Effect of PI3K-p110α Inhibitor Alpelisib in the Differentiation and Effector Functions of M-CSF and GM-CSF

Cristina Villa-Gómez1, Verónica Bermejo1, Inmaculada Márquez-Leiva1

  • 1Immunology Department, National Centre for Microbiology (CNM), Carlos III Health Institute (ISCIII), 28220 Madrid, Spain.

Insights

Alpelisib, a PI3K inhibitor, alters macrophage differentiation and function. It enhances M-CSF macrophage inflammatory responses but impairs GM-CSF macrophage anti-tumor immunity, impacting cancer microenvironments.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Phosphatidylinositol-3-kinases (PI3Ks) are crucial for cell signaling, metabolism, and survival.
  • The PI3K pathway, particularly the p110α isoform, is a common target in cancer therapy, with alpelisib being a specific inhibitor.
  • Macrophages play a significant role in anti-tumor immunity and are influenced by cytokines like M-CSF and GM-CSF in the tumor microenvironment.

Purpose of the Study:

  • To investigate the effects of alpelisib on murine monocyte-derived macrophage differentiation, polarization, and effector functions.
  • To assess how alpelisib influences intracellular signaling pathways in macrophages.
  • To understand the implications of alpelisib's impact on macrophages within cancer settings.

Main Methods:

  • Real-time quantitative PCR (RT-qPCR) to analyze PI3K isoform gene expression.
  • In vitro differentiation of bone marrow monocytes using M-CSF and GM-CSF.
  • Stimulation of macrophages with lipopolysaccharide (LPS) and interferon gamma (IFN-γ) to assess cytokine secretion and gene expression (IL-6, TNF-α, IL-10, iNOS, Arg-1).
  • Co-culture experiments with CD4+ T cells to evaluate altered cytokine profiles.

Main Results:

  • Alpelisib treatment increased PI3K isoforms (p110α, p110β, p85) gene expression during M-CSF-dependent differentiation.
  • M-CSF-derived macrophages treated with alpelisib showed enhanced IL-6 and TNF-α secretion and reduced IL-10 production.
  • GM-CSF-derived macrophages treated with alpelisib exhibited decreased IL-6, TNF-α, iNOS, and Arg-1 expression.
  • Alpelisib altered cytokine profiles in macrophage-T cell co-cultures, affecting T cell activation.

Conclusions:

  • Alpelisib significantly impacts macrophage differentiation and function in a context-dependent manner (M-CSF vs. GM-CSF).
  • The drug induces lasting functional changes in macrophages, potentially modulating anti-tumor immunity.
  • These findings suggest that alpelisib's effects on tumor-associated macrophages could have significant implications in cancer therapy.