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PARP Inhibitors Differentially Regulate Immune Responses in Distinct Genetic Backgrounds of High-Grade Serous
Luiza Doro Pereira1, Monica Wielgos-Bonvallet1, Selim Misirlioglu1
1Division of Gynecologic Oncology, Department of OB/GYN, Laura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York.
Abstract:
Immune checkpoint inhibitors (ICI) have revolutionized treatment for several tumor indications without demonstrated benefit for patients with ovarian cancer. To improve the therapeutic ratio of ICIs in patients with ovarian cancer, several different clinical trials are testing combinations with poly(ADP-ribose) polymerase (PARP) inhibitors. Comparing the immunomodulatory effects of clinically advanced PARP inhibitors (PARPi) may help to identify the best partner to combine with ICIs. We examined the treatment effect of talazoparib (a PARP trapper) and veliparib (a solely PARP enzymatic inhibitor) in homologous recombination deficient (HRD) and homologous recombination proficient high-grade serous tubo-ovarian carcinoma (HGSC) cell lines on immune-related gene expression. We discovered and validated that CXCL8, IL-6, and TNF gene expression were upregulated after talazoparib treatment in both OVCAR3 (HRD) and CAOV3 homologous recombination proficient HGSC cell lines. In contrast, veliparib treatment slightly elevated similar genes exclusively in an HRD HGSC cell line model. We expanded these studies to include olaparib, a PARP trapper less potent than talazoparib, and found effects specific to COV361 (BRCA1 mutant) and OVCAR8 (BRCA1 methylated) HGSC cells but not all HRD HGSC cell lines. Our studies also identified differences among PARP trappers versus veliparib on augmenting CXCL10 expression. Finally, we show that talazoparib modulates the CXCL10 response in cGAS-defective cell lines, independent of the cGAS-STING pathway. These mechanistic studies advance our understanding of how different PARPis affect the immune system in various genetic backgrounds.
Significance:
This work highlights how different PARPis, especially talazoparib, modulate immune-related gene expression in ovarian cancer cells, independent of the cGAS-STING pathway. These findings may improve our understanding of how different PARPis affect the immune system in various genetic backgrounds.
Insights
Different poly(ADP-ribose) polymerase inhibitors (PARPi) impact ovarian cancer cell immune gene expression. Talazoparib upregulates key immune genes in both HRD and HR proficient HGSC cells, unlike veliparib, offering insights for combining PARPi with immune checkpoint inhibitors.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint inhibitors (ICIs) show limited efficacy in ovarian cancer.
- Combining ICIs with poly(ADP-ribose) polymerase inhibitors (PARPi) is under investigation to improve outcomes.
- Understanding the immunomodulatory effects of different PARPi is crucial for optimizing combination therapies.
Purpose of the Study:
- To compare the immunomodulatory effects of talazoparib and veliparib in ovarian cancer cell lines.
- To investigate the impact of PARPi on immune-related gene expression in homologous recombination deficient (HRD) and proficient high-grade serous tubo-ovarian carcinoma (HGSC) cells.
- To elucidate the mechanisms by which PARPi influence the tumor immune microenvironment.
Main Methods:
- Treatment of HGSC cell lines (OVCAR3, CAOV3, COV361, OVCAR8) with talazoparib, veliparib, and olaparib.
- Analysis of immune-related gene expression, including CXCL8, IL-6, TNF, and CXCL10.
- Assessment of the role of the cGAS-STING pathway in mediating PARPi effects.
Main Results:
- Talazoparib upregulated CXCL8, IL-6, and TNF in both HRD and HR proficient HGSC cell lines.
- Veliparib showed similar effects only in an HRD HGSC cell line model.
- Differences were observed in CXCL10 modulation between PARP trappers and veliparib, independent of the cGAS-STING pathway.
Conclusions:
- Talazoparib exhibits broader immunomodulatory effects compared to veliparib in ovarian cancer cells.
- PARPi differentially affect immune gene expression based on their mechanism of action and cellular genetic background.
- These findings provide mechanistic insights for selecting optimal PARPi partners for ICI combination therapy in ovarian cancer.
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