研究概要
我们的研究表明,在临床前模型中,关键细胞内免疫调节因子的小分子抑制剂可以达到与基于抗体的免疫检查点阻断相当或更高的疗效。
中文摘要
免疫检查点阻断对部分癌症患者有效,但大多数患者对当前的免疫治疗耐药,需要新的方法来克服耐药性1,2。蛋白酪氨酸磷酸酶PTPN2和PTPN1是炎症的核心调控因子,在肿瘤细胞或免疫细胞中基因缺失可促进抗肿瘤免疫3-6。然而,磷酸酶是极具挑战性的药物靶点;特别是其活性位点一直被认为不可成药。本文报道了ABBV-CLS-484(AC484)的发现与表征,这是一种首创的、口服生物可利用的、强效的PTPN2和PTPN1活性位点抑制剂。AC484体外处理可放大对干扰素的应答,并促进多种免疫细胞亚群的激活和功能。在对PD-1阻断耐药的小鼠癌症模型中,AC484单药治疗可产生强效的抗肿瘤免疫。我们证明,AC484通过增强JAK-STAT信号传导和减少T细胞功能障碍,使肿瘤微环境发炎,并促进NK 细胞和CD8+ T细胞功能。PTPN2和PTPN1抑制剂为癌症免疫治疗提供了一种有前景的新策略,目前正在晚期实体瘤患者中进行评估(ClinicalTrials.gov标识符NCT04777994)。更广泛地说,我们的研究表明,关键细胞内免疫调节因子的小分子抑制剂在临床前模型中可达到与基于抗体的免疫检查点阻断相当或更优的疗效。最后,据我们所知,AC484是首个进入癌症免疫治疗临床评估的活性位点磷酸酶抑制剂,可能为靶向这一重要酶类的更多疗法铺平道路。
展开英文摘要原文
Immune checkpoint blockade is effective for some patients with cancer, but most are refractory to current immunotherapies and new approaches are needed to overcome resistance 1,2 . The protein tyrosine phosphatases PTPN2 and PTPN1 are central regulators of inflammation, and their genetic deletion in either tumour cells or immune cells promotes anti-tumour immunity 3-6 . However, phosphatases are challenging drug targets; in particular, the active site has been considered undruggable. Here we present the discovery and characterization of ABBV-CLS-484 (AC484), a first-in-class, orally bioavailable, potent PTPN2 and PTPN1 active-site inhibitor. AC484 treatment in vitro amplifies the response to interferon and promotes the activation and function of several immune cell subsets. In mouse models of cancer resistant to PD-1 blockade, AC484 monotherapy generates potent anti-tumour immunity. We show that AC484 inflames the tumour microenvironment and promotes natural killer cell and CD8 + T cell function by enhancing JAK-STAT signalling and reducing T cell dysfunction. Inhibitors of PTPN2 and PTPN1 offer a promising new strategy for cancer immunotherapy and are currently being evaluated in patients with advanced solid tumours (ClinicalTrials.gov identifier NCT04777994 ). More broadly, our study shows that small-molecule inhibitors of key intracellular immune regulators can achieve efficacy comparable to or exceeding that of antibody-based immune checkpoint blockade in preclinical models. Finally, to our knowledge, AC484 represents the first active-site phosphatase inhibitor to enter clinical evaluation for cancer immunotherapy and may pave the way for additional therapeutics that target this important class of enzymes.
论文信息
- 作者
- Baumgartner CK、Ebrahimi-Nik H、Iracheta-Vellve A、Hamel KM、Olander KE、Davis TGR、McGuire KA、Halvorsen GT
- 第一作者单位
- AbbVie, North Chicago, IL, USA. christina.baumgartner@abbvie.com.United States
- 通讯作者单位
- Broad Institute of MIT and Harvard, Cambridge, MA, USA. rmanguso@mgh.harvard.edu.United States
- 文献类型
- 对照研究 · 美国政府(非公共卫生署)资助研究 · 非美国政府资助研究
- 期刊
- Nature2023 Oct