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Updated: Dec 6, 2025

Assessing Cellular Target Engagement by SHP2 PTPN11 Phosphatase Inhibitors
Published on: July 17, 2020
SHP2 inhibition diminishes KRASG12C cycling and promotes tumor microenvironment remodeling
Carmine Fedele1, Shuai Li1, Kai Wen Teng1
1Laura and Isaac Perlmutter Cancer Center, New York University School of Medicine, NYU Langone Health, New York, NY.
Abstract:
KRAS is the most frequently mutated human oncogene, and KRAS inhibition has been a longtime goal. Recently, inhibitors were developed that bind KRASG12C-GDP and react with Cys-12 (G12C-Is). Using new affinity reagents to monitor KRASG12C activation and inhibitor engagement, we found that an SHP2 inhibitor (SHP2-I) increases KRAS-GDP occupancy, enhancing G12C-I efficacy. The SHP2-I abrogated RTK feedback signaling and adaptive resistance to G12C-Is in vitro, in xenografts, and in syngeneic KRASG12C-mutant pancreatic ductal adenocarcinoma (PDAC) and non-small cell lung cancer (NSCLC). SHP2-I/G12C-I combination evoked favorable but tumor site-specific changes in the immune microenvironment, decreasing myeloid suppressor cells, increasing CD8+ T cells, and sensitizing tumors to PD-1 blockade. Experiments using cells expressing inhibitor-resistant SHP2 showed that SHP2 inhibition in PDAC cells is required for PDAC regression and remodeling of the immune microenvironment but revealed direct inhibitory effects on tumor angiogenesis and vascularity. Our results demonstrate that SHP2-I/G12C-I combinations confer a substantial survival benefit in PDAC and NSCLC and identify additional potential combination strategies.
Insights
SHP2 inhibitors enhance KRAS G12C inhibitors' efficacy in KRASG12C-mutant cancers. This combination therapy shows promise for pancreatic ductal adenocarcinoma and non-small cell lung cancer, improving survival and immune response.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Immunology
Background:
- KRAS mutations are common in human cancers, making KRAS inhibition a key therapeutic goal.
- KRAS G12C inhibitors (G12C-Is) target a specific KRAS mutation but face challenges with resistance.
- SHP2, a protein tyrosine phosphatase, plays a role in signaling pathways relevant to cancer growth.
Purpose of the Study:
- To investigate the efficacy of combining SHP2 inhibitors (SHP2-I) with G12C-Is.
- To explore the mechanisms by which SHP2 inhibition affects KRAS signaling and cancer resistance.
- To evaluate the impact of this combination on the tumor immune microenvironment and survival in preclinical models.
Main Methods:
- Utilized novel affinity reagents to monitor KRASG12C activation and G12C-I engagement.
- Assessed the effects of SHP2-I/G12C-I combination in vitro, in xenograft models, and in syngeneic models of KRASG12C-mutant pancreatic ductal adenocarcinoma (PDAC) and non-small cell lung cancer (NSCLC).
- Analyzed changes in the tumor immune microenvironment, including myeloid suppressor cells and CD8+ T cells, and assessed tumor angiogenesis.
Main Results:
- SHP2 inhibition increased KRAS-GDP occupancy, enhancing G12C-I efficacy.
- The combination abrogated RTK feedback signaling and adaptive resistance to G12C-Is.
- SHP2-I/G12C-I treatment modulated the immune microenvironment, decreased tumor angiogenesis, and sensitized tumors to PD-1 blockade.
- SHP2 inhibition was crucial for PDAC regression and immune microenvironment remodeling.
Conclusions:
- SHP2-I/G12C-I combination therapy provides a substantial survival benefit in PDAC and NSCLC models.
- SHP2 inhibition overcomes resistance mechanisms and enhances the anti-tumor activity of G12C-Is.
- This combination strategy presents a promising therapeutic approach and suggests further combination possibilities.
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