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Incretin triple agonist retatrutide (LY3437943) alleviates obesity-associated cancer progression
Sandesh J Marathe1,2, Emily W Grey1, Margaret S Bohm3
1Department of Medicine, Division of Hematology and Oncology, College of Medicine, The University of Tennessee Health Science Center, Memphis, TN USA.
Abstract:
Medical therapeutics for weight loss are changing the landscape of obesity but impacts on obesity-associated cancer remain unclear. We report that in pre-clinical models with significant retatrutide (RETA, LY3437943)-induced weight loss, pancreatic cancer engraftment was reduced, tumor onset was delayed, and progression was attenuated resulting in a 14-fold reduction in tumor volume compared to only 4-fold reduction in single agonist semaglutide-treated mice. Despite weight re-gain after RETA withdrawal, the anti-tumor benefits of RETA persisted. Remarkably, RETA-induced protection extends to a lung cancer model with 50% reduced tumor engraftment, significantly delayed tumor onset, and mitigated tumor progression, with a 17-fold reduction in tumor volume compared to controls. RETA induced immune reprogramming systemically and in the tumor microenvironment with durable anti-tumor immunity evidenced by elevated circulating IL-6, increased antigen presenting cells, reduced immunosuppressive cells, and activation of pro-inflammatory pathways. In sum, our findings suggest that patients with RETA-mediated weight loss may also benefit from reduced cancer risk and improved outcomes.
Insights
Retatrutide (RETA) significantly reduces pancreatic and lung cancer growth in preclinical models, offering potential cancer risk reduction benefits alongside weight loss. These anti-tumor effects persist even after weight regain.
Area of Science:
- Metabolic disease research
- Oncology
- Immunology
Background:
- Obesity treatments are evolving, but their effects on obesity-associated cancers are not well understood.
- Weight loss medications may influence cancer development and progression.
Purpose of the Study:
- To investigate the impact of retatrutide (RETA)-induced weight loss on pancreatic and lung cancer models.
- To explore the underlying mechanisms of RETA's anti-tumor effects, including immune system modulation.
Main Methods:
- Pre-clinical models of pancreatic and lung cancer were treated with retatrutide (RETA) or semaglutide.
- Tumor growth, onset, and volume were measured.
- Systemic and tumor microenvironment immune responses were analyzed, including cytokine levels and cell populations.
Main Results:
- RETA significantly reduced pancreatic cancer volume (14-fold) compared to semaglutide (4-fold).
- RETA delayed tumor onset and attenuated progression in both pancreatic and lung cancer models.
- RETA induced durable anti-tumor immunity through immune reprogramming, characterized by elevated IL-6 and altered immune cell profiles.
Conclusions:
- Retatrutide (RETA) demonstrates significant anti-cancer effects in preclinical models, reducing tumor burden and delaying progression.
- RETA's benefits extend beyond weight loss, potentially offering reduced cancer risk and improved outcomes for patients.
- Immune system reprogramming is a key mechanism behind RETA's persistent anti-tumor activity.
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