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Related Experiment Video

Updated: May 6, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
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Effects of Radiotherapy, Immune Checkpoint Inhibitors, and PIM Kinase Inhibition in Castration-Resistant Prostate

Vignesh Chennupati1, Matthew Eximond2, Anita Nwiloh3

  • 1Vanderbilt University, Nashville, 37235, TN, USA.

Current Cancer Drug Targets
|May 5, 2026
PubMed
Summary

Radiation therapy combined with immune checkpoint inhibitors and PIM kinase inhibition significantly improves survival in a prostate cancer mouse model. This triple therapy approach activates anti-tumor immunity, offering a promising strategy for treating castration-resistant prostate cancer.

Keywords:
PIM kinase inhibitorSTING pathwaycytoplasmic double-stranded DNAimmune checkpoint inhibitorimmunotherapyprostate cancerradiotherapy

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Area of Science:

  • Oncology
  • Immunotherapy
  • Radiation Oncology

Background:

  • Prostate cancer exhibits limited response to immune checkpoint inhibitors (ICIs).
  • Radiation therapy (RT) may enhance anti-tumor immune activity when combined with ICIs and PI3K inhibition.

Purpose of the Study:

  • To investigate the efficacy of triple therapy combining RT, ICIs, and PIM kinase inhibition in a mouse model of castration-resistant prostate cancer (CRPC).
  • To assess RT-induced immune activation via cytosolic double-stranded DNA (dsDNA) as a marker for cGAS-STING pathway engagement.

Main Methods:

  • RT-induced cytosolic dsDNA was measured in prostate cancer cell lines.
  • Triple therapies were evaluated in a Myc-CaP syngeneic mouse model: (1) anti-CTLA-4, anti-PD-1, and RT; (2) PIM447, anti-PD-1, and RT.
  • Tumor-immune profiles were analyzed using mass cytometry (CyTOF).

Main Results:

  • Peak cytosolic dsDNA induction occurred at 13 Gy RT.
  • Triple therapy with anti-CTLA-4, anti-PD-1, and RT doubled median survival compared to monotherapy (32 vs. 11-22 days).
  • Triple therapy with PIM447, anti-PD-1, and RT nearly tripled median survival (82 vs. 29 days) and reduced immunosuppressive cells while enhancing CD8+ T-cell infiltration.

Conclusions:

  • RT can activate immune responses in prostate cancer, potentially via the cGAS-STING pathway.
  • Combination therapy of RT, ICIs, and PIM kinase inhibition shows significant survival benefits in a CRPC mouse model.
  • This approach warrants further investigation for optimizing CRPC treatment strategies.