Phenotypic screening platform identifies statins as enhancers of immune cell-induced cancer cell death

Tove Selvin1, Malin Berglund2, Lena Lenhammar2

  • 1Department of Medical Sciences, Division of Cancer Pharmacology and Computational Medicine, Uppsala University, SE-75185, Uppsala, Sweden. tove.selvin@medsci.uu.se.

BMC Cancer
|February 21, 2023
PubMed
Abstract

Insights

This study introduces a new screening method to find cancer drugs that boost immune responses. Statins were identified as drugs that enhance immune cell-driven cancer cell death, offering new avenues for immuno-oncology drug discovery.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • High-throughput screening (HTS) aids cancer drug discovery but often overlooks immunomodulatory agents.
  • Current phenotypic screening platforms in oncology primarily focus on cancer cells, neglecting immune cell interactions.
  • A gap exists in identifying drugs that modulate the tumor immune microenvironment (TIME).

Purpose of the Study:

  • To develop a novel phenotypic screening platform for identifying immunomodulatory agents.
  • To screen FDA-approved small molecule drugs for their effect on cancer-immune cell interactions.
  • To address the limitations of current screening methods in immuno-oncology.

Main Methods:

  • Developed a miniaturized co-culture system using human colorectal cancer and immune cells.
  • Implemented a simple image-based readout compatible with high-throughput screening.
  • Screened 1,280 FDA-approved small molecule drugs using the developed platform.

Main Results:

  • Identified statins as a class of drugs that enhance immune cell-induced cancer cell death.
  • The lipophilic statin pitavastatin demonstrated the most potent anti-cancer effect in the model.
  • Pitavastatin treatment induced a pro-inflammatory cytokine and gene expression profile in the tumor-immune model.

Conclusions:

  • The developed platform offers an in vitro approach for identifying immunomodulatory agents, filling a critical gap in immuno-oncology.
  • Statins show potential as repurposing candidates for cancer treatment by enhancing immune-mediated cancer cell death.
  • Clinical benefits of statins in cancer patients may stem from their combined effects on both cancer and immune cells, not just direct anti-cancer activity.