XP-524 is a dual-BET/EP300 inhibitor that represses oncogenic KRAS and potentiates immune checkpoint inhibition in pancreatic cancer

Author:

Principe Daniel R.12ORCID,Xiong Rui3ORCID,Li Yangfeng3,Pham Thao N. D.4ORCID,Kamath Suneel D.5,Dubrovskyi Oleksii3,Ratia Kiira3,Huang Fei3ORCID,Zhao Jiong3,Shen Zhengnan3ORCID,Thummuri Dinesh6,Daohong Zhou6,Underwood Patrick W.7,Trevino Jose8,Munshi Hidayatullah G.49,Thatcher Gregory R. J.10ORCID,Rana Ajay29ORCID

Affiliation:

1. Medical Scientist Training Program, University of Illinois College of Medicine, Chicago, IL 60612

2. Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612

3. Department of Medicinal Chemistry and Pharmacognosy, University of Illinois at Chicago, Chicago, IL 60612

4. Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611

5. Taussig Cancer Center, Cleveland Clinic, Cleveland, OH 44106

6. Department of Pharmacodynamics, College of Pharmacy, University of Florida, Gainesville, FL 32610

7. Department of Surgery, University of Florida College of Medicine, Gainesville, FL 32610

8. Department of Surgery, Division of Surgical Oncology, Virginia Commonwealth University, Richmond, VA 23298

9. Jesse Brown VA Medical Center, Chicago, IL 60612

10. Department of Pharmacology and Toxicology, College of Pharmacy, The University of Arizona, Tucson, AZ 85004

Abstract

SignificanceThere are currently no effective treatments for pancreatic ductal adenocarcinoma (PDAC), which displays widespread resistance to chemotherapy, radiation therapy, and immunotherapy. Here, we demonstrate that the multispecificity BET/EP300 inhibitor XP-524 has pronounced single-agent efficacy in vitro, in vivo, and in ex vivo human PDAC slice cultures, functioning in part by attenuating oncogenic KRAS signaling. In vivo XP-524 led to extensive reprogramming of the pancreatic tumor microenvironment, sensitizing murine carcinoma to immune checkpoint inhibition and further extending survival. Given the urgent need for therapeutic approaches in PDAC, the combination of XP-524 and immune checkpoint inhibition warrants additional exploration.

Funder

U.S. Department of Veterans Affairs

Chicago Biomedical Consortium Accelerator Award and NIH

HHS | NIH | National Cancer Institute

Publisher

Proceedings of the National Academy of Sciences

Subject

Multidisciplinary

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