胞缺乏 p53。然后,我们设计了 APR-246 与 TLR-4 激动剂单磷酰脂质 A 和 CD40 激动剂的新组合,以进一步增强这些免疫原性效应,并证明了显著的抗肿瘤反应。我们提出,MQ 的免疫原性效应与其巯基反应性烷化能力有关,因为我们观察到广谱半胱氨酸反应性化合物碘乙酰胺具有类似的免疫原性效应。因此,我们的研究结果表明,APR-246 与免疫调节剂的联合使用可能会引发有效的抗肿瘤免疫反应,而与肿瘤的 p53 突变状态无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/9d23ac7b4a19/LSA-2023-01999_FigS5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/6420207b3290/LSA-2023-01999_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/f809c038d0f6/LSA-2023-01999_FigS1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/dd3c3c9131ce/LSA-2023-01999_FigS2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/c7d2878af35c/LSA-2023-01999_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/81f356511ec0/LSA-2023-01999_Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/83ebeb34f0af/LSA-2023-01999_Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/69eebf2af35a/LSA-2023-01999_FigS3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/b499f10e91f3/LSA-2023-01999_FigS4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/1609f62467c9/LSA-2023-01999_Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/9d23ac7b4a19/LSA-2023-01999_FigS5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/6420207b3290/LSA-2023-01999_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/f809c038d0f6/LSA-2023-01999_FigS1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/dd3c3c9131ce/LSA-2023-01999_FigS2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/c7d2878af35c/LSA-2023-01999_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/81f356511ec0/LSA-2023-01999_Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/83ebeb34f0af/LSA-2023-01999_Fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/69eebf2af35a/LSA-2023-01999_FigS3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/b499f10e91f3/LSA-2023-01999_FigS4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/1609f62467c9/LSA-2023-01999_Fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d0/10610029/9d23ac7b4a19/LSA-2023-01999_FigS5.jpg

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Phase Ib study of eprenetapopt (APR-246) in combination with pembrolizumab in patients with advanced or metastatic solid tumors.eprenetapopt(APR-246)联合 pembrolizumab 治疗晚期或转移性实体瘤的 Ib 期研究。
ESMO Open. 2022 Oct;7(5):100573. doi: 10.1016/j.esmoop.2022.100573. Epub 2022 Sep 7.
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B cells and tertiary lymphoid structures as determinants of tumour immune contexture and clinical outcome.
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Lenvatinib plus Pembrolizumab for Advanced Endometrial Cancer.仑伐替尼联合帕博利珠单抗治疗晚期子宫内膜癌。
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