Due to the challenge for intratumoral administration, innate agonists have not made it beyond preclinical studies for efficacy testing in most tumor types. Pancreatic ductal adenocarcinoma (PDAC) has a hostile tumor microenvironment that renders T cells dysfunctional. Innate agonist treatments may serve as a T cell priming mechanism to sensitize PDACs to anti-PD-1 antibody (a-PD-1) treatment. Using a transplant mouse model with spontaneously formed liver metastasis, a genetically engineered KPC mouse model that spontaneously develops PDAC, and a human patient-derived xenograft model, we compared the antitumor efficacy between intrahepatic/intratumoral and intramuscular systemic administration of BMS-986301, a next-generation STING agonist. Flow cytometry, Nanostring, and cytokine assays were used to evaluate local and systemic immune responses. This study demonstrated that administration of STING agonist systemically via intramuscular injection is equivalent to its intratumoral injection in inducing both effector T cell response and antitumor efficacy. Compared to intratumoral administration, T cell exhaustion and immunosuppressive signals induced by systemic administration were attenuated. Nonetheless, either intratumoral or systemic treatment of STING agonist was associated with increased expression of CTLA-4 on tumor-infiltrating T cells. However, the combination of a-PD-1 and anti-CTLA-4 antibody with systemic STING agonist demonstrated the antitumor efficacy in the KPC mouse spontaneous PDAC model. The mouse pancreatic and liver orthotopic model of human patient-derived xenograft reconstituted with PBMC also showed that antitumor and abscopal effects of both intratumoral and intramuscular STING agonist are equivalent. Taken together, this study supports the clinical development of innate agonists via systemic administration for treating PDAC.
基金:
Bristol-Myers Squibb II-ON grant (L. Zheng). L.Z. is supported by an NIH Grant R01 CA169702, an NIH Grant R01 CA197296, an NIH Grant P01 CA247886, an NIH SPORE Grant P50 CA062924, and an NIH Cancer Center Support Grant P30 CA006973. K.L. is supported by a National Natural Science Foundation of China 82303740, a Key Research and Development Project of Science and Technology Department of Sichuan Province 2023YFS0167, a China Postdoctoral Science Foundation 2023T160451, and a West China Hospital Postdoctoral Science Foundation 2023HXBH053.
Li Keyu,Wang Junke,Zhang Rui,et al.Overcome the challenge for intratumoral injection of STING agonist for pancreatic cancer by systemic administration[J].JOURNAL OF HEMATOLOGY & ONCOLOGY.2024,17(1):doi:10.1186/s13045-024-01576-z.
APA:
Li, Keyu,Wang, Junke,Zhang, Rui,Zhou, Jiawei,Espinoza, Birginia...&Zheng, Lei.(2024).Overcome the challenge for intratumoral injection of STING agonist for pancreatic cancer by systemic administration.JOURNAL OF HEMATOLOGY & ONCOLOGY,17,(1)
MLA:
Li, Keyu,et al."Overcome the challenge for intratumoral injection of STING agonist for pancreatic cancer by systemic administration".JOURNAL OF HEMATOLOGY & ONCOLOGY 17..1(2024)