Pharmacologic inhibition of protein phosphatase-2A achieves durable immune-mediated antitumor activity when combined
Winson S Ho1, Herui Wang2, Dominic Maggio1
1Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD, 20892, USA.
Abstract:
Mounting evidence suggests that inhibition of protein phosphatase-2A (PP2A), a serine/threonine phosphatase, could enhance anticancer immunity. However, drugs targeting PP2A are not currently available. Here, we report that a PP2A inhibitor, LB-100, when combined with anti-PD-1 (aPD-1) blockade can synergistically elicit a durable immune-mediated antitumor response in a murine CT26 colon cancer model. This effect is T-cell dependent, leading to regression of a significant proportion of tumors. Analysis of tumor lymphocytes demonstrates enhanced effector T-cell and reduced suppressive regulatory T-cell infiltration. Clearance of tumor establishes antigen-specific secondary protective immunity. A synergistic effect of LB-100 and aPD-1 blockade is also observed in B16 melanoma model. In addition, LB-100 activates the mTORC1 signaling pathway resulting in decreased differentiation of naive CD4 cells into regulatory T cells. There is also increased expression of Th1 and decreased expression of Th2 cytokines. These data highlight the translational potential of PP2A inhibition in combination with checkpoint inhibition.
Insights
Inhibiting protein phosphatase-2A (PP2A) with LB-100 synergizes with anti-PD-1 therapy to boost anticancer immunity. This combination therapy leads to durable, T-cell dependent tumor regression and establishes protective memory.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Protein phosphatase-2A (PP2A) inhibition shows potential for enhancing anticancer immunity.
- Currently, no drugs specifically target PP2A for therapeutic use.
Purpose of the Study:
- To investigate the synergistic effect of a PP2A inhibitor, LB-100, combined with anti-PD-1 (aPD-1) blockade in preclinical cancer models.
- To elucidate the mechanisms underlying the observed antitumor immune response.
Main Methods:
- Utilized murine CT26 colon cancer and B16 melanoma models.
- Administered LB-100 in combination with aPD-1 blockade.
- Analyzed tumor-infiltrating lymphocytes, T-cell populations (effector and regulatory), cytokine profiles, and mTORC1 signaling.
Main Results:
- Combination therapy resulted in synergistic, durable, immune-mediated antitumor responses and tumor regression.
- The effect was T-cell dependent, with enhanced effector T-cell and reduced regulatory T-cell infiltration in tumors.
- LB-100 activated mTORC1 signaling, decreased naive CD4+ T-cell differentiation into regulatory T cells, and shifted cytokine profiles towards Th1.
- Tumor clearance led to antigen-specific secondary protective immunity.
Conclusions:
- PP2A inhibition, exemplified by LB-100, combined with aPD-1 blockade offers a promising synergistic strategy for cancer immunotherapy.
- This combination enhances T-cell mediated antitumor immunity and establishes long-term protection.
- The findings underscore the translational potential of combining PP2A inhibitors with immune checkpoint inhibitors.
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