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.

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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