Lurbinectedin reduces tumour-associated macrophages and the inflammatory tumour microenvironment in preclinical

Cristina Belgiovine1, Ezia Bello2, Manuela Liguori3

  • 1Department of Biomedical Sciences, Humanitas University, Via Manzoni 113, 20089 Rozzano, Milan, Italy.

Abstract

Insights

Lurbinectedin, an anticancer drug, reduces inflammatory cells and blood vessels in tumors. It also inhibits monocyte functions, suggesting a dual role in cancer treatment by targeting both cancer cells and the tumor microenvironment.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Lurbinectedin is a novel anticancer agent in late-stage clinical trials for ovarian, breast, and small-cell lung cancers.
  • It structurally resembles trabectedin and targets active transcription and DNA repair in tumor cells.

Purpose of the Study:

  • To investigate lurbinectedin's effect on the inflammatory microenvironment and myeloid cell viability in tumor-bearing mice.
  • To explore lurbinectedin's direct impact on tumor cells and their surrounding environment.

Main Methods:

  • Administration of lurbinectedin to tumor-bearing mice.
  • In vitro studies on human purified monocytes.
  • Analysis of gene expression, cell viability, apoptosis, and inflammatory factor production.

Main Results:

  • Lurbinectedin significantly decreased circulating monocytes, tumor-associated macrophages, and tumor vasculature.
  • In vitro, lurbinectedin induced monocyte apoptosis and inhibited inflammatory factors (CCL2, CXCL8, VEGF).
  • Lurbinectedin impaired monocyte adhesion and migration, and inhibited Rho-GTPase family genes.

Conclusions:

  • Lurbinectedin modulates the inflammatory microenvironment by affecting mononuclear phagocyte viability and function.
  • These immunomodulatory effects, alongside its direct anticancer activity, position lurbinectedin as a promising oncology compound.