Identification of Small Molecule Enhancers of Immunotherapy for Melanoma

Christopher Dextras1, Myagmarjav Dashnyam1, Lesley A Mathews Griner1

  • 1Division of Preclinical Innovation, National Center for Advancing Translational Sciences (NCATS), National Institutes of Health, Rockville, Maryland, USA.

Scientific Reports
|April 2, 2020
PubMed

Insights

Researchers identified four compounds that enhance adoptive cell transfer (ACT) immunotherapy for melanoma by increasing tumor antigen expression. These compounds may overcome resistance in BRAF-mutant melanoma, leading to more durable responses.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Metastatic melanoma treatments like targeted therapies and adoptive cell transfer (ACT) immunotherapy show promise but face challenges.
  • Targeted therapies often yield non-durable responses with tumor relapse, while ACT immunotherapy resistance arises from decreased tumor antigen expression.
  • Combining small molecules to sustain T cell function with ACT could improve durable responses in melanoma patients.

Purpose of the Study:

  • To develop a novel high-throughput screening assay for identifying compounds that enhance ACT immunotherapy in melanoma.
  • To discover small molecules that can overcome resistance in BRAF-mutant melanoma by increasing antigen expression.

Main Methods:

  • A co-culture, cell-based high-throughput assay system was developed using a BRAF V600E mutant melanoma cell line (SB-3123p) resistant to Pmel-1 ACT due to low gp100 expression.
  • A homogeneous time-resolved fluorescence (HTRF) screening assay was established to quantify Interferon-gamma (IFNγ) release upon recognition of melanoma cells by Pmel-1 CD8+ T-cells.
  • Approximately 500 small molecules targeting diverse cellular mechanisms were screened.

Main Results:

  • Four active compounds were identified that increased melanoma antigen expression.
  • These compounds led to enhanced IFNγ production, indicating improved T cell recognition and effector function.
  • The in vitro activity of these four compounds was validated.

Conclusions:

  • The identified compounds enhance melanoma antigen expression, potentially overcoming ACT resistance.
  • These compounds may form the basis for novel therapeutic strategies to improve immune recognition in BRAF-mutant melanoma.
  • This research offers a new approach for patients with melanoma resistant to ACT due to antigen downregulation.

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