姜黄酚可促进免疫驱动的转移性肿瘤生长衰减

Samantha L. S. Ellis, L. L. Nohara, Sarah Dada, Iryna Saranchova, Lonna Munro, Kyung‐Bok Choi, Emmanuel Garrovillas, C. Pfeifer, David E. Williams, Ping Cheng, Raymond J. Andersen, W. Jefferies
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摘要

目前治疗癌症的主要障碍之一在于,每种肿瘤的基因和表观遗传发生了广泛的异质性变化。然而,由于某些类型的癌症在抗原处理机制(APM)中表现出共同的免疫缺陷,因此还存在着另一个挑战。这包括人类白细胞抗原(HLA)Ⅰ类分子的下调,Ⅰ类分子是 T 淋巴细胞识别的肽抗原受体,在杀死新出现的肿瘤方面发挥着关键作用。因此,这导致了转移性疾病的免疫逃逸。值得注意的是,目前主要针对 T 淋巴细胞的细胞免疫疗法以及免疫检查点抑制剂模式的实施在很大程度上忽视了逆转免疫逃逸这一关键任务。这一疏忽可能是这些方法未能成功成为更有效的癌症免疫疗法的原因。因此,亟需优先发现能有效解决免疫逃逸并与不断发展的免疫疗法策略协同作用的新候选疗法。在此背景下,我们在基于细胞的筛选中从海洋提取物库中发现了姜黄酚(curcuphenol)这一化学实体,它能逆转转移性癌症的免疫逃逸表型。为了将这些发现推向临床疗效,本研究描述了具有更强化学特性和生物功效的天然姜黄酚类似物的合成过程。我们在此验证了一个假设,即这些姜黄酚类似物可以唤起免疫系统的力量,从而减少肿瘤动物体内转移性疾病的生长。我们的研究结果表明,在临床前模型中,这些化合物能有效恢复转移性肿瘤中 APM 基因的表达,抑制高侵袭性肿瘤的生长,从而抵消转移性癌症中常见的免疫逃避现象。我们的结论是,能够促进 APM 表达的癌症免疫疗法在最大限度地提高免疫阻断抑制剂的有效性和根除侵袭性肿瘤方面具有巨大潜力。
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Curcuphenols facilitate the immune driven attenuation of metastatic tumour growth
One of the primary obstacles in current cancer treatments lies in the extensive heterogeneity of genetic and epigenetic changes that occur in each arising tumour. However, an additional challenge persists, as certain types of cancer display shared immune deficiencies in the antigen processing machinery (APM). This includes the downregulation of human leukocyte antigen (HLA) class I molecules, which serve as peptide antigen receptors for T lymphocyte recognition that plays a crucial role in killing emerging tumours. Consequently, this contributes to immune escape in metastatic disease. Notably, current cell-based immunotherapies primarily focusing on T lymphocytes and the implementation of immune checkpoint inhibitor modalities have largely ignored the crucial task of reversing immune escape. This oversight may explain the limited success of these approaches becoming more effective cancer immunotherapies. Hence, there is a critical need to prioritize the discovery of new therapeutic candidates that can effectively address immune escape and synergize with evolving immunotherapy strategies. In this context, we identified curcuphenol in a cell-based screen from a library of marine extracts as a chemical entity that reverses the immune-escape phenotype of metastatic cancers. To advance these findings toward clinical efficacy, the present study describes the synthesis of analogues of naturally occurring curcuphenol with enhanced chemical properties and biological efficacy. Here we test the hypothesis that these curcuphenol analogues can evoke the power of the immune system to reduce the growth of metastatic disease in tumour bearing animals. Our findings indicate that these compounds effectively restore the expression of APM genes in metastatic tumours and inhibit the growth of highly invasive tumours in preclinical models, thereby counteracting the common immune evasion phenomenon observed in metastatic cancers. We conclude that cancer immunotherapies capable of boosting APM expression, hold great potential in maximizing the effectiveness of immune blockade inhibitors and eradicating invasive tumours.
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