Lee Dahea, Kim Dongsu, Kim Donggeon, Kang Jisu, Lee Kiram, Lee Hyunji, Yoon Yujin, Lee Youngin, Kim Nahmju, Cho Byoung Chul, Chang Jihoon, Lee Byoung Chul
Kanaph Therapeutics, Seoul, Republic of Korea.
Division of Medical Oncology, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Republic of Korea.
Mol Cancer Ther. 2025 Feb 4;24(2):176-187. doi: 10.1158/1535-7163.MCT-24-0125.
Although cancer immunotherapy has yielded encouraging outcomes in hematologic malignancies, it has faced challenges in achieving the same level of effectiveness in numerous solid tumors, primarily because of the presence of immunosuppressive tumor microenvironments (TME). The immunosuppressive qualities of the TME have generated considerable interest, making it a focal point for treatments aimed at enhancing immune responses and inhibiting tumor progression. Fibroblast activation protein (FAP), an attractive candidate for targeted immunotherapy, is prominently expressed in the TME of various solid tumors. IL12, recognized as a key mediator of immune responses, has been explored as a potential candidate for cancer treatment. Nevertheless, initial efforts to administer IL12 systemically demonstrated limited efficacy and notable side effects, emphasizing the necessity for innovation. To address these concerns, our molecules incorporated specific IL12 mutations, called IL12mut, which reduced toxicity. This study explored the therapeutic potential of the FAP-IL12mut TMEkine-a novel immunotherapeutic agent selectively engineered to target FAP-expressing cells in preclinical cancer models. Our preclinical results, conducted across diverse murine cancer models, demonstrated that FAP-IL12mut significantly inhibits tumor growth, enhances immune cell infiltration, and promotes a shift toward a cytotoxic immune activation profile. These findings suggest that FAP-IL12mut could offer effective cancer treatment strategies.
尽管癌症免疫疗法在血液系统恶性肿瘤中取得了令人鼓舞的成果,但在许多实体瘤中实现同样程度的疗效却面临挑战,主要原因是存在免疫抑制性肿瘤微环境(TME)。TME的免疫抑制特性引发了广泛关注,使其成为旨在增强免疫反应和抑制肿瘤进展的治疗焦点。成纤维细胞活化蛋白(FAP)是靶向免疫疗法的一个有吸引力的候选靶点,在各种实体瘤的TME中显著表达。白细胞介素12(IL12)被认为是免疫反应的关键介质,已被探索作为癌症治疗的潜在候选药物。然而,最初全身性给予IL12的努力显示出疗效有限且副作用明显,这凸显了创新的必要性。为了解决这些问题,我们的分子引入了特定的IL12突变体,称为IL12mut,其降低了毒性。本研究在临床前癌症模型中探索了FAP-IL12mut TMEkine——一种新型免疫治疗药物的治疗潜力,该药物经过选择性设计,可靶向表达FAP的细胞。我们在多种小鼠癌症模型中进行的临床前结果表明,FAP-IL12mut显著抑制肿瘤生长,增强免疫细胞浸润,并促进向细胞毒性免疫激活谱的转变。这些发现表明,FAP-IL12mut可能提供有效的癌症治疗策略。