Mutant KRAS tumors are associated with poor outcomes, at least in part, due to decreased therapeutic sensitivity. Here, we show that KRAS mutations are associated with resistance to monotherapy and combination therapy with PARP inhibitors (PARPi) and immune checkpoint blockade with anti-PD-L1 antibodies. In mutant KRAS tumors, inhibition of KRAS signaling with MEK inhibitors (MEKi) triggered and amplified PARPi-induced DNA damage, cytosolic double-stranded DNA accumulation, STING pathway activation, and CD8(+) T-cell recruitment. Moreover, MEKi decreased myeloid-derived suppressor cell infiltration, in part, by inhibiting IL6 and GMCSF production. Importantly, addition of MEKi to PARPi and anti-PD-L1 resulted in marked tumor inhibition in immunocompetent mutant KRAS tumor models. This study provides the underlying mechanistic data to support evaluation of PARPi, MEKi, and anti-PD- L1 combination in clinical trials of mutant KRAS tumors. Significance: This study provides key insights into the potential for using MEKi combined with PARPi and anti-PD-L1 for the treatment of all mutant KRAS tumors. [GRAPHICS] .
基金:
Nature and Science Foundation of China [81402163, 81974408, 81572569, 81874106]; National Key R&D Program of China [2016YFC1303100]; NIH [P50CA217685, U01 CA217842]; Ovarian Cancer Research Foundation; Breast Cancer Research Foundation
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Obstet & Gynecol, Tongji Med Coll, Wuhan, Hubei, Peoples R China
通讯作者:
通讯机构:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Obstet & Gynecol, Tongji Med Coll, Wuhan, Hubei, Peoples R China[*1]Tongji Hosp, Dept Obstet & Gynecol, Wuhan 430030, Hubei, Peoples R China[*2]Res Bldg Tongji Hosp,2 Jiankang Ave,Caidian St, Wuhan 430030, Hubei, Peoples R China
推荐引用方式(GB/T 7714):
Yang Bin,Li Xi,Fu Yu,et al.MEK Inhibition Remodels the Immune Landscape of Mutant KRAS Tumors to Overcome Resistance to PARP and Immune Checkpoint Inhibitors[J].CANCER RESEARCH.2021,81(10):2714-2729.doi:10.1158/0008-5472.CAN-20-2370.
APA:
Yang, Bin,Li, Xi,Fu, Yu,Guo, Ensong,Ye, Youqiong...&Chen, Gang.(2021).MEK Inhibition Remodels the Immune Landscape of Mutant KRAS Tumors to Overcome Resistance to PARP and Immune Checkpoint Inhibitors.CANCER RESEARCH,81,(10)
MLA:
Yang, Bin,et al."MEK Inhibition Remodels the Immune Landscape of Mutant KRAS Tumors to Overcome Resistance to PARP and Immune Checkpoint Inhibitors".CANCER RESEARCH 81..10(2021):2714-2729