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Targeting Adenosine with Adenosine Deaminase 2 to Inhibit Growth of Solid Tumors
Lin Wang1, Luz M Londono1, Jessica Cowell1
1Formerly of Halozyme Therapeutics, Inc., San Diego, California.
Abstract:
Extracellular adenosine in tumors can suppress immune responses and promote tumor growth. Adenosine deaminase 2 (ADA2) converts adenosine into inosine. The role of ADA2 in cancer and whether it can target adenosine for cancer therapy has not been investigated. Here we show that increased ADA2 expression is associated with increased patient survival and enrichment of adaptive immune response pathways in several solid tumor types. Several ADA2 variants were created to improve catalytic efficiency, and PEGylation was used to prolong systemic exposure. In mice, PEGylated ADA2 (PEGADA2) inhibited tumor growth by targeting adenosine in an enzyme activity-dependent manner and thereby modulating immune responses. These findings introduce endogenous ADA2 expression as a prognostic factor and PEGADA2 as a novel immunotherapy for cancer. SIGNIFICANCE: This study identifies ADA2 as a prognostic factor associated with prolonged cancer patient survival and introduces the potential of enzymatic removal of adenosine with engineered ADA2 for cancer immunotherapy.
Insights
Adenosine deaminase 2 (ADA2) expression predicts better cancer survival. Engineered ADA2 (PEGADA2) shows promise as an immunotherapy by reducing tumor-promoting adenosine and enhancing immune responses.
Area of Science:
- Oncology
- Immunology
- Enzymology
Background:
- Extracellular adenosine suppresses anti-tumor immunity and promotes tumor progression.
- The role of Adenosine deaminase 2 (ADA2) in cancer and its therapeutic potential remains unexplored.
Purpose of the Study:
- To investigate the role of ADA2 in cancer.
- To evaluate ADA2 as a potential cancer immunotherapy targeting adenosine.
Main Methods:
- Assessed ADA2 expression in relation to patient survival and immune response pathways in solid tumors.
- Engineered ADA2 variants with improved catalytic efficiency.
- Developed PEGylated ADA2 (PEGADA2) for prolonged systemic exposure.
- Evaluated PEGADA2 efficacy in mouse tumor models.
Main Results:
- Increased ADA2 expression correlated with improved patient survival and enhanced adaptive immune responses.
- PEGADA2 demonstrated significant tumor growth inhibition in mice.
- Inhibition was dependent on enzyme activity and modulated immune responses.
- Adenosine targeting by PEGADA2 was confirmed as the mechanism of action.
Conclusions:
- Endogenous ADA2 expression serves as a prognostic biomarker for cancer patient survival.
- Engineered ADA2, specifically PEGADA2, represents a novel enzymatic immunotherapy for cancer by targeting extracellular adenosine.
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