[HTML][HTML] Pharmacologic inhibition of protein phosphatase-2A achieves durable immune-mediated antitumor activity when combined with PD-1 blockade

WS Ho, H Wang, D Maggio, JS Kovach… - Nature …, 2018 - nature.com
WS Ho, H Wang, D Maggio, JS Kovach, Q Zhang, Q Song, FM Marincola, JD Heiss
Nature communications, 2018nature.com
Mounting evidence suggests that inhibition of protein phosphatase-2A (PP2A), a
serine/threonine phosphatase, could enhance anticancer immunity. However, drugs
targeting PP2A are not currently available. Here, we report that a PP2A inhibitor, LB-100,
when combined with anti-PD-1 (aPD-1) blockade can synergistically elicit a durable immune-
mediated antitumor response in a murine CT26 colon cancer model. This effect is T-cell
dependent, leading to regression of a significant proportion of tumors. Analysis of tumor …
Abstract
Mounting evidence suggests that inhibition of protein phosphatase-2A (PP2A), a serine/threonine phosphatase, could enhance anticancer immunity. However, drugs targeting PP2A are not currently available. Here, we report that a PP2A inhibitor, LB-100, when combined with anti-PD-1 (aPD-1) blockade can synergistically elicit a durable immune-mediated antitumor response in a murine CT26 colon cancer model. This effect is T-cell dependent, leading to regression of a significant proportion of tumors. Analysis of tumor lymphocytes demonstrates enhanced effector T-cell and reduced suppressive regulatory T-cell infiltration. Clearance of tumor establishes antigen-specific secondary protective immunity. A synergistic effect of LB-100 and aPD-1 blockade is also observed in B16 melanoma model. In addition, LB-100 activates the mTORC1 signaling pathway resulting in decreased differentiation of naive CD4 cells into regulatory T cells. There is also increased expression of Th1 and decreased expression of Th2 cytokines. These data highlight the translational potential of PP2A inhibition in combination with checkpoint inhibition.
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