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Updated: Jul 12, 2025

Yeast As a Chassis for Developing Functional Assays to Study Human P53
Published on: August 4, 2019
APR-246 increases tumor antigenicity independent of p53
Judith Michels1,2, Divya Venkatesh1,2, Cailian Liu1,2
1Department of Pharmacology, Swim Across America and Ludwig Collaborative Laboratory, Weill Cornell Medicine, New York, NY, USA.
Abstract:
We previously reported that activation of p53 by APR-246 reprograms tumor-associated macrophages to overcome immune checkpoint blockade resistance. Here, we demonstrate that APR-246 and its active moiety, methylene quinuclidinone (MQ) can enhance the immunogenicity of tumor cells directly. MQ treatment of murine B16F10 melanoma cells promoted activation of melanoma-specific CD8+ T cells and increased the efficacy of a tumor cell vaccine using MQ-treated cells even when the B16F10 cells lacked p53. We then designed a novel combination of APR-246 with the TLR-4 agonist, monophosphoryl lipid A, and a CD40 agonist to further enhance these immunogenic effects and demonstrated a significant antitumor response. We propose that the immunogenic effect of MQ can be linked to its thiol-reactive alkylating ability as we observed similar immunogenic effects with the broad-spectrum cysteine-reactive compound, iodoacetamide. Our results thus indicate that combination of APR-246 with immunomodulatory agents may elicit effective antitumor immune response irrespective of the tumor's p53 mutation status.
Insights
APR-246 enhances tumor cell immunogenicity, boosting T cell responses and vaccine efficacy, even in p53-deficient tumors. Combining APR-246 with immune agonists yields significant antitumor effects, offering a p53-independent therapeutic strategy.
Area of Science:
- Oncology
- Immunology
- Drug Discovery
Background:
- APR-246 previously showed potential in reprogramming tumor-associated macrophages to overcome resistance to immune checkpoint blockade.
- The role of APR-246 and its active metabolite, methylene quinuclidinone (MQ), in directly enhancing tumor cell immunogenicity was investigated.
Purpose of the Study:
- To determine if APR-246/MQ can directly increase tumor cell immunogenicity and enhance anti-tumor immune responses.
- To explore novel combinations of APR-246 with immunomodulatory agents for improved anti-tumor efficacy.
- To investigate the mechanism underlying MQ-induced immunogenicity.
Main Methods:
- Treatment of murine B16F10 melanoma cells with APR-246/MQ.
- Assessment of melanoma-specific CD8+ T cell activation.
- Evaluation of tumor cell vaccine efficacy using MQ-treated cells.
- Development and testing of a combination therapy including APR-246, a TLR-4 agonist, and a CD40 agonist.
- Comparison of MQ effects with iodoacetamide, a cysteine-reactive compound.
Main Results:
- MQ treatment enhanced tumor cell immunogenicity, promoting CD8+ T cell activation.
- A tumor cell vaccine using MQ-treated cells demonstrated increased efficacy, independent of p53 status.
- Combination therapy with APR-246, a TLR-4 agonist, and a CD40 agonist produced a significant anti-tumor response.
- The immunogenic effects of MQ were linked to its thiol-reactive alkylating ability, similar to iodoacetamide.
Conclusions:
- APR-246 and its active moiety MQ can directly enhance tumor cell immunogenicity, leading to improved T cell responses and vaccine efficacy.
- Combination of APR-246 with immunomodulatory agents offers a promising p53-independent strategy for eliciting effective anti-tumor immune responses.
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