Synthetic Oleanane Triterpenoids Reduce Tumor Growth and Promote an Anti-Tumor Immune Response Independent of Cancer

Christopher J Occhiuto1, Jessica A Moerland2, Karen T Liby3

  • 1Department of Pharmacology and Toxicology, Michigan State University, East Lansing, MI 48824, USA.

PubMed

Insights

Synthetic triterpenoids, NRF2 activators, reduce lung cancer burden by modulating the tumor immune microenvironment (TIME). These drugs enhance anti-tumor immunity in KEAP1-mutant cancers, independent of KEAP1 status.

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • KEAP1 regulates NRF2; KEAP1 inactivation in lung cancer promotes immune evasion and drug resistance.
  • Synthetic oleanane triterpenoids activate NRF2 and reduce tumor burden, suggesting a TIME target.
  • Triterpenoids enhance anti-tumor immunity in wild-type KEAP1 cancers, but effects in KEAP1-mutant cancers are unknown.

Purpose of the Study:

  • To investigate the immunomodulatory effects of triterpenoids in KEAP1-mutant lung cancer.
  • To characterize triterpenoid effects on tumor-educated macrophages and lung cancer models.
  • To determine if triterpenoid treatment benefits KEAP1-mutant lung cancers.

Main Methods:

  • Studied tumor-educated bone marrow-derived macrophages (TE-BMDMs) and lung cancer models.
  • Treated models with CDDO-Me or omaveloxolone, NRF2-activating triterpenoids.
  • Utilized RNA-sequencing to analyze macrophage phenotypes and assessed tumor burden and TIME immune cell phenotypes.

Main Results:

  • KEAP1 KO cancer-conditioned media enhanced tumor-promoting macrophage phenotypes, reversed by CDDO-Me.
  • KEAP1 KO tumors were larger and more immune-suppressed than wild-type tumors.
  • CDDO-Me and omaveloxolone reduced tumor burden and improved TIME immune cell phenotypes, irrespective of KEAP1 status.

Conclusions:

  • Triterpenoid treatment reverses pro-tumorigenic macrophage phenotypes in KEAP1-mutant lung cancer models.
  • These drugs reduce tumor burden and enhance anti-tumor immunity in KEAP1-mutant lung cancer.
  • Triterpenoids offer therapeutic potential for lung cancer by modulating the tumor immune microenvironment, independent of KEAP1 mutational status.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
1.7K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.6K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.8K
The Tumor Microenvironment02:17

The Tumor Microenvironment

Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
7.6K
Cancer-Critical Genes II: Tumor Suppressor Genes01:05

Cancer-Critical Genes II: Tumor Suppressor Genes

Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.3K
Cytotoxic T Cells-mediated Immune Response01:27

Cytotoxic T Cells-mediated Immune Response

Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
6.4K