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According to a recent study published in Cancer Research by the Westa Institute in Philadelphia, a new type of casein kinase 2 (CK2) inhibitor and an immuno-checkpoint inhibitor can significantly enhance the anti-cancer effects of both inhibitors.
immune checkpoint inhibitors have been approved for treatment of several cancers, including some lung and colon cancers, but not all patients receiving this immunotherapy can benefit from this. A deeper understanding of why the molecular mechanisms of some patients that do not respond to immuno-checkpoint inhibitors can identify new joint therapeutic targets to improve clinical efficacy.
", an immune cell called myelin-like source suppression cells (MDSCs), is thought to be associated with tumor tolerance to a variety of treatments, including immuno-checkpoint therapy. "The study leader, Dr. Dmitry I. Gabrilovich, a leader in the Westa Immunology, Microenvest and Transfer Project Group, and a professor at Christopher M. Davis, said.
"Our past research has found that the concentration of the most abundant MDSC, multiform nuclear MDSC (PMN-MDSC), is mainly due to a reduction in the Notch signal, in part due to the activity of CK2. "
based on these findings, Dr. Gabrilovich and his colleagues began looking at whether CK2 inhibitors and immuno-checkpoint inhibitors could be combined to enhance their anti-tumor effectiveness." Our new results suggest that using a CK2 inhibitor to manipulate the tumor microencase may make patients more sensitive to immuno-checkpoint inhibitors, thereby improving their clinical efficacy, although we still need to confirm them in clinical trials. Ayumi Hashimoto, a postdoctoral researcher in Dr. Gabrilovich's team and the study's first author, said.
researchers found that the combined CK2 inhibitors BMS-595 and the anti-CTLA-4-mlgG2a were well treated in three different mouse tumor models ( lung, rectal and lymphoma). More than 60 percent of the mice treated with the combined treatment completely removed the tumor, while none of the mice in the single treatment group cleared the tumor.
researchers analyzed the effects of BMS-595 and found that the two main target cells in the tumor microencology affected by CK2 were PMN-MDSC and tumor-related macrophages (TAM). There was no significant reduction in the number of PMN-MDSCs in the tumor, but there was a significant decrease in the cells in the spleen and a significant decrease in TAMs in the tumor.
"Our results suggest that CK2 inhibitors inhibit the differentiation of PMN-MDSCs and TAMS, which means that it prevents prey cells from producing these cells." This leads to a decrease in immunosuppressive PMN-MDSCs and tumor-promoting TAMs, thereby enhancing the efficacy of immunosuppressants. Gabrilovich added. (Bio Valley)