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Published on: August 2, 2024
EHMT1/2 Inhibition Promotes Regression of Therapy-Resistant Ovarian Cancer Tumors in a CD8 T-cell-Dependent Manner
Lily L Nguyen1,2, Zachary L Watson2, Raquel Ortega1,2
1Molecular Cellular Developmental Biology, The University of Colorado Boulder, Boulder, Colorado.
Abstract:
Poly ADP-ribose polymerase inhibitors (PARPi) are first-line maintenance therapy for ovarian cancer and an alternative therapy for several other cancer types. However, PARPi-resistance is rising, and there is currently an unmet need to combat PARPi-resistant tumors. Here, we created an immunocompetent, PARPi-resistant mouse model to test the efficacy of combinatory PARPi and euchromatic histone methyltransferase 1/2 inhibitor (EHMTi) in the treatment of PARPi-resistant ovarian cancer. We discovered that inhibition of EHMT1/2 resensitizes cells to PARPi. Markedly, we show that single EHMTi and combinatory EHMTi/PARPi significantly reduced PARPi-resistant tumor burden and that this reduction is partially dependent on CD8 T cells. Altogether, our results show a low-toxicity drug that effectively treats PARPi-resistant ovarian cancer in an immune-dependent manner, supporting its entry into clinical development and potential incorporation of immunotherapy. Implications: Targeting the epigenome of therapy-resistant ovarian cancer induces an antitumor response mediated in part through an antitumor immune response.
Insights
Poly ADP-ribose polymerase inhibitors (PARPi) combat ovarian cancer, but resistance is increasing. Combining PARPi with euchromatic histone methyltransferase 1/2 inhibitors (EHMTi) effectively treats PARPi-resistant tumors, partly via CD8 T cells.
Area of Science:
- Oncology
- Epigenetics
- Immunotherapy
Background:
- Poly ADP-ribose polymerase inhibitors (PARPi) are crucial for ovarian cancer treatment.
- Rising resistance to PARPi necessitates novel therapeutic strategies.
- There is an unmet need for effective treatments against PARPi-resistant tumors.
Purpose of the Study:
- To evaluate the efficacy of combining PARPi with euchromatic histone methyltransferase 1/2 inhibitors (EHMTi) in PARPi-resistant ovarian cancer.
- To investigate the role of the immune system in mediating treatment response.
Main Methods:
- Development of an immunocompetent, PARPi-resistant ovarian cancer mouse model.
- Administration of single EHMTi and combination EHMTi/PARPi therapies.
- Assessment of tumor burden reduction and immune cell involvement (CD8 T cells).
Main Results:
- Inhibition of EHMT1/2 resensitizes cancer cells to PARPi.
- Both single EHMTi and combined EHMTi/PARPi treatments significantly reduced tumor burden.
- The observed tumor reduction was partially dependent on CD8 T cells.
Conclusions:
- Combining EHMTi with PARPi is a promising, low-toxicity approach for treating PARPi-resistant ovarian cancer.
- The treatment elicits an immune-dependent antitumor response, suggesting potential for immunotherapy integration.
- This strategy supports clinical development for therapy-resistant ovarian cancer.
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