WEE1 kinase inhibition reverses G2/M cell cycle checkpoint activation to sensitize cancer cells to immunotherapy

L Sun, E Moore, R Berman, PE Clavijo, A Saleh… - …, 2018 - Taylor & Francis
L Sun, E Moore, R Berman, PE Clavijo, A Saleh, Z Chen, C Van Waes, J Davies, J Friedman…
Oncoimmunology, 2018Taylor & Francis
Intrinsic resistance to cytotoxic T-lymphocyte (CTL) killing limits responses to immune
activating anti-cancer therapies. Here, we established that activation of the G2/M cell cycle
checkpoint results in tumor cell cycle pause and protection from granzyme B-induced cell
death. This was reversed with WEE1 kinase inhibition, leading to enhanced CTL killing of
antigen-positive tumor cells. Similarly, but at a later time point, cell cycle pause following
TNFα exposure was reversed with WEE1 kinase inhibition, leading to CTL transmembrane …
Abstract
Intrinsic resistance to cytotoxic T-lymphocyte (CTL) killing limits responses to immune activating anti-cancer therapies. Here, we established that activation of the G2/M cell cycle checkpoint results in tumor cell cycle pause and protection from granzyme B-induced cell death. This was reversed with WEE1 kinase inhibition, leading to enhanced CTL killing of antigen-positive tumor cells. Similarly, but at a later time point, cell cycle pause following TNFα exposure was reversed with WEE1 kinase inhibition, leading to CTL transmembrane TNFα-dependent induction of apoptosis and necroptosis in bystander antigen-negative tumor cells. Results were reproducible in models of oral cavity carcinoma, melanoma and colon adenocarcinoma harboring variable Tp53 genomic alterations. WEE1 kinase inhibition sensitized tumors to PD-1 mAb immune checkpoint blockade in vivo, resulting in CD8+-dependent rejection of established tumors harboring antigen-positive or mixed antigen-positive and negative tumor cells. Together, these data describe activation of the G2/M cell cycle checkpoint in response to early and late CTL products as a mechanism of resistance to CTL killing, and provide pre-clinical rationale for the clinical combination of agents that inhibit cell cycle checkpoints and activate anti-tumor immunity.
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