Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer

Background: The Wnt/β-catenin pathway is linked to tumorigenesis in a variety of tumors and promotes T cell exclusion and resistance to checkpoint inhibitors. We sought to determine whether a small molecule inhibitor of this pathway, WNT974, would impair tumor growth, affect gene expression patterns...

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Main Authors: David W. Doo, Selene Meza-Perez, Angelina I. Londoño, Whitney N. Goldsberry, Ashwini A. Katre, Jonathan D. Boone, Dylana J. Moore, Cindy T. Hudson, Ilaria Betella, Tyler R. McCaw, Abhishek Gangrade, Riyue Bao, Jason J. Luke, Eddy S. Yang, Michael J. Birrer, Dmytro Starenki, Sara J. Cooper, Donald J. Buchsbaum, Lyse A. Norian, Troy D. Randall, Rebecca C. Arend
Format: Article
Language:English
Published: SAGE Publishing 2020-04-01
Series:Therapeutic Advances in Medical Oncology
Online Access:https://doi.org/10.1177/1758835920913798
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author David W. Doo
Selene Meza-Perez
Angelina I. Londoño
Whitney N. Goldsberry
Ashwini A. Katre
Jonathan D. Boone
Dylana J. Moore
Cindy T. Hudson
Ilaria Betella
Tyler R. McCaw
Abhishek Gangrade
Riyue Bao
Jason J. Luke
Eddy S. Yang
Michael J. Birrer
Dmytro Starenki
Sara J. Cooper
Donald J. Buchsbaum
Lyse A. Norian
Troy D. Randall
Rebecca C. Arend
author_facet David W. Doo
Selene Meza-Perez
Angelina I. Londoño
Whitney N. Goldsberry
Ashwini A. Katre
Jonathan D. Boone
Dylana J. Moore
Cindy T. Hudson
Ilaria Betella
Tyler R. McCaw
Abhishek Gangrade
Riyue Bao
Jason J. Luke
Eddy S. Yang
Michael J. Birrer
Dmytro Starenki
Sara J. Cooper
Donald J. Buchsbaum
Lyse A. Norian
Troy D. Randall
Rebecca C. Arend
author_sort David W. Doo
collection DOAJ
description Background: The Wnt/β-catenin pathway is linked to tumorigenesis in a variety of tumors and promotes T cell exclusion and resistance to checkpoint inhibitors. We sought to determine whether a small molecule inhibitor of this pathway, WNT974, would impair tumor growth, affect gene expression patterns, and improve the immune response in human and murine ovarian cancer models. Methods: Human ovarian cancer cells were treated with WNT974 in vitro . RNAseq libraries were constructed and differences in gene expression patterns between responders and nonresponders were compared to The Cancer Genome Atlas (TCGA). Mice with subcutaneous or intraperitoneal ID8 ovarian cancer tumors were treated with WNT974, paclitaxel, combination, or control. Tumor growth and survival were measured. Flow cytometry and β-TCR repertoire analysis were used to determine the immune response. Results: Gene expression profiling revealed distinct signatures in responders and nonresponders, which strongly correlated with T cell infiltration patterns in the TCGA analysis of ovarian cancer. WNT974 inhibited tumor growth, prevented ascites formation, and prolonged survival in mouse models. WNT974 increased the ratio of CD8 + T cells to T regulatory cells (Tregs) in tumors and enhanced the effector functions of infiltrating CD4 + and CD8 + T cells. Treatment also decreased the expression of inhibitory receptors on CD8 + T cells. Combining WNT974 with paclitaxel further reduced tumor growth, prolonged survival, and expanded the T cell repertoire. Conclusions: These findings suggest that inhibiting the Wnt/β-catenin pathway may have a potent immunomodulatory effect in the treatment of ovarian cancer, particularly when combined with paclitaxel.
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spelling doaj.art-9e744b8aa2274b79bb8a1c96027e50f52022-12-21T17:24:46ZengSAGE PublishingTherapeutic Advances in Medical Oncology1758-83592020-04-011210.1177/1758835920913798Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancerDavid W. DooSelene Meza-PerezAngelina I. LondoñoWhitney N. GoldsberryAshwini A. KatreJonathan D. BooneDylana J. MooreCindy T. HudsonIlaria BetellaTyler R. McCawAbhishek GangradeRiyue BaoJason J. LukeEddy S. YangMichael J. BirrerDmytro StarenkiSara J. CooperDonald J. BuchsbaumLyse A. NorianTroy D. RandallRebecca C. ArendBackground: The Wnt/β-catenin pathway is linked to tumorigenesis in a variety of tumors and promotes T cell exclusion and resistance to checkpoint inhibitors. We sought to determine whether a small molecule inhibitor of this pathway, WNT974, would impair tumor growth, affect gene expression patterns, and improve the immune response in human and murine ovarian cancer models. Methods: Human ovarian cancer cells were treated with WNT974 in vitro . RNAseq libraries were constructed and differences in gene expression patterns between responders and nonresponders were compared to The Cancer Genome Atlas (TCGA). Mice with subcutaneous or intraperitoneal ID8 ovarian cancer tumors were treated with WNT974, paclitaxel, combination, or control. Tumor growth and survival were measured. Flow cytometry and β-TCR repertoire analysis were used to determine the immune response. Results: Gene expression profiling revealed distinct signatures in responders and nonresponders, which strongly correlated with T cell infiltration patterns in the TCGA analysis of ovarian cancer. WNT974 inhibited tumor growth, prevented ascites formation, and prolonged survival in mouse models. WNT974 increased the ratio of CD8 + T cells to T regulatory cells (Tregs) in tumors and enhanced the effector functions of infiltrating CD4 + and CD8 + T cells. Treatment also decreased the expression of inhibitory receptors on CD8 + T cells. Combining WNT974 with paclitaxel further reduced tumor growth, prolonged survival, and expanded the T cell repertoire. Conclusions: These findings suggest that inhibiting the Wnt/β-catenin pathway may have a potent immunomodulatory effect in the treatment of ovarian cancer, particularly when combined with paclitaxel.https://doi.org/10.1177/1758835920913798
spellingShingle David W. Doo
Selene Meza-Perez
Angelina I. Londoño
Whitney N. Goldsberry
Ashwini A. Katre
Jonathan D. Boone
Dylana J. Moore
Cindy T. Hudson
Ilaria Betella
Tyler R. McCaw
Abhishek Gangrade
Riyue Bao
Jason J. Luke
Eddy S. Yang
Michael J. Birrer
Dmytro Starenki
Sara J. Cooper
Donald J. Buchsbaum
Lyse A. Norian
Troy D. Randall
Rebecca C. Arend
Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
Therapeutic Advances in Medical Oncology
title Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
title_full Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
title_fullStr Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
title_full_unstemmed Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
title_short Inhibition of the Wnt/β-catenin pathway enhances antitumor immunity in ovarian cancer
title_sort inhibition of the wnt β catenin pathway enhances antitumor immunity in ovarian cancer
url https://doi.org/10.1177/1758835920913798
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