Durable Suppression of Acquired MEK Inhibitor Resistance in Cancer by Sequestering MEK from ERK and Promoting Antitumor T-cell Immunity.

Details

Serval ID
serval:BIB_642840149803
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Durable Suppression of Acquired MEK Inhibitor Resistance in Cancer by Sequestering MEK from ERK and Promoting Antitumor T-cell Immunity.
Journal
Cancer discovery
Author(s)
Hong A., Piva M., Liu S., Hugo W., Lomeli S.H., Zoete V., Randolph C.E., Yang Z., Wang Y., Lee J.J., Lo S.J., Sun L., Vega-Crespo A., Garcia A.J., Shackelford D.B., Dubinett S.M., Scumpia P.O., Byrum S.D., Tackett A.J., Donahue T.R., Michielin O., Holmen S.L., Ribas A., Moriceau G., Lo R.S.
ISSN
2159-8290 (Electronic)
ISSN-L
2159-8274
Publication state
Published
Issued date
03/2021
Peer-reviewed
Oui
Volume
11
Number
3
Pages
714-735
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
MAPK targeting in cancer often fails due to MAPK reactivation. MEK inhibitor (MEKi) monotherapy provides limited clinical benefits but may serve as a foundation for combination therapies. Here, we showed that combining a type II RAF inhibitor (RAFi) with an allosteric MEKi durably prevents and overcomes acquired resistance among cancers with KRAS, NRAS, NF1, BRAF <sup>non-V600</sup> , and BRAF <sup>V600</sup> mutations. Tumor cell-intrinsically, type II RAFi plus MEKi sequester MEK in RAF complexes, reduce MEK/MEK dimerization, and uncouple MEK from ERK in acquired-resistant tumor subpopulations. Immunologically, this combination expands memory and activated/exhausted CD8 <sup>+</sup> T cells, and durable tumor regression elicited by this combination requires CD8 <sup>+</sup> T cells, which can be reinvigorated by anti-PD-L1 therapy. Whereas MEKi reduces dominant intratumoral T-cell clones, type II RAFi cotreatment reverses this effect and promotes T-cell clonotypic expansion. These findings rationalize the clinical development of type II RAFi plus MEKi and their further combination with PD-1/L1-targeted therapy. SIGNIFICANCE: Type I RAFi + MEKi are indicated only in certain BRAF <sup>V600MUT</sup> cancers. In contrast, type II RAFi + MEKi are durably active against acquired MEKi resistance across broad cancer indications, which reveals exquisite MAPK addiction. Allosteric modulation of MAPK protein/protein interactions and temporal preservation of intratumoral CD8 <sup>+</sup> T cells are mechanisms that may be further exploited.This article is highlighted in the In This Issue feature, p. 521.
Pubmed
Web of science
Open Access
Yes
Create date
22/12/2020 9:17
Last modification date
08/05/2021 5:32
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