DFMO Improves Survival and Increases Immune Cell Infiltration in Association with MYC Downregulation in the

Sai Preethi Nakkina1, Sarah B Gitto2,3,4, Jordan M Beardsley1

  • 1Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, 6900 Lake Nona Blvd., Orlando, FL 32827, USA.

Insights

Difluoromethylornithine (DFMO) effectively targets MYC in pancreatic cancer, reducing tumor growth and enhancing immune cell activity. This approach shows promise for overcoming immune suppression in pancreatic ductal adenocarcinoma (PDAC) treatment.

Area of Science:

  • Oncology
  • Immunology
  • Cancer Biology

Background:

  • Pancreatic ductal adenocarcinoma (PDAC) exhibits poor survival rates (<10%) due to immune suppression and chemoresistance.
  • Tumor-associated macrophages and oncogenes like KRAS and MYC contribute to immune evasion and therapeutic challenges in PDAC.

Purpose of the Study:

  • To evaluate the efficacy of targeting KRAS (via c-RAF inhibition with GW5074) and MYC (via difluoromethylornithine, DFMO) in PDAC.
  • To investigate the impact of these targeted therapies on PDAC growth, immune suppression, and survival.

Main Methods:

  • In vitro assessment of PDAC cell viability with DFMO and GW5074.
  • In vivo studies using immunocompromised and immunocompetent syngeneic mouse models of PDAC.
  • Immunohistochemical analysis to evaluate tumor immune cell infiltration and oncogene expression.

Main Results:

  • Both DFMO and GW5074 reduced in vitro PDAC cell viability and in vivo tumor growth in immunocompromised mice.
  • In immunocompetent mice, DFMO and combination treatment decreased tumor size, but only DFMO significantly increased survival.
  • DFMO diminished MYC expression and increased infiltration of macrophages, CD86+, CD4+, and CD8+ T lymphocytes, while GW5074 did not effectively modulate these factors.

Conclusions:

  • Targeting MYC with DFMO shows potential for modulating PDAC immunosuppression and improving therapeutic outcomes.
  • DFMO demonstrates superior efficacy compared to GW5074 in enhancing anti-tumor immunity and survival in PDAC models.