EP4658258A1 - Use of glutamine for the treatment of cancer and for enhancing the efficacy of an immunotherapy - Google Patents
Use of glutamine for the treatment of cancer and for enhancing the efficacy of an immunotherapyInfo
- Publication number
- EP4658258A1 EP4658258A1 EP24750936.7A EP24750936A EP4658258A1 EP 4658258 A1 EP4658258 A1 EP 4658258A1 EP 24750936 A EP24750936 A EP 24750936A EP 4658258 A1 EP4658258 A1 EP 4658258A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- glutamine
- cells
- inhibitors
- subject
- dcs
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
- A61P35/04—Antineoplastic agents specific for metastasis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
- A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/12—Materials from mammals; Compositions comprising non-specified tissues or cells; Compositions comprising non-embryonic stem cells; Genetically modified cells
- A61K35/14—Blood; Artificial blood
- A61K35/15—Cells of the myeloid line, e.g. granulocytes, basophils, eosinophils, neutrophils, leucocytes, monocytes, macrophages or mast cells; Myeloid precursor cells; Antigen-presenting cells, e.g. dendritic cells
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K40/00—Cellular immunotherapy
- A61K40/10—Cellular immunotherapy characterised by the cell type used
- A61K40/19—Dendritic cells
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K40/00—Cellular immunotherapy
- A61K40/20—Cellular immunotherapy characterised by the effect or the function of the cells
- A61K40/24—Antigen-presenting cells [APC]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
- A61P37/02—Immunomodulators
- A61P37/04—Immunostimulants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2239/00—Indexing codes associated with cellular immunotherapy of group A61K40/00
- A61K2239/46—Indexing codes associated with cellular immunotherapy of group A61K40/00 characterised by the cancer treated
- A61K2239/50—Colon
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2239/00—Indexing codes associated with cellular immunotherapy of group A61K40/00
- A61K2239/46—Indexing codes associated with cellular immunotherapy of group A61K40/00 characterised by the cancer treated
- A61K2239/57—Skin; melanoma
Definitions
- TME tumor microenvironment
- altered glucose or amino acid composition contributes to impaired T-cell effector function 11-15 or dysregulated myeloid cell activity 7 .
- DCs dendritic cells capture and present tumor-associated antigens on major histocompatibility complex (MHC) molecules and provide costimulatory signals and soluble 1 168222090v1 Attorney Docket No.243734.000197 factors to promote anti-tumor immunity 3 .
- DAMPs damage-associated molecular patterns
- the invention provides a method for inhibiting growth of a tumor in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of an anti-tumor immunotherapy.
- the invention provides a method for enhancing the efficacy of an anti-cancer immunotherapy in a subject in need thereof, comprising administering to the subject said immunotherapy and an effective amount of glutamine.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of an anti-cancer immunotherapy.
- the immunotherapy and glutamine are administered simultaneously.
- the immunotherapy and glutamine are administered sequentially in any order.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and inhibiting solute carrier family 38 member 2 (SLC38A2)-mediated glutamine uptake in cancer cells of the subject.
- SLC38A2 solute carrier family 38 member 2
- the method further comprises administering to the subject an effective amount of an anti-cancer immunotherapy.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and inhibiting lysosomal signaling pathway in dendritic cells (DCs) of the subject.
- DCs dendritic cells
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of an inhibitor of lysosomal signaling pathway selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular 2 168222090v1 Attorney Docket No.243734.000197 acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- the method further comprises administering to the subject an effective amount of an anti-cancer immunotherapy.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- said DCs are type-1 conventional dendritic cells (cDC1s).
- said DCs have been pre-exposed to an antigen associated with said cancer.
- said DCs are autologous to the subject.
- the glutamine- sufficient medium comprises 0.6-2 mM glutamine.
- the one or more lysosomal signaling inhibitors are selected from lysosomal protease inhibitors, vacuolar H + - ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- the DCs and glutamine are administered simultaneously. In certain embodiments, the DCs and glutamine are administered sequentially in any order. In certain embodiments, the method further comprises administering to the subject an effective amount of an anti-cancer immunotherapy.
- glutamine is administered in an amount effective for augmenting DC-mediated CD8+ T-cell anti-cancer immunity in the subject.
- glutamine is administered intratumorally.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and inhibiting lysosomal signaling pathway in DCs of the subject.
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of an inhibitor of lysosomal signaling pathway selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- the immunotherapy and the inhibitor of lysosomal signaling pathway are administered simultaneously.
- the immunotherapy and the inhibitor of lysosomal signaling pathway are 3 168222090v1 Attorney Docket No.243734.000197 administered sequentially in any order.
- the method further comprises administering an effective amount of glutamine to the subject.
- glutamine is administered in an amount effective for augmenting DC-mediated CD8+ T-cell anti-cancer immunity in the subject.
- glutamine is administered intratumorally.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- said DCs are cDC1s.
- said DCs have been pre- exposed to an antigen associated with said cancer.
- said DCs are autologous to the subject.
- the glutamine-sufficient medium comprises 0.6-2 mM glutamine.
- the one or more lysosomal signaling inhibitors are selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- the immunotherapy and the DCs are administered simultaneously. In certain embodiments, the immunotherapy and the DCs are administered sequentially in any order.
- the method further comprises administering an effective amount of glutamine to the subject.
- glutamine is administered in an amount effective for augmenting DC-mediated CD8+ T-cell anti-cancer immunity in the subject.
- glutamine is administered intratumorally.
- said immunotherapy can be a DC-based therapy, a T-cell-mediated therapy, or an immune checkpoint blockade therapy.
- Non-limiting examples of useful DC-based therapies include, e.g., DC vaccines, adoptive transfer of antigen-loaded or activated DCs, administration of DC-activating factors, administration of DC-mobilizing agents, administration of antigens and/or adjuvants, using DC- specific antibodies to deliver an antigen or adjuvant or nanoparticle, and any combinations thereof.
- Non-limiting examples of useful T-cell-mediated therapies include, e.g., chimeric antigen receptor (CAR) T cell therapies, adoptive T cell transfer (ACT) therapies (e.g., wherein the transferred T cells are antigen-specific CD8 + T cells), T cell receptor (TCR) T cell therapies, tumor-infiltrating lymphocyte (TIL) therapies, neoantigen cancer vaccines, and any combinations thereof.
- CAR chimeric antigen receptor
- ACT adoptive T cell transfer
- T cells are antigen-specific CD8 + T cells
- TCR T cell receptor
- TIL tumor-infiltrating lymphocyte
- Non- limiting examples of useful immune checkpoint blockade therapies include, e.g., anti-programmed 4 168222090v1 Attorney Docket No.243734.000197 death 1 (anti-PD-1) therapies, anti-programmed death ligand 1 (anti-PD-L1) therapies, anti- lymphocyte activation gene-3 (anti-LAG-3) therapies, anti-cytotoxic T-lymphocyte antigen-4 (anti-CTLA-4) therapies, anti-T-cell immunoglobulin and mucin domain 3 (anti-TIM-3) therapies, and any combinations thereof.
- the method further comprises inhibiting SLC38A2-mediated glutamine uptake in cancer cells of the subject.
- the method further comprises inhibiting lysosomal signaling pathway in DCs of the subject.
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of an inhibitor selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- the method further comprises administering to the subject DCs, wherein said DCs have been pre-incubated in a glutamine- sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- said DCs are cDC1s.
- the glutamine-sufficient medium comprises 0.6-2 mM glutamine.
- the one or more lysosomal signaling inhibitors are selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- said DCs have been pre-exposed to an antigen associated with said cancer.
- said DCs are autologous to the subject.
- said cancer is characterized by tumors with glutamine deprivation.
- said cancer is selected from colon cancer, melanoma, breast cancer, pancreatic cancer, and lung cancer.
- the invention provides a method for enhancing anti-tumor CD8+ T- cell immunity in a tumor of a subject in need thereof, comprising administering to the subject intratumorally an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- said DCs are cDC1s.
- the glutamine-sufficient medium comprises 0.6-2 mM glutamine.
- the one or more lysosomal 5 168222090v1 Attorney Docket No.243734.000197 signaling inhibitors are selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- said DCs have been pre-exposed to an antigen associated with said tumor.
- the method further comprises administering to the subject intratumorally an effective amount of glutamine and/or inhibiting SLC38A2-mediated glutamine uptake in tumor cells of the subject and/or inhibiting lysosomal signaling pathway in DCs of the subject.
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of an inhibitor selected from lysosomal protease inhibitors, vacuolar H + -ATPase inhibitors, intravesicular acidification inhibitors, cysteine protease inhibitors, Cathepsin B inhibitors, Cathepsin L inhibitors, and any combinations thereof.
- said tumor has glutamine deprivation.
- Figs. 1A-1O depict that intratumoral glutamine supplementation promotes cDC1- mediated anti-tumor immunity.
- Gln was injected as in Figs.1B-1C.
- Anti-PD-1 (200 ⁇ g) was intraperitoneally injected at days 7, 10 and 13 6 168222090v1 Attorney Docket No.243734.000197 after tumor inoculation.
- Fig. 1I WT mice with established MC38 tumors were treated with PBS or Gln intratumorally daily starting at day 5 after tumor inoculation, and euthanized at day 15.
- Dendritic cells CD45 + CD64 ⁇ CD11c + MHC-II +
- CD45 + non-macrophage immune cells CD45 + CD64 ⁇
- macrophages CD45 + CD64 +
- Violin plots show activity score of signature genes related to different functional states (early activation, memory precursor, memory, and effector/cytokine) in intratumoral CD8 + T cells from PBS or Gln-treated mice.
- Intratumoral lymphocytes were stimulated with PMA and ionomycin in the presence of monensin for 4 h.
- Fig.1L plot depicting normalized enrichment score (NES) and statistical significance of the GSEA performed to assess the effects of glutamine supplementation on conventional dendritic cells (cDCs), neutrophils, plasmacytoid dendritic cells (pDCs), B cells, macrophages and CD45 ⁇ cells that were predominantly tumor cells (these populations were identified by scRNA-seq analysis in Fig. 5G).
- Fig.1O WT mice were inoculated with B16-OVA cells.
- Figs. 2A-2R depict that glutamine interplay between tumor cells and cDC1 modulates anti-tumor immunity.
- sort-purified cDC1 were pulsed with OVA protein (200 ⁇ g/ml) in medium containing all 20 common amino acids (+AA) or medium lacking an individual amino acid as indicated, irradiated and then cocultured with OT-I (Fig.2A) or OT-II (Fig.2B) T cells at a ratio of 1:10.
- OVA protein 200 ⁇ g/ml
- OT-I Fig.2A
- OT-III Fig.2B
- Fig.2C effect of MC38 supernatant on the priming function of cDC1.
- Fig. 2D effect of individual amino acid supplementation in MC38 supernatant on the priming capacity of cDC1.
- cDC1 were pulsed with OVA protein in MC38 cell culture supernatant supplemented with an individual amino acid as indicated, irradiated, and then cocultured with OT-I T cells.
- Fig.2E MC38 cells and bone marrow-derived DCs (BMDCs) were cultured in a transwell at a ratio of 1:4 in RPMI 1640 medium supplemented with 2 or 0.6 mM glutamine.
- Fig.2F expression of glutamine transporters SLC1A5, SLC6A14, SLC6A19, SLC38A1, SLC38A2, SLC38A3, SLC38A4 and SLC38A5 in human melanoma cells, DCs and CD8 + T cells derived from a publicly available human melanoma scRNA-seq dataset (GSE72056) 39 .
- MC38-Cas9-expressing MC38 cells were transduced with sgRNA targeting Slc38a2 (sgSlc38a2) or non-targeting control (sgNTC) sgRNA.
- SLC38A2 was analyzed by immunoblot.
- ⁇ -Actin was used as loading control.
- Molecular weight markers were indicated in kilodaltons (kDa).
- Fig.2L cDC1 were sorted from the spleen of WT
- NS not significant; *P ⁇ 0.05; **P ⁇ 0.01; ***P ⁇ 0.001; ****P ⁇ 0.0001; two-tailed unpaired Student’s t-test (Figs.2C, 2E, 2I, 2J, 2L-N, 2Q, 2R) or two-way ANOVA (Figs.2H, 2K, 2O, 2P). Data are representative of one (Fig. 2G), two (Figs. 2E, 2I-2K, 2M-2R), or at least three (Figs. 2A-2D, 2H, 2L) independent experiments. Numbers indicate percentages of cells in gates (Figs.2J, 2N).
- Figs.3A-3S depict that glutamine promotes the priming effect and anti-tumor immunity of cDC1 via FLcN.
- Fig. 3A HEK293T cells were transfected with HA-FLCN and Flag-FNIP2. Cells were starved with glutamine (Gln)-free medium for 3 h, and Gln was added back for 10 or 15 min. The interaction between FLCN and FNIP2 was analyzed by anti-HA immunoprecipitation and immunoblot for Flag (for FNIP2) and HA (for FLCN). Molecular weights were indicated in kilodaltons (kDa). Long and short exposures (exp.) for HA immunoblot were shown.
- Fig. 3A HEK293T cells were transfected with HA-FLCN and Flag-FNIP2. Cells were starved with glutamine (Gln)-free medium for 3 h, and Gln was added back for 10 or 15 min. The interaction between FLCN and FNIP
- [ 3 H] thymidine ([ 3 H] TdR) incorporation by OT-I T cells was measured.
- HKLM-OVA heat-killed Listeria monocytogenes
- Fig.3I effect of Gln supplementation on the priming effect of WT and FLCN-deficient cDC1.
- MC38 supernatant MC38 cell culture-derived supernatant
- Supernatant + Gln Supernatant + Gln
- [ 3 H] TdR incorporation by OT-II T cells was measured.
- Figs.3M-3N MC38 cells were inoculated subcutaneously into WT and Flcn ⁇ DC mice.
- Fig.3N MHC-I antigen presentation
- Fig.3O violin plots show the activity scores of gene signatures related to early activation, memory precursor, memory and effector/cytokine in intratumoral CD8 + T cells (profiled by scRNA-seq analysis) from WT and Flcn DDC mice.
- Fig. 3P quantification of effector-like and stem-like cells among intratumoral CD8 + T cells from WT and Flcn ⁇ DC mice.
- Intratumoral lymphocytes were stimulated with PMA and ionomycin in the presence of monensin for 4 h. Quantification of the frequencies of IFN ⁇ + (left), TNF ⁇ + (middle) and Granzyme B + (right) cells among intratumoral CD8 + T cells.
- Intratumoral lymphocytes were stimulated with OVA257-264 peptide in the 11 168222090v1 Attorney Docket No.243734.000197 presence of monensin for 4 h.
- Flow cytometry analysis (left) and quantification of the frequency (middle) and number (right) of TNF ⁇ + IFN ⁇ + cells among intratumoral CD8 + T cells (Fig. 3S).
- Data are means ⁇ s.e.m. NS, not significant; *P ⁇ 0.05; **P ⁇ 0.01; ***P ⁇ 0.001; ****P ⁇ 0.0001; two-tailed unpaired Student’s t-test (Figs.
- FIG. 3B-D, 3K, 3L, 3Q03S 3B-D, 3K, 3L, 3Q03S
- one-way ANOVA Figs. 3E, 3I, 3J
- two-way ANOVA Figs. 3F-3H
- Wilcoxon rank sum test Figs. .
- Data are representative of two (Figs.3A, 3D, 3E, 3I, 3J, 3R, 3S), or at least three (Figs. 3B, 3C, 3F-3H, 3K, 3L, 3Q) independent experiments. Numbers indicate percentages of cells in gates (Figs.3E, 3R, 3S).
- Figs.4A-4L depict that co-deletion of TFEB restores the priming effect of cDC1 caused by FLCN deficiency and glutamine restriction.
- Figs. 4B-4C GSEA enrichment plots showing upregulation of KEGG lysosome pathway (Fig.4B) and putative TFEB target genes (derived from a public dataset that identified TFEB targets by integrating TFEB ChIP-seq analysis and TFEB overexpression 52 ) (Fig.
- splenic cDC1 from Flcn ⁇ DC versus WT mice FDR, false discovery rate; NES, normalized enrichment score.
- Fig.4E immunoblot analysis of Cathepsin D (pro and mature forms), FLCN and TFEB expression in cDC1 from WT, Flcn ⁇ DC , Tfeb ⁇ DC and Flcn/Tfeb ⁇ DC mice. GAPDH was used as loading control. Molecular weights were indicated in kilodaltons (kDa). Fig.
- [ 3 H] thymidine ([ 3 H] TdR) incorporation by OT-I T cells was measured.
- mice were inoculated with MC38 cells, and euthanized at day 15.
- Flow cytometry analysis left and quantification of the frequencies (right) of effector-like (CD39 + Ly108 ⁇ or TIM-3 + TCF1 ⁇ ) and stem-like (CD39 ⁇ Ly108 + or TIM-3 ⁇ TCF1 + ) subsets of intratumoral CD8 + T cells (Fig. 4I).
- Flow cytometry analysis (left) and quantification (right) of the MFI of T-bet in intratumoral CD8 + T cells (Fig. 4J).
- Fig. 4K splenic cDC1 were sort-purified from WT and Flcn ⁇ DC mice and incubated in glutamine (Gln)-sufficient medium or starved in Gln-free medium for 3 h.
- TFEB protein expression in cytosolic and nuclear fractions was analyzed by immunoblot analysis. The protein levels of cytosolic or nuclear TFEB were normalized to GAPDH or Lamin B1, respectively. Numbers indicate the abundance of cytosolic or nuclear TFEB relative to that of WT in the presence of Gln. Molecular weights were indicated in kDa.
- Figs. 4H Data are representative of two (Figs. 4D, 4E, 4J, 4L), or at least three (Figs. 4H, 4I, 4K) independent experiments. Data are pooled from two (Fig. 4G) or three (Fig. 4F) independent experiments. Numbers indicate percentages of cells in gates (Fig.4I) or MFI (Figs.4D, 4J). [0029] Figs.5A-5O depict that glutamine supplementation enhances anti-tumor immunity. Fig. 5A, wild-type (WT) mice were inoculated with B16-OVA tumor cells.
- matched plasma and tumor interstitial fluid TIF
- glutamine Gln; left
- glucose right
- n 4 mice
- Figs.5B-5C WT mice were inoculated with MC38 or B16-OVA cells, and euthanized at day 15 after tumor challenge.
- the levels of 20 common amino acids in matched plasma and TIF from MC38 Fig. 5B
- B16-OVA Fig. 5C
- FIG. 5H dot plot showing expression of activation and effector genes including Cd44, Gzmb, Prf1, Tbx21 and Tnf in intratumoral CD8 + T cells from mice treated with PBS or Gln.
- Fig.5I violin plot showing Gzmb (left) and Prf1 (right) expression in intratumoral CD8 + T cells from mice treated with PBS or Gln.
- Fig. 5J the fraction of stem-like (TIM-3 ⁇ TCF1 + ) and effector-like (TIM- 3 + TCF1 ⁇ ) CD8 + T cell subclusters in mice with established MC38 tumors treated with PBS or Gln.
- Fig. 5L violin plot showing activity score of signatures related to MHC-I antigen presentation pathway in intratumoral cDCs from mice treated with PBS or Gln.
- MFI mean fluorescence intensity
- Fig.5O WT mice were inoculated with B16-OVA cells.
- FIG. 6A-6P depict that glutamine promotes the priming capacity of cDCs.
- FIG. 6A schematic of functional amino acid screening assay used in Figs.2A, 2B, 6B, and 6C.
- Sort-purified splenic cDC1 or cDC2 were pulsed with OVA protein (200 ⁇ g/ml) in medium without an individual amino acid (AA), irradiated and then cocultured with OT-I or OT-II T cells at a ratio of 1:10 for 3 days.
- 3 H-thymidine [ 3 H] TdR
- Figs.6B-6C sort-purified cDC1 were pulsed with OVA in medium containing all 20 common amino acids (+AA) or medium lacking an individual amino acid as indicated, irradiated and then cocultured with OT-I (Fig. 6B) or OT-II (Fig.6C) T cells at a ratio of 1:10 for 3 days.
- Sort-purified splenic cDC1 or cDC2 were pulsed with OVA protein in AA-free medium supplemented with an individual amino acid for 2 h, irradiated and then cocultured with OT-I or OT-II T cells for 3 days. [ 3 H] TdR was added for the last 8 h to measure [ 3 H] TdR incorporation.
- Figs.6H-6I, cDC1 Fig.
- Fig. 6H or cDC2 (Fig.6I) were pulsed with OVA protein in AA-free medium supplemented with an 15 168222090v1 Attorney Docket No.243734.000197 individual amino acid as indicated, irradiated and then cocultured with OT-I or OT-II T cells for 3 days.
- Fig. 6J MC38 cells were cultured in RPMI 1640 medium supplemented with 10% (v/v) dialyzed FBS and 0.6 mM Gln for 48 h.
- cDC1 were pulsed with OVA protein and culture supernatant derived from MC38 cells cultured in Gln-free medium supplemented with various concentrations (0.3, 0.6 or 2 mM) of Gln for 2 h. The cDC1 were then irradiated and cocultured with OT-II T cells.
- sort-purified cDC1 were cultured in fresh medium, MC38 supernatant, or MC38 supernatant supplemented with 0.6 mM Gln for 2 h. Intracellular Gln abundance in cDC1 was quantified by mass spectrometry.
- Fig.6O sort-purified cDC1 were pulsed with OVA protein in fresh medium, B16F10 supernatant (B16 supernatant), or B16 supernatant supplemented with Gln (B16 supernatant + Gln), and then cocultured with OT-I T cells.
- B16 supernatant B16 supernatant
- B16 supernatant + Gln B16 supernatant + Gln
- FIG. 7A-7I depict that SLC38A2 deficiency in tumor cells promotes anti-tumor immunity.
- Fig. 7A expression of glutamine transporters Slc1a5, Slc6a19, Slc38a1, Slc38a2, Slc38a3 and Slc38a5 in murine tumor cells, DCs and CD8 + T cells from publicly available mouse scRNA-seq dataset (GSE121861) 40 , which profiled six syngeneic tumor models including B16F10 melanoma, EMT6 breast mammary carcinoma, LL2 Lewis lung carcinoma, CT26 colon carcinoma, MC38 colon carcinoma and Sa1N fibrosarcoma.
- Fig.7C WT mice were inoculated with B16-FLT3L tumor cells, and euthanized at day 15 after tumor inoculation. Intratumoral cDC1, CD8 + T and tumor cells were sort-purified, and SLC38A2 expression was analyzed by immunoblot. ⁇ -Actin was used as loading control. Molecular weights are indicated in kilodaltons (kDa). Fig.
- MC38- Cas9-expressing MC38 (MC38- Cas9) cells were transduced with sgRNA targeting Slc38a2 (sgSlc38a2) or non-targeting control (sgNTC) sgRNA.
- Fig.7F Cas9-expressing B16-OVA (B16- OVA-Cas9) cells were transduced with sgSlc38a2 or sgNTC. Immunoblot analysis of SLC38A2. ⁇ -Actin was used as loading control. Molecular weights are indicated in kDa.
- WT wild-type mice inoculated with sgNTC- or sgSlc38a2-transduced B16- OVA-Cas9 cells
- Figs. 7B, 7D, 7E, 7H two-tailed unpaired Student’s t-test
- Figs. 7G, 7I two-way ANOVA
- Data are representative of one (Figs. 7B, 7C, 7F) or two (Fig.7D, 7E, 7G-7I) independent experiments.
- Figs. 8A-8G depict characterization of DC and T cell phenotypes in Slc38a2 ⁇ DC mice.
- Fig.8B cDC1 and cDC2 were sort-purified from WT and Slc38a2 ⁇ DC mice.
- PPN peripheral lymph nodes
- MN mesenteric lymph nodes
- Fig. 8G splenocytes were stimulated with PMA and ionomycin in the presence of monensin for 4 h.
- Figs.8A, 8B Data are representative of two (Figs.8A, 8B) or three (Figs.8H-8J) independent experiments or pooled from two (Figs.8C-8G) independent experiments. Numbers indicate percentages of cells in gates or quadrants (Figs.8D- 8G). 18 168222090v1 Attorney Docket No.243734.000197 [0033] Figs. 9A-9E depict that SLC38A2 deficiency in DCs impairs anti-tumor adaptive immune responses.
- Fig.9D WT mice were inoculated with B16-OVA cells.
- HEK293T cells were maintained in glutamine (Gln)-sufficient medium (no starvation), or starved of Gln ( ⁇ Gln) for 3 h, followed by refeeding with Gln for 15 min (Gln add-back).
- Immunoprecipitation (IP) was performed using anti-DEPDC5 (component of GATOR1) (Fig. 10A) or anti-WDR24 (component of GATOR2) (Fig.10B) antibody.
- the immunoprecipitated proteins were analyzed by immunoblot as indicated. Molecular weights were indicated in kilodaltons (kDa). Data are representative of two (Figs.10A, 10B) independent experiments.
- Figs.11A-11K depict that FLCN deficiency in DCs impairs anti-tumor immunity.
- IL-2 (left) and IFN ⁇ (right) production by OT-I T cells was measured.
- IL-2 production by OT-II T cells was measured.
- [ 3 H] thymidine ([ 3 H] TdR) incorporation by OT-I (left) and OT-II (right) T cells was measured.
- Fig. 11J Quantification of the frequencies of CD8 + T cells, CD4 + Foxp3 ⁇ conventional T cells, monocytes/macrophages (Mo/Mac), NK cells and Treg cells among non-DC CD45 + cells in scRNA-seq (Fig. 11J).
- Fig. 11K GSEA enrichment plot showing downregulated antigen processing and presentation pathway in intratumoral cDC1 from Flcn ⁇ DC mice versus WT mice (profiled by scRNA-seq analysis).
- FDR false discovery rate
- NES normalized enrichment score.
- Data are means ⁇ s.e.m.
- Figs. 11A-11D data are representative of one (Fig. 11F), two (Fig. 11A) or at least three (Figs.11B-11E, 11G) independent experiments.
- Figs. 12A-12G depict that FLCN deficiency in DCs impairs the effector function of cytotoxic CD8+ T cells in the TME.
- MFI mean fluorescence intensity.
- Figs.12A-12G Data are means ⁇ s.e.m. NS, not significant; *P ⁇ 0.05; **P ⁇ 0.01; ***P ⁇ 0.001; two-tailed unpaired Student’s t- test (Figs.12A-12G). Data are representative of two (Figs.12B, 12E, 12F) or at least three (Figs. 12A, 12C, 12D, 12G) independent experiments. Numbers indicate MFI (Figs.12A, 12B, 12E) or percentages of cells in gates (Figs.12D, 12F). [0037] Figs. 13A-13J depict that FLCN-deficient cDC1 show enhanced lysosomal activation, which is rescued by TFEB co-deletion. Fig.
- FIG. 13A principal component analysis (PCA) plot of ATAC-seq data for WT and FLCN-deficient cDC1 with the percentage of variance shown.
- FIGs. 13B-13C GSEA of transcriptome analysis of FLCN-deficient versus WT cDC1 using KEGG pathway (Fig.13B) and Hallmark gene sets combined with putative TFEB target genes (derived from a public dataset that identified TFEB targets by integrating TFEB ChIP-seq analysis and TFEB overexpression 52 ) (Fig.13C).
- FDR false discovery rate
- NES normalized enrichment score
- Fig. 13G immunoblot analysis of Cathepsin D (pro and mature forms) expression in cDC1 from WT and Flcn ⁇ DC mice. ⁇ -Tubulin was used as loading 21 168222090v1 Attorney Docket No.243734.000197 control. Molecular weights were indicated in kDa.
- Fig.13H accessibility of the Ctsd gene and its upstream regions in WT and FLCN-deficient cDC1 assessed by ATAC-seq.
- Fig.13H accessibility of the Ctsd gene and its upstream regions in WT and FLCN-deficient cDC1 assessed by ATAC-seq.
- IL-2 left
- IFN ⁇ right
- Data are means ⁇ s.e.m. NS, not significant; *P ⁇ 0.05; **P ⁇ 0.01; ****P ⁇ 0.0001; two-tailed unpaired Student’s t-test (Fig. 13E) or one-way ANOVA (Figs.13I, 13J).
- Figs.14A-14H depict roles of the FLCN–TFEB signaling axis in mediating anti-tumor immunity and glutamine availability.
- Intratumoral lymphocytes were stimulated with PMA and ionomycin in the presence of monensin for 4 h.
- Flow cytometry analysis (left) and quantification of the frequencies (right) of IFN ⁇ + (upper), TNF ⁇ + (middle) and Granzyme B + (lower) cells among intratumoral CD8 + T cells (Fig. 14D).
- Fig. 14E venn diagram showing the overlap of putative TFEB target genes 52 and significantly upregulated genes in FLCN-deficient (versus WT) cDC1, with the 26 overlapped genes shown.
- FIG. 14F GSEA plot depicting the enrichment of the gene set containing the 26 overlapped genes identified in Fig.14E, in cDC1 treated with glutamine (Gln)-free medium versus complete medium.
- Fig. 14H schematic of glutamine intercellular crosstalk between cDC1 and tumor cells, and nutrient signaling in cDC1 in modulating anti-tumor immunity.
- cDC1 and tumor cells both express the glutamine transporter SLC38A2 to mediate glutamine uptake, with tumor cells expressing higher 22 168222090v1 Attorney Docket No.243734.000197 level of SLC38A2 than cDC1.
- Deficiency of SLC38A2 in tumors reduces tumor growth by impinging upon anti-tumor immunity, while its deletion in cDC1 impairs anti-tumor responses (not depicted).
- glutamine induces FLCN–FNIP2 complex assembly and inhibits TFEB activity to promote the cross-presentation capacity of cDC1.
- DCs dendritic cells
- cDC1 type-1 conventional DCs
- PRRs pattern recognition receptors
- Nutrients are emerging as mediators of adaptive immunity 6-9 , but the extent to which nutrients impact DC function or innate- adaptive cell communication is largely unresolved.
- glutamine is identified as an intercellular metabolic checkpoint that mediates tumor-cDC1 crosstalk by licensing the functionality of cDC1 in activating cytotoxic T cells.
- TME tumor microenvironment
- intratumoral glutamine supplementation alone markedly inhibits tumor growth by augmenting cDC1-mediated CD8 + T-cell immunity, and overcomes therapeutic resistance to checkpoint blockade and T-cell-mediated immunotherapies.
- glutamine is the dominant amino acid to promote cDC1 function; accordingly, single-cell RNA- sequencing (scRNA-seq) analysis reveals elevated conventional DC functional capacity in glutamine-supplemented tumors.
- scRNA-seq single-cell RNA- sequencing
- the beneficial anti-tumor effect of glutamine supplementation is blunted upon depletion of cDC1 or lymphocytes, revealing immune-mediated, tumor-extrinsic rather than tumor-intrinsic effects.
- tumor cells and cDC1 compete for glutamine uptake via transporter SLC38A2. Indeed, loss of SLC38A2 in tumor cells and cDC1 enhances and dampens anti-tumor immunity, respectively. Furthermore, in cDC1, glutamine induces nutrient-dependent intracellular signaling via folliculin (FLCN) to impinge upon transcription factor EB (TFEB) function.
- FLCN folliculin
- TFEB transcription factor EB
- cDC1 preferentially promote the priming of CD8 + cytotoxic T cells, whereas cDC2 are superior at CD4 + T-cell priming 4, 5 .
- cDC1 are involved in anti-tumor immunity, as they cross- present tumor-associated antigens to cytotoxic CD8 + T cells and promote their expansion and effector function within tumors. As such, cDC1 function is associated with immune-mediated tumor rejection and the success of immune checkpoint blockade (ICB) and adoptive T-cell therapies (ACT) 19-22 .
- the immunosuppressive microenvironment in tumors can contribute to immunoevasion via impairing the functional activity of DCs 3 , which may be mediated by dysregulated abundance or sensing of local environmental cues.
- the present invention is based, in part, on identifying glutamine as a limiting factor and important driver for the activation and function of cDC1 in anti-tumor immunity, and the underlying mechanisms for glutamine acquisition and signaling.
- glutamine abundance is highly depleted in the TME and tumor cell culture supernatants, and glutamine supplementation alone in vivo or in vitro is sufficient to restore the functionality of cDC1 for CD8 + T-cell priming.
- the therapeutic anti-tumor effect of glutamine supplementation is abrogated in mice deficient in cDC1 (Batf3 –/– ) or lymphocytes (Rag1 –/– ), revealing the extraordinarility of immune-mediated, tumor cell-extrinsic effect of glutamine in vivo, rather than tumor cell-intrinsic glutamine effect that has been a subject of extensive interest and debate 23 .
- glutamine supplementation shows pronounced effects at improving the therapeutic efficacies of ICB or ACT, thereby possibly overcoming therapeutic resistance to current immunotherapies, which may have therapeutic implications 1, 2 .
- Glutamine 24 168222090v1 Attorney Docket No.243734.000197 transporter SLC38A2 was further revealed herein as an intercellular metabolic checkpoint to dictate glutamine availability to tumor cells and cDC1, and genetic deletion analyses reveal that tumor-expressed SLC38A2 impairs, while DC-expressed SLC38A2 promotes, anti-tumor immunity.
- the beneficial anti-tumor effect of intratumoral glutamine supplementation is blunted upon DC-specific deletion of SLC38A2 or FLCN, thereby linking SLC38A2 and FLCN in coordinating glutamine-dependent effects in DCs in vivo.
- the results of the present disclosure establish SLC38A2 and FLCN as highly selective drivers for cDC1 in orchestrating anti-tumor immunity, and suggest that manipulation of glutamine uptake and intracellular signaling represents a means to reinforce the functionality of cDC1 for cancer therapy.
- intratumoral glutamine supplementation alone markedly suppresses tumor growth, and significantly enhances the efficacy of immune checkpoint blockade (anti-PD-1/PD-L1 treatment) and adoptive T cell transfer therapies.
- T cell includes thymocytes, naive T lymphocytes, immature T lymphocytes, mature T lymphocytes, resting T lymphocytes, or activated T lymphocytes.
- a T cell can be a T helper (Th) cell, for example a T helper 1 (Thl), a T helper 2 (Th2) cell, a T helper 17 (Th17) or regulatory T (Treg) cell.
- the T cell can be a T helper cell (Th; CD4 + T cell) CD4 + T cell, a cytotoxic T cell (CTL; CD8 + T cell), a tumor infiltrating cytotoxic T cell (TIL; CD8 + T cell), CD4 + CD8 + T cell, or any other subset of T cells.
- T helper cell Th
- CD4 + T cell CD4 + T cell
- CTL cytotoxic T cell
- TIL tumor infiltrating cytotoxic T cell
- CD8 + T cell CD4 + CD8 + T cell
- Other illustrative populations of T cells suitable for use in particular embodiments include naive T cells and memory T cells.
- NKT cells refer to a specialized population of T cells that express a semi-invariant ⁇ T- cell receptor, but also express a variety of molecular markers that are typically associated with NK cells, such as NK1.1.
- NKT cells include NK1.1 + and NK1.1-, as well as CD4 + , CD4-, CD8 + and CD8- cells.
- the TCR on NKT cells is unique in that it recognizes glycolipid antigens presented by the MHC I-like molecule CD Id. NKT cells can have either protective or deleterious effects due to their abilities to produce cytokines that promote either inflammation or immune tolerance.
- gamma-delta T cells which refer to a specialized population that to a 26 168222090v1 Attorney Docket No.243734.000197 small subset of T cells possessing a distinct TCR on their surface, and unlike the majority of T cells in which the TCR is composed of two glycoprotein chains designated ⁇ - and ⁇ -TCR chains, the TCR in ⁇ T cells is made up of a ⁇ -chain and a ⁇ -chain.
- ⁇ T cells can play a role in immunosurveillance and immunoregulation, and were found to be an important source of IL-17 and to induce robust CD8 + cytotoxic T cell response.
- Tregs refers to T cells that suppress an abnormal or excessive immune response and play a role in immune tolerance.
- Tregs cells are typically transcription factor Foxp3-positive CD4 + T cells and can also include transcription factor Foxp3-negative regulatory T cells that are IL-10-producing CD4 + T cells.
- the terms “dendritic cell” and “DC” as used herein refer to any member of a diverse population of morphologically similar type of immune cell that is found in lymphoid or non- lymphoid tissues and boosts immune responses by showing antigens on its surface to other cells of the immune system.
- Dendritic cells serve a key function in host defense, linking innate detection of pathogens to the activation of pathogen-specific adaptive immune responses (Steinman et al., 2006; Takeuchi et al., 2009).
- DCs are formed in bone marrow and are present in lymphoid and other tissues specializing in the uptake of particulate material by phagocytosis and acting as antigen-presenting cells in immune responses.
- Non-limiting examples of dendritic cells include bone marrow-derived dendritic cells (BMDC), plasmacytoid dendritic cells, Langerhans cells, interdigitating cells, veiled cells, and dermal dendritic cells.
- Dendritic cells are also divided in three major DC subsets: plasmacytoid DC (pDC), myeloid/conventional DC1 (cDC1) and myeloid/conventional DC2 (cDC2).
- the terms “treat” or “treatment” of a state, disorder or condition include: (1) preventing, delaying, or reducing the incidence and/or likelihood of the appearance of at least one clinical or sub-clinical symptom of the state, disorder or condition developing in a subject that may be afflicted with or predisposed to the state, disorder or condition, but does not yet experience or display clinical or subclinical symptoms of the state, disorder or condition; or (2) inhibiting the state, disorder or condition, i.e., arresting, reducing or delaying the development of the disease or a relapse thereof or at least one clinical or sub-clinical symptom thereof; or (3) relieving the disease, i.e., causing regression of the state, disorder or condition or at least one of its clinical or sub-clinical symptoms.
- the benefit to a subject to be treated is either statistically significant or at least perceptible to the patient or to the physician.
- 27 168222090v1 Attorney Docket No.243734.000197
- the term “effective” applied to dose or amount refers to that quantity of a compound or pharmaceutical composition that is sufficient to result in a desired activity upon administration to a subject in need thereof. Note that when a combination of active ingredients is administered, the effective amount of the combination may or may not include amounts of each ingredient that would have been effective if administered individually. The exact amount required will vary from subject to subject, depending on the species, age, and general condition of the subject, the severity of the condition being treated, the particular drug or drugs employed, the mode of administration, and the like.
- compositions described herein refers to molecular entities and other ingredients of such compositions that are physiologically tolerable and do not typically produce untoward reactions when administered to a mammal (e.g., a human).
- pharmaceutically acceptable means approved by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in mammals, and more particularly in humans.
- patient refers to mammals, including, without limitation, human and veterinary animals (e.g., cats, dogs, cows, horses, sheep, pigs, etc.) and experimental animal models.
- subject is a human.
- Singular forms “a”, “an”, and “the” include plural references unless the context clearly dictates otherwise.
- a reference to “a method” includes one or more methods, and/or steps of the type described herein and/or which will become apparent to those persons skilled in the art upon reading this disclosure.
- the term “about” or “approximately” includes being within a statistically meaningful range of a value. Such a range can be within an order of magnitude, preferably within 50%, more preferably within 20%, still more preferably within 10%, and even more preferably within 5% of a given value or range.
- the allowable variation encompassed by the term “about” or “approximately” depends on the particular system under study, and can be readily appreciated by one of ordinary skill in the art.
- glutamine includes glutamine, also known as glutamic acid 5-amide, and hydrolyzable derivatives thereof, such as esters and/or amides of glutamine that yield glutamine in the body of a mammal, as well as pharmaceutically acceptable salts of glutamine.
- glutamine also known as glutamic acid 5-amide
- hydrolyzable derivatives thereof such as esters and/or amides of glutamine that yield glutamine in the body of a mammal, as well as pharmaceutically acceptable salts of glutamine.
- useful pharmaceutically acceptable salts of glutamine include, e.g., the acid addition salts of amines, such as hydrochlorides, tartrates, acetates, citrates, and the like, and carboxylate salts, such as potassium and sodium salts.
- the weight of glutamine or weight ratio of glutamine to other components refers to the weight of the glutamine portion of a hydrolyzable glutamine derivative, or the weight of the glutamine portion of a salt of glutamine.
- the practice of the present invention employs, unless otherwise indicated, conventional techniques of statistical analysis, molecular biology (including recombinant techniques), microbiology, cell biology, and biochemistry, which are within the skill of the art. Such tools and techniques are described in detail in e.g., Sambrook et al. (2001) Molecular Cloning: A Laboratory Manual.3rd ed. Cold Spring Harbor Laboratory Press: Cold Spring Harbor, New York; Ausubel et al.
- glutamine is administered to a subject.
- glutamine is administered in combination with an anti-tumor immunotherapy or an anti-cancer immunotherapy.
- the immunotherapy and glutamine are administered simultaneously.
- the immunotherapy and glutamine are administered sequentially in any order.
- glutamine is administered in combination with inhibiting SLC38A2-mediated glutamine uptake in cancer cells of the subject. In certain embodiments, glutamine is administered in combination with inhibiting lysosomal signaling pathway in DCs of the subject. In certain embodiments, glutamine is administered in combination with an effective amount of DCs, wherein said DCs have been pre- incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal 29 168222090v1 Attorney Docket No.243734.000197 signaling inhibitors.
- glutamine is administered in combinations with an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors and with an effective amount of an anti-cancer immunotherapy.
- glutamine is administered in combination with an effective amount of an anti-cancer immunotherapy and with inhibiting lysosomal signaling pathway in DCs of the subject.
- glutamine is administered in combination with an effective amount of an anti-cancer immunotherapy and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- glutamine is administered in combination with an effective amount of an anti-cancer immunotherapy, an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors and with inhibiting SLC38A2-mediated glutamine uptake in cancer cells of the subject.
- glutamine is administered in combination with an effective amount of an anti-cancer immunotherapy, an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors, with inhibiting SLC38A2-mediated glutamine uptake in cancer cells of the subject, and with comprising inhibiting lysosomal signaling pathway in DCs of the subject.
- one or more of glutamine, inhibitors, and/or immunotherapies of the invention can be formulated as one or more pharmaceutical compositions and administered to a subject, such as a human patient, in a variety of forms adapted to the chosen route(s) of administration.
- Non-limiting examples of useful routes of administration include, e.g., intratumoral, peritumoral, intravenous, parenteral, topical, transdermal, enteral, oral, intramuscular, subcutaneous, intraperitoneal (e.g., by infusion or injection), or by direct administration to the gastrointestinal tract (e.g., by enema or suppository).
- the administration is intratumoral or peritumoral.
- the amount of glutamine administered to the subject can be, but is not limited to, at least 0.5 mg/day/kg body mass of the subject or 0.2 to 3.0 g/day/kg body mass.
- glutamine can be administered to the subject, e.g., one or two times per day. 30 168222090v1 Attorney Docket No.243734.000197 [0060]
- solutions of glutamine or its salts can be prepared in water, optionally mixed with a nontoxic surfactant.
- dispersions can be prepared in glycerol, liquid polyethylene glycols, triacetin, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
- administering glutamine comprises administering a composition comprising about 5-15% w/w glutamine, 30-50% w/w carbohydrate carriers, including a disaccharide, a sugar alcohol or polyol, and glycerin, with the remainder of dry solids comprising, for example, an effective amount of a buffer, or buffering compound, modified cellulose, and optionally comprising stabilizers and emulsifiers, excipients/stabilizing agents (e.g., L-arginine), preservatives, defoamants, and flavoring.
- the disaccharide can be, but is not limited to, sucrose.
- the polyol can be, but is not limited to, sorbitol.
- the buffer or buffering compound can be, but is not limited to, anhydrous monobasic sodium phosphate.
- the modified cellulose can be, but is not limited to, Avicel® Cellulose Gel.
- the stabilizers and emulsifiers can be, but is not limited to, xanthan gum and/or carrageenan.
- the preservative can be, but is not limited to, methylparaben and/or potassium sorbate.
- the defoamant can be, but is not limited to, simethicone.
- glutamine can be administered as a liquid composition.
- the liquid composition comprises 5-25% w/v L-glutamine, 20-40% w/v carbohydrate carrier, including a disaccharide, a sugar alcohol, and glycerin, 5-10% w/v citric acid, and an effective amount of buffer, and the remainder water or alcohol-water.
- the liquid composition can optionally comprise stabilizers, preservatives, emulsifiers and flavorings.
- the effective amount of buffer can comprise 0.4-0.8% sodium phosphate.
- the use of a carbohydrate carrier in the composition can increase the cellular absorption of the amino acid by at least ten times over direct administration of the amino acid in water.
- glutamine can be administered as an aqueous composition comprising 38% w/v L-glutamine, 30% w/v sucrose, and 2.8% w/v sorbitol.
- excipients can also be added to the glutamine composition, provided that the necessary concentration of carbohydrate carrier is maintained.
- the excipient can be, but is not limited to, a sweetener/solvent, emulsifying and 31 168222090v1 Attorney Docket No.243734.000197 stabilizing agents, preservatives and stabilizers, a defoamant/base ingredient, flavoring, or other ingredients which improve the stability and administration of the composition.
- the sweetener/solvent is glycerin.
- the emulsifying and stabilizing agent can be a cellulose gel, xanthan gum and/or carrageenan.
- the cellulose gel is Avicel® Microcrystalline Cellulose Gel (FMC Corp., Philadelphia, Pa.).
- the preservatives and stabilizers can be citric acid and/or methylparaben.
- the defoamant/base ingredient can be simethicone.
- the pharmaceutical glutamine dosage forms suitable for injection or infusion can include sterile aqueous solutions or dispersions or sterile powders comprising glutamine which are adapted for the extemporaneous preparation of sterile injectable or infusible solutions or dispersions, optionally encapsulated in liposomes.
- the ultimate dosage form should be sterile, fluid and stable under the conditions of manufacture and storage.
- the liquid carrier or vehicle can be a solvent or liquid dispersion medium comprising, but not limited to, water, ethanol, a polyol, vegetable oils, nontoxic glyceryl esters, and suitable mixtures thereof.
- the polyol can be, but is not limited to, glycerol, propylene glycol, liquid polyethylene glycols, and the like.
- the proper fluidity can be maintained by the formation of liposomes, by the maintenance of the required particle size in the case of dispersions or by the use of surfactants.
- various antibacterial and antifungal agents can be used to prevent the action of microorganisms.
- the antibacterial and antifungal agents can be, without limitation, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like.
- isotonic agents can be included, for example, sugars, buffers or sodium chloride.
- agents delaying absorption can be used to achieve prolonged absorption of the injectable glutamine compositions.
- the agents delaying absorption can be, aluminum monostearate and/or gelatin.
- sterile injectable solutions are prepared by incorporating glutamine in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filter sterilization.
- compositions comprising glutamine may be applied in pure form, e.g., when they are liquids, for topical administration. However, it will generally be desirable to administer them to the skin as compositions or formulations, in combination with a dermatologically acceptable carrier.
- the dermatologically acceptable carrier can be a solid or a liquid.
- Solid carriers include, but are not limited to, finely divided solids such as talc, microcrystalline cellulose, clay, alumina, silica and the like.
- Liquid carriers include, but are not limited to, water, alcohols or glycols or water-alcohol/glycol blends, in which glutamine can be dissolved or dispersed at effective levels.
- glutamine can be dissolved or dispersed with the aid of non-toxic surfactants.
- adjuvants such as fragrances and additional antimicrobial agents can be added to optimize the properties for a given use.
- the resultant liquid glutamine compositions can be applied from absorbent pads, used to impregnate bandages and other dressings, or sprayed onto the affected area using pump-type or aerosol sprayers.
- thickeners can also be employed with liquid carriers to form spreadable pastes, gels, ointments, soaps, and the like, for application directly to the skin of the subject.
- the thickeners can be synthetic polymers, fatty acids, fatty acid salts and esters, fatty alcohols, modified celluloses or modified mineral materials.
- Dermatological compositions which can be used to deliver glutamine to the skin are known to the art. See U.S. Pat. No.4,608,392, U.S. Pat. No.4,992,478, U.S. Pat. No.4,559,157 and U.S. Pat. No. 4,820,508.
- glutamine can be adapted for topical administration to the eye.
- an ophthalmologically acceptable vehicle is employed.
- the ophthalmologically acceptable vehicle can be, but is not limited to, an aqueous vehicle, a gel or an ointment.
- the ophthalmologically acceptable vehicle can be buffered to about pH 5-6 and can also contain preservatives, thickeners and solubilizing agents as needed.
- glutamine is formulated as eye drops.
- the liquid eye drop compositions comprises 0.1% sodium hyaluronate (average molecular weight 1,800,000) or 0.1% Polysorbate 80 by weight to volume in water.
- the liquid glutamine compositions also may contain buffers, isotonic salts, and preservatives such as EDTA and thimerisol. 33 168222090v1 Attorney Docket No.243734.000197 [0071]
- the ophthalmic aqueous glutamine compositions of the invention have ophthalmic ally compatible pH and osmolality.
- these compositions incorporate means to inhibit microbial growth. Such means may include, but are not limited to, preparation and packaging under sterile conditions and/or through inclusion of an antimicrobial effective amount of an ophthalmic acceptable preservative.
- the glutamine composition is an in situ gellable aqueous composition.
- the glutamine composition is an in situ gellable aqueous solution.
- a glutamine composition comprises a gelling agent in a concentration effective to promote gelling upon contact with the eye or with lacrimal fluid in the exterior of the eye.
- gelling agents include, but are not limited to, thermosetting polymers, polycarbophil, and polysaccharides such as gellan, carrageenan (e.g., kappa-carrageenan and iota-carrageenan), chitosan and alginate gums.
- the thermosetting polymer can be tetra- substituted ethylene diamine block copolymers of ethylene oxide and propylene oxide, such as poloxamine 1307.
- the carrageenan can be kappa-carrageenan and/or iota- carrageenan.
- the term “in situ gellable” includes liquids of low viscosity, as well as more viscous liquids such as semi-fluid and thixotropic gels.
- the liquids of low viscosity form gels upon contact with the eye or with lacrimal fluid in the exterior of the eye.
- the more viscous liquids exhibit substantially increased viscosity or gel stiffness upon administration to the eye.
- the glutamine of the invention can also be administered to the eye by an ophthalmic delivery device.
- glutamine may be applied to a contact lens before the lens is placed in the eye, or after the contact lens is in the eye.
- glutamine has a stable shelf-life.
- the glutamine preparation of the present invention can be provided to the subject well 34 168222090v1 Attorney Docket No.243734.000197 in advance of the time of administration.
- the glutamine preparations of the present invention can be stored in the clinic or the patient's home for administration as needed.
- Pharmaceutically acceptable salts can be obtained using standard procedures well known in the art. Such procedures may include but are not limited to reacting a sufficiently basic compound with a suitable acid affording a physiologically acceptable anion.
- the basic compound can be an amine.
- Alkali metal or alkaline earth metal salts of carboxylic acids can also be made.
- the alkali metal can be, but is not limited to, sodium, potassium or lithium.
- alkaline earth metal can be, but is not limited to, calcium.
- glutamine can be formulated for topical administration as ointment, gel or liquid form, including administration by transdermal patches.
- a glutamine preparation can be applied to oral, nasal, and esophageal lesions by oral rinse, a gel, or an ingestible drink.
- the carbohydrate carrier can be chosen from among a number of monosaccharides, disaccharides, or a combination of both, or from their polymers, such as dextrins, maltodextrins, and high fructose corn syrup products.
- the carbohydrate carriers include sucrose, sorbitol and high fructose corn syrup products.
- either a suspension or a drink can be provided as a dry mixture of carbohydrate carrier and an effective amount of amino acid, for reconstitution with water, juice, or other liquid.
- bulk packaging of the dry mixture or packets containing single applications can be provided to a patient, health care provider, or any individual for whom the delivery of an increased concentration of active agent is desired.
- the glutamine preparation can be constituted with water, juice, or other liquid before administration to provide for easy administration and increase the absorption of glutamine into the epithelial tissue.
- premixed liquid bulk or unit dosage forms can also be used.
- a glutamine composition having a relatively low concentration of free water can be accomplished by providing a lozenge or a form of candy or other medicated confection, such as a common lollipop, utilizing a suitable carbohydrate carrier, such as sucrose or sorbitol, and a gelling or thickening agent, as needed.
- a suitable carbohydrate carrier such as sucrose or sorbitol
- chewing gum can be used to deliver the carbohydrate carrier, such as sucrose, xylitol, sorbitol, or corn syrup solids, and glutamine.
- the chewing gum can incorporate a central pocket of flavored syrup, composed of the appropriate mixture of carbohydrate carrier, 35 168222090v1 Attorney Docket No.243734.000197 such as xylose, sorbitol, or sucrose, and an effective amount of glutamine.
- a solid solution of glutamine can be used in the preparation of chewing gum, lozenges, or a candy form such as a lollipop. Such solid solutions can be formed from comelts, coprecipitates, or by mechanical activation of the carbohydrate carrier and glutamine.
- the candy or gum is placed in the mouth, where the surrounding fluids dissolve it.
- the carbohydrate can proved the carrier to facilitate absorption of the glutamine into the epithelial cells of the oral cavity, the esophagus, and the stomach.
- a toothpaste can also be formed to incorporate a carbohydrate carrier and glutamine. Microencapsulation of ingredients in toothpaste compositions has been described in U.S. Pat. No.4,348,378, U.S. Pat. No.4,071,614, and U.S. Pat. No.3,957,964.
- the glutamine of the present invention can also be delivered by suppository to epithelial tissues of the colon and rectum.
- an enema preparation can also be formed of a carbohydrate carrier and an amino acid, incorporating a sufficient amount of water to form an aqueous solution.
- a solid solution of the biologically active agent in the carbohydrate carrier can also be administered in a suppository or enema, drawing the aqueous component from the colon or rectum.
- a filled capsule can be used for delivery to the stomach. Such method has been described in U.S. Pat. No. 5,569,466.
- enteric coated capsules or tablets, or enteric coated microparticles can be employed to delivery to the upper or lower intestines.
- glutamine can be delivered in ice cream formulations.
- glutamine can be delivered in frozen confections such as a popsicle.
- DCs of the present invention are pre-incubated in a glutamine- sufficient medium.
- glutamine-sufficient medium comprises from about 0.6 mM to about 2 mM glutamine.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and inhibiting 36 168222090v1 Attorney Docket No.243734.000197 lysosomal signaling pathway in DCs of the subject.
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of a lysosomal signaling pathway inhibitor.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and inhibiting lysosomal signaling pathway in DCs of the subject.
- inhibiting lysosomal signaling pathway in DCs of the subject comprises administering to the subject an effective amount of a lysosomal signaling pathway inhibitor.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- Non-limiting examples of useful lysosomal signaling pathway inhibitors include, e.g., lysosomal protease inhibitors (e.g., leupeptin and/or pepstatin), vacuolar H + -ATPase inhibitors (e.g., Bafilomycin A1), intravesicular acidification inhibitors (e.g., chloroquine), cysteine protease inhibitors (e.g., E64), Cathepsin B inhibitors (e.g., CA-074), Cathepsin L inhibitors (e.g., Cathepsin L inhibitor III), and any combinations thereof.
- lysosomal protease inhibitors e.g., leupeptin and/or pepstatin
- vacuolar H + -ATPase inhibitors e.g., Bafilomycin A1
- intravesicular acidification inhibitors e.g., chloroquine
- cysteine protease inhibitors
- the invention provides a method for inhibiting growth of a tumor in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of an anti-tumor immunotherapy.
- the invention provides a method for enhancing the efficacy of an anti-cancer immunotherapy in a subject in need thereof, comprising administering to the subject said immunotherapy and an effective amount of glutamine.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of an anti-cancer immunotherapy.
- the immunotherapy and glutamine are administered simultaneously. In certain embodiments of any of the above methods, the immunotherapy and glutamine are administered sequentially in any order.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and inhibiting SLC38A2-mediated glutamine uptake in cancer cells of the subject, and further comprising administering to the subject an effective amount of an anti-cancer immunotherapy.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and inhibiting lysosomal signaling pathway in dendritic cells (DCs) of the subject, and further comprising administering to the subject an effective amount of an anti-cancer immunotherapy.
- DCs dendritic cells
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of glutamine and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors, and further comprising administering to the subject an effective amount of an anti-cancer immunotherapy.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and inhibiting lysosomal signaling pathway in DCs of the subject.
- the invention provides a method for treating cancer in a subject in need thereof, comprising administering to the subject an effective amount of an anti-cancer immunotherapy and an effective amount of DCs, wherein said DCs have been pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors.
- immunotherapies useful in the methods of the invention include, e.g., DC-based therapies, T-cell-mediated therapies, and immune checkpoint blockade therapies.
- Non-limiting examples of useful DC-based therapies include, e.g., DC vaccines, adoptive transfer of antigen-loaded or activated DCs, administration of DC-activating factors, administration of DC-mobilizing agents, administration of antigens and/or adjuvants, using DC- specific antibodies to deliver an antigen or adjuvant or nanoparticle, and any combinations thereof.
- the DC-based therapy is selected from DC vaccines, adoptive transfer of 38 168222090v1 Attorney Docket No.243734.000197 antigen-loaded or activated DCs, administration of DC-activating factors, administration of DC- mobilizing agents, administration of antigens and/or adjuvants, using DC-specific antibodies to deliver an antigen or adjuvant or nanoparticle, and any combinations thereof.
- the DC-based therapy comprises adoptive transfer of antigen- loaded and activated DCs.
- the antigen-loaded and activated DCs are autologous.
- the DC-based therapy comprises administration of DC- activating factors.
- the DC-activating factor can be, but is not limited to, adjuvants poly (I:C), or CpG.
- the DC-based therapy comprises administration of DC- mobilizing agents.
- the DC-mobilizing agent can be, but is not limited to, growth factor GM-CSF, or FLT3L.
- the DC-based therapy comprises administration of antigens and adjuvants.
- the DC-based therapy comprises using DC-specific antibodies to deliver antigen/adjuvant or nanoparticles.
- the immunotherapy is a T-cell-mediated therapy.
- Non-limiting examples of useful T-cell-mediated therapies include, e.g., chimeric antigen receptor (CAR) T cell therapies, adoptive T cell transfer (ACT) therapies (e.g., wherein the transferred T cells are antigen-specific CD8 + T cells), T cell receptor (TCR) T cell therapies, tumor-infiltrating lymphocyte (TIL) therapies, neoantigen cancer vaccines, and any combinations thereof.
- the immunotherapy is a tumor-infiltrating lymphocyte (TIL) therapy.
- the immunotherapy is an immune checkpoint blockade therapy.
- Non-limiting examples of useful immune checkpoint blockade therapies include, e.g., anti- programmed death 1 (anti-PD-1) therapies, anti-programmed death ligand 1 (anti-PD-L1) therapies, anti-lymphocyte activation gene-3 (anti-LAG-3) therapies, anti-cytotoxic T-lymphocyte antigen-4 (anti-CTLA-4) therapies, anti-T-cell immunoglobulin and mucin domain 3 (anti-TIM- 3) therapies, and any combinations thereof.
- the immune checkpoint blockade therapy can be an anti-CTLA- 4 antibody, a functional fragment thereof or a functional equivalent thereof, or any combinations thereof.
- CTLA-4 (CD152) is a protein receptor that, functioning as an immune checkpoint, 39 168222090v1 Attorney Docket No.243734.000197 downregulates immune responses.
- the anti-CTLA-4 antibody inhibits CTLA-4 activity or function, thereby enhancing immune responses.
- the anti-CTLA-4 antibody can be, but is not limited to, ipilimumab (Bristol-Myers Squibb), tremelimumab (Pfizer; AstraZeneca) or BN-13 (BioXCell).
- the anti- CTLA-4 antibody can be UC10-4F10-11, 9D9 or 9H10 (BioXCell), or a human or humanized counterpart thereof.
- the immune checkpoint blockade therapy can be a small molecule drug that is an immune response checkpoint inhibitor.
- the terms “immune response checkpoint inhibitor” or “immune checkpoint inhibitor” refer to any molecule that modulates (e.g., inhibits or activates) the activity or function of one or more checkpoint molecules (e.g., proteins).
- Checkpoint molecules are responsible for costimulatory or inhibitory interactions of T cell responses.
- Checkpoint molecules regulate and maintain self-tolerance and the duration and amplitude of physiological immune responses.
- Stimulatory checkpoint molecules serve a role in enhancing the immune response.
- stimulatory checkpoint molecules are known, such as for example and without limitation: CD27, CD28, CD40, CD122, CD137, CD137/4-1BB, ICOS, IL-10, OX40, TGF beta, TOR receptor, and glucocorticoid-induced TNFR-related protein GITR.
- the small molecule drug is an agonist or superagonist of one or more stimulatory checkpoint molecules.
- the skilled person will be well aware of small molecule drugs that may be used to modulate stimulatory checkpoint molecules.
- Inhibitory checkpoint molecules serve a role in reducing or blocking the immune response (e.g., a negative feedback loop).
- inhibitory checkpoint proteins are known, such as for example CTLA-4 and its ligands CD80 and CD86; and PD-1 and its ligands PD-L1 and PD-L2.
- Other inhibitory checkpoint molecules include, without limitation, adenosine A2A receptor (A2AR); B7-H3 (CD276); B7-H4 (VTCN1); BTLA (CD272); killer-cell immunoglobulin-like receptor (KIR); lymphocyte activation gene-3 (LAG3); V-domain Ig suppressor of T cell activation (VISTA); and T cell immunoglobulin domain and mucin domain 3 (TIM-3); as well as their ligands and/or receptors.
- A2AR adenosine A2A receptor
- B7-H3 CD276
- B7-H4 VTCN1
- BTLA CD272
- KIR killer-cell immunoglobulin-like receptor
- LAG3 killer-cell immunoglobulin-like receptor
- the small molecule drug is an antagonist (i.e., an inhibitor) of one or more inhibitory checkpoint molecules.
- an antagonist i.e., an inhibitor
- the skilled 40 168222090v1 Attorney Docket No.243734.000197 person will be well aware of small molecule drugs that may be used to modulate inhibitory checkpoint molecules.
- an immune response checkpoint inhibitor is an inhibitor of PD- L1, PD-1, CTLA-4 (CD154), PD-L2 (B7-DC, CD273), LAG3 (CD223), TIM3 (HAVCR2, CD366), 41BB (CD137), 2B4, A2aR, B7H1, B7H3, B7H4, B- and T-lymphocyte attenuator (BTLA), CD2, CD27, CD28, CD30, CD33, CD40, CD70, CD80, CD86, CD160, CD226, CD276, DR3, GAL9, GITR, HVEM, ICOS (inducible T cell co-stimulator), Killer inhibitory receptor (KIR), LAG-3, LAIR1, LIGHT, MARCO (macrophage receptor with collageneous structure), phosphatidylserine (PS), OX-40, Siglec 5, Siglec-7, Siglec-9, Siglec-11, SLAM, TIGIT,
- an immune response checkpoint inhibitor is an inhibitor of PD- L1, PD-1, CTLA-4, LAG3, TIM3, 41BB, ICOS, KIR, CD27, OX-40, GITR, or PS, or any combinations thereof.
- Anti-PD1/Anti-PD-L1 the immune checkpoint blockade therapy can be an anti-PD-1 or PD-L1 antibody, a functional fragment thereof or a functional equivalent thereof, or any combinations thereof.
- PD-1/PD-L1 modulates T cell response. The normal function of PD-1, expressed on the cell surface of activated T cells under healthy conditions, is to down-modulate unwanted or excessive immune responses, including autoimmune reactions.
- the PD-1 pathway represents a major immune control switch that may be engaged by tumor cells to overcome active T cell immune surveillance, and it is regularly hijacked by tumors to suppress immune control.
- Tregs that express PD-1 have been shown to have an immune inhibitor response and PD-1/PD-L1 expression is thus thought to play a role in self-tolerance.
- tumor cells overexpress PD-1 and PD-L1 in order to evade recognition by the immune system.
- Anti-cancer therapy that blocks the PD-L1/PD-1 increases effector T cell activity and decreases suppressive Treg activity which allows recognition and destruction of the tumor by an individual’s immune system.
- the methods described herein involve the use of an anti-PD-1 antibody, a functional fragment thereof or a functional equivalent thereof, or any combinations thereof.
- PD-1 (CD279) is a cell surface receptor that, functioning as an immune checkpoint, 41 168222090v1 Attorney Docket No.243734.000197 downregulates immune responses and promotes self-tolerance.
- the PD1 antibody can be, but is not limited to, nivolumab (Opdivo TM ; Bristol-Myers Squibb), pembrolizumab (Keytruda TM ; Merck), pidilizumab (Cure Tech), AMP-224 (MedImmune & GSK), or RMP1-4 or J43 (BioXCell) or a human or humanized counterpart thereof.
- the PD-1 antibody can be pembrolizumab.
- the methods described herein involve the use of an anti-PD-L1 antibody, a functional fragment thereof or a functional equivalent thereof, or any combinations thereof.
- the PD-L1 is a ligand of the PD-1 receptor, and binding to its receptor transmits an inhibitory signal that reduces proliferation of CD8+ T cells and can also induce apoptosis.
- the PDL1 antibody can be, but is not limited to, BMS-936559 (Bristol Myers Squibb), atezolizumab (MPDL3280A; Roche), avelumab (Merck & Pfizer), durvalumab (MEDI4736; MedImmune/AstraZeneca), tislelizumab (BeiGene), or cemiplimab (Regeneron).
- the antibody, functional fragment or functional equivalent thereof may be an anti-PD-1 or anti-PD-L1 antibody, such as for example those disclosed in WO 2015/103602, which is incorporate herein by reference in its entirety for all intended purposes.
- the methods of the present disclosure can also be used for: a) glutamine supplementation combined with immune checkpoint blockade therapy (e.g., anti-PD-1/PD-L1 treatment) to enhance the efficacy of immunotherapies; b) DC vaccines for cancer treatments by targeting lysosomal signaling; c) combination of lysosomal targeting-based DC vaccination with immune checkpoint blockade therapy; d) targeting of SLC38A2 for tumor therapy; e) glutamine supplementation combined with immunotherapy; f) glutamine supplementation combined with inhibiting SLC38A2-mediated glutamine uptake in cancer cells; g) glutamine supplementation combined with inhibiting lysosomal signaling pathway in DCs; h) glutamine supplementation combined with DCs pre-incubated in a glutamine-sufficient medium and/or pre-treated with one or more lysosomal signaling inhibitors; i) immunotherapy combined with inhibiting lysosomal signaling pathway in DCs;
- immune checkpoint blockade therapy e
- the methods of the present disclosure can be used for treating cancer and related diseases.
- the cancer is characterized by tumors with glutamine deprivation.
- the cancer is selected from colon cancer, melanoma, breast cancer, pancreatic cancer, and lung cancer.
- EXAMPLES [00120] The present invention is also described and demonstrated by way of the following examples. However, the use of these and other examples anywhere in the specification is illustrative only and in no way limits the scope and meaning of the invention or of any exemplified term. Likewise, the invention is not limited to any particular preferred embodiments described here.
- Flcn fl/fl mice were kindly provided by Laura Schmidt 44 .
- Tfeb fl/fl mice were kindly provided by Andrea Ballabio 55 .
- the mice were backcrossed to the C57BL/6 background; sex- and age-matched mice were used throughout the study at 7–12 weeks old, and both male and female mice were used.
- the genetically modified mice were viable and developed normally.
- bone marrow cells from WT or Flcn ⁇ DC mice were mixed with cells from Batf3 ⁇ / ⁇ mice at a 1:1 ratio and transferred into lethally irradiated (11 Gy) CD45.1 + mice, followed by reconstitution for 6–8 weeks 35 .
- bone marrow cells from wild-type or Flcn ⁇ DC mice were transferred into lethally irradiated (11 Gy) CD45.1 + mice. All mice were maintained in specific pathogen-free conditions in the Animal Resource Center at St. Jude Children’s Research Hospital. Experiments and procedures were approved by and performed in accordance with the Institutional Animal Care and Use Committee of St. Jude Children’s Research Hospital.
- Enriched cells were stained and sorted for cDC1 (CD11c + CD8 ⁇ + CD24 + TCR ⁇ ⁇ CD49b ⁇ B220 ⁇ ) and cDC2 (CD11c + CD8 ⁇ ⁇ CD24 ⁇ TCR ⁇ ⁇ CD49b ⁇ B220 ⁇ ) on a MoFlow (Beckman-Coulter) or Reflection (i-Cyt) cell sorter. Lymphocytes from spleen and peripheral lymph nodes were sorted for na ⁇ ve OT-II T cells (CD4 + CD62L high CD44 low CD25 ⁇ ) and na ⁇ ve OT-I T cells (CD8 + CD62L high CD44 low CD25 ⁇ ).
- Sorted DCs were cultured with specific medium as indicated under Brief Description of the Drawings.
- Medium with or without individual amino acids was generated with RPMI 1640 powder (R8999-04A, US Biological) by supplementation of individual amino acids.
- the medium was supplemented with 10% (v/v) dialyzed fetal bovine serum (FBS; A3382001, Thermo Fisher Scientific).
- MC38 or B16F10 cells were cultured in glutamine-free RPMI 1640 medium (15-040- CV, Corning) supplemented with 10% (v/v) dialyzed FBS plus 1% (v/v) penicillin-streptomycin (15140122, Thermo Fisher Scientific), and different concentrations of glutamine (25030081, Thermo Fisher Scientific) as indicated in the figure legends.
- Tumor cell culture supernatant was collected 48 h later.
- In vitro bone marrow-derived DC (BMDC) culture [00123] Bone marrow cells were flushed from mouse tibias and femurs, and red blood cells were lysed using ACK lysis buffer.
- FLT3L-BMDCs were cultured as previously described 35 .
- bone marrow cells were cultured in RPMI 1640 complete medium with 200 ng/ml FLT3L-Ig (BE0098, Bio X Cell) for 7–9 days.
- FLT3L-BMDCs were sorted as cDC1 (B220 ⁇ CD11c + CD24 + CD172 ⁇ ⁇ ) and cDC2 (B220 ⁇ CD11c + CD24 ⁇ CD172 ⁇ + ) for further experiments.
- iCD103 + BMDCs were generated as previously described 67 .
- bone marrow cells were plated in RPMI 1640 complete medium supplemented with 200 ng/ml FLT3L-Ig and 2 ng/ml mGM-CSF (315-03, Peprotech). Half of the fresh medium was supplemented to the cultures at day 5, and non-adherent cells were collected and replated in fresh medium at day 9.
- Loosely adherent cells were harvested at days 15–17 for transwell assays. 44 168222090v1 Attorney Docket No.243734.000197 Flow cytometry [00124] For analysis of surface markers, cells were first incubated with Fc block (2.4G2, Bio X Cell) for 10 min in phosphate-buffered saline (PBS) containing 2% (w/v) FBS, and then stained with the appropriate antibodies on ice for appropriate 30 min.
- Fc block 2.4G2, Bio X Cell
- cytokine detection For intracellular cytokine detection, cells were stimulated for 4 h with phorbol 12-myristate 13-acetate (PMA) plus ionomycin or OVA257-264 in the presence of monensin before staining with a fixation/permeabilization kit (554774, BD Biosciences) according to the manufacturer’s instructions. Transcription factor staining was performed with FOXP3/transcription factor staining buffer set (00-5523-00, eBioscience) according to the manufacturer’s instructions. Lysotracker staining was performed with LysoTracker TM Red DND-99 dye (L7528, Invitrogen) according to the manufacturer’s instructions.
- Flow cytometry data were acquired on LSRII or LSR Fortessa (BD Biosciences) and analyzed using FlowJo software (Tree Star). 7-Aminoactinomycin D (7AAD; A9400, 1:200, Sigma) or fixable viability dye (65-0865-14, 1:1,000, eBioscience) was used for dead-cell exclusion.
- 7AAD 7-Aminoactinomycin D
- fixable viability dye 65-0865-14, 1:1,000, eBioscience
- PE-Cy7–anti- CD11c N418, 60-0114, 1:200, Tonbo Biosciences
- FITC–anti-FOXP3 FJK-16s, 11-5773-82, 1:200
- PE-Cyanine7–anti-T-bet 4B10, 25-5825-82, 1:100
- PerCP-eFluor 710–anti-CD39 24DMS1, 46-0391-82, 1:400
- APC-eFluor 780–anti-MHC-II M5/114.15.2, 47-5321-82, 1:400
- PE-Cyanine7–anti-CD24 M1/69, 25-0242-82, 1:400
- FITC–anti-CD86 GL1, 11-0862-82, 1:200
- FITC–anti-CD86 GL1, 11-0862-82, 1:200
- Antigen presentation assays 45 168222090v1 Attorney Docket No.243734.000197 [00125]
- cDC1 and cCD2 were sorted from spleen, pulsed with 200 ⁇ g/ml OVA protein (Low Endo, LS003059, Worthington), 250 pg/ml OVA 257–264 peptide (vac-sin, InvivoGen) or 3 ⁇ g/ml OVA323–339 peptide (vac-isq, InvivoGen) for 2 h, then washed twice and cultured with na ⁇ ve CD44 low CD62L high OT-I or OT-II T cells for three days.
- HKLM-OVA Listeria monocytogenes-OVA
- sorted cells were cocultured with 1 ⁇ 10 7 HKLM-OVA and OT-I T cells for 3 days as previously described 41 .
- 3 H- thymidine PerkinElmer
- cDC1 or cDC2 were incubated with OVA protein in RPMI 1640 medium lacking an individual amino acid or amino acid-free medium supplemented with an individual amino acid for 2 h, irradiated and then cocultured with T cells.
- cDC1 or cDC2 were incubated with OVA in the presence of MC38 or B16F10 culture supernatant or tumor cell culture supernatant supplemented with an individual amino acid for 2 h, followed by irradiation and coculture with OT-I or OT-II T cells.
- OVA tumor cell culture supernatants
- cDC1 or cDC2 were incubated with OVA in the presence of MC38 or B16F10 culture supernatant or tumor cell culture supernatant supplemented with an individual amino acid for 2 h, followed by irradiation and coculture with OT-I or OT-II T cells.
- 1 ⁇ 10 6 CFSE-labeled na ⁇ ve CD45.1 + OT-I T cells were transferred into mice intravenously, followed by intravenous injection with 20 ⁇ g OVA 24 h later.
- ELISA Culture supernatants from in vitro antigen presentation assays were collected, and the levels of IL-2 and IFN ⁇ were determined using IL-2 (88-7024-22, Thermo Fisher Scientific) and IFN ⁇ (88-7314-22, Thermo Fisher Scientific) ELISA kits according to manufacturer’s instructions.
- DQ-Ovalbumin degradation assay [00127] Splenic cDC1 were sorted from wild-type and Flcn ⁇ DC mice as described above.
- DQ-OVA DQ-Ovalbumin
- D-12053 DQ-12053, Thermo Fisher Scientific
- FITC + FITC +
- Anti-PD-1 antibody J43, Bio X Cell
- rat IgG2b isotype control LDF-2, Bio X Cell
- Anti-PD-L1 antibody 10F.9G2, Bio X Cell
- rat IgG2b isotype control LPF-2, Bio X Cell
- mice with complete tumor rejections from intratumoral glutamine injection and anti-PD-1 combination therapy were rechallenged with 1 ⁇ 10 6 MC38 cells after 60 days.
- 1 ⁇ 10 6 MC38-OVA cells were injected subcutaneously into mice.
- Tumor antigen-specific CD8 + T cells were analyzed by H-2K b -OVA tetrameter staining for 30 min at room temperature. Tumors were measured regularly with digital calipers and tumor volumes were calculated using the formula: length ⁇ width ⁇ width ⁇ ⁇ /6.
- tumors were harvested at day 15 after inoculation, excised, minced and digested with 1 mg/ml collagenase IV (Worthington) and 200 U/ml DNase I (Sigma) for 1 h at 37°C.
- Generation of CRISPR/Cas9 knockout tumor cell lines [00129] MC38 or B16-OVA cells were transduced with lentivirus of pLenti-Cas9-GFP (86145, Addgene). Cas9-expressing (GFP + ) cells were sorted, and expression of Cas9 protein was confirmed by immunoblot analysis (see method details below; data not shown).
- Cas9-expressing MC38 or B16-OVA cells were then transduced with lentivirus expressing Ametrine and control sgRNA (sgNTC: ATGACACTTACGGTACTCGT) (SEQ ID NO: 1) or sgRNA targeting Slc38a2 (sgSlc38a2: ATTAAATACTGACATTCCAA) (SEQ ID NO: 2) as previously described 68 .
- sgNTC ATGACACTTACGGTACTCGT
- SEQ ID NO: 2 sgRNA targeting Slc38a2
- SEQ ID NO: 2 ATTAAATACTGACATTCCAA
- sgNTC- or sgSlc38a2- transduced, Cas9-expressing MC38 or B16-OVA cells were injected subcutaneously into mice.
- DC transfer and adoptive T cell transfer for tumor therapy 47 168222090v1 Attorney Docket No.243734.000197 [00130]
- freshly isolated splenic cDC1 were used following an established strategy 34 .
- B16-FLT3L cells 2.5 ⁇ 10 6
- cDC1 were harvested 10 days after tumor inoculation, and cDC1 were enriched using CD8 + dendritic cell isolation kit (130-091-169, Miltenyi Biotec). Purified cDC1 were pulsed with 100 ⁇ g/ml OVA protein (low Endo, Worthington) together with 20 ⁇ g/ml poly I:C (InvivoGen) for 2 h in RPMI 1640 medium containing 10% dialyzed FBS with or without glutamine. cDC1 were washed and transferred (1 ⁇ 10 6 cells per mouse) subcutaneously adjacent to the tumors at day 5 after B16-OVA inoculation.
- na ⁇ ve OT-I T cells were isolated using a na ⁇ ve CD8 ⁇ + T cell isolation kit (130-096-543; Miltenyi Biotec) according to the manufacturer’s instructions. Purified na ⁇ ve OT-I T cells were activated using 10 ⁇ g/ml anti-CD3 (2C11; Bio X Cell, BE0001-1) and 5 ⁇ g/ml anti-CD28 (37.51; Bio X Cell, BE0015-1) antibodies.
- OT- I T cells were then expanded in Click’s medium (Irvine Scientific) containing 10% dialyzed FBS supplemented with or without glutamine in the presence of human recombinant IL-2 (20 IU/ml; PeproTech), mouse IL-7 (12.5 ng/ml; PeproTech) and IL-15 (25 ng/ml; PeproTech) for 2–3 days before adoptive transfer.
- human recombinant IL-2 (20 IU/ml; PeproTech
- mouse IL-7 (12.5 ng/ml; PeproTech
- IL-15 25 ng/ml; PeproTech
- HEK293T cells were starved with glutamine-free medium for 3 h, followed by the addition of 2 mM glutamine for 10 or 15 min.
- the cells were then lysed in CHAPS buffer (0.3% CHAPS, 10 mM ⁇ -glycerol phosphate, 10 mM pyrophosphate, 40 mM HEPES pH 7.4, 2.5 mM MgCl 2 ) supplemented with protease inhibitor cocktail (04693124001, Roche) for 30 min.
- the cell lysates were cleared by centrifugation and mixed with anti-HA magnetic beads (88837, Thermo Fisher Scientific) at 4°C for 4 h.
- GATOR1 or GATOR2 complex For immunoprecipitation of GATOR1 or GATOR2 complex, the cleared cell lysates were incubated with anti-DEPCD5 (for GATOR1) and anti-WDR24 (for GATOR2) antibodies and control IgG (3000-0-AP, ProteinTech) at 4°C overnight, followed by a further incubation with protein A/G agarose beads (sc-2003, Santa Cruz) for 2 h. Immunoprecipitated complexes were washed three times with CHAPS buffer and subjected to immunoblot analyses.
- Cytosolic and nuclear cell fractionation Freshly isolated splenic cDC1 from B16-FLT3L tumor-bearing mice were incubated in glutamine-sufficient medium or starved with glutamine-free medium for 3 h. The cells were washed twice with ice-cold PBS and harvested into cytosol extraction buffer (150 mM NaCl; 50 mM HEPES, pH 7.4; and 0.025% (w/v) digitonin) supplemented with protease and phosphatase inhibitor cocktail (Roche).
- cytosol extraction buffer 150 mM NaCl; 50 mM HEPES, pH 7.4; and 0.025% (w/v) digitonin
- Plasma and tumor interstitial fluid (TIF) were collected as previously described 7 .
- Tumor cell culture supernatants were collected from medium cultured with MC38 cells in RPMI 1640 medium supplemented with 0.6 mM glutamine.1 ⁇ 10 6 sorted splenic cDC1 or cDC2 from wild- type or Slc38a2 ⁇ DC mice were collected. sgNTC- or sgSlc38a2-transduced, Cas9-expressing MC38 cells were cultured in DMEM supplemented with 10% (v/v) FBS and 1% (v/v) penicillin– streptomycin.
- the cells were harvested and washed once with ice-cold PBS, and the metabolites were extracted using 750 ⁇ l of methanol/acetonitrile/water (5:3:2, v/v/v) and the supernatant was dried by lyophilization.
- Aliquots of 20 ⁇ 50 ⁇ l from plasma and TIF were extracted with at least 15-fold excess volume of the methanol/acetonitrile/water solution, and the supernatant was then collected and dried by lyophilization.
- Dried extracts containing the hydrophilic metabolites were dissolved in 40 ⁇ l of water/acetonitrile (8:2, v/v) and 10 ⁇ l were used in the procedure to derivatize amino acids as described previously 69 with some modifications.
- the samples were placed into glass autosampler vials and then 35 ⁇ l of sodium borate buffer (100 mM, pH 9.0) was added and mixed by pipetting. Next, 10 ⁇ l of the 6-aminoquinolyl-N- hydroxysuccinimidyl carbamate (AQC, 10 mM in acetonitrile)-derivatizing reagent (Cayman Chemical) was added. The vial was sealed, mixed by vortexing, and then incubated at 55 o C for 15 min. The vial was cooled to room temperature and then 1 ⁇ l was analyzed by liquid chromatography with tandem mass spectrometry (LC-MS/MS).
- AQC 6-aminoquinolyl-N- hydroxysuccinimidyl carbamate
- the flow rate was 300 ⁇ l/min and the injection volume used was 1 ⁇ l. All LC/MS solvents and reagents were the highest purity available (water, acetonitrile, acetic acid, boric acid, sodium hydroxide) and were purchased from Thermo Fisher Scientific.
- a Xevo TQ-XS Triple Quadrupole Mass Spectrometry (TQ-XS) (Waters Corp) equipped with a multi- mode ESI/APCI/ESCi ion source was employed as detector.
- the TQ-XS was operated in the positive ion mode using the multiple reaction monitoring mass spec method (MRM).
- MRM multiple reaction monitoring mass spec method
- the operating 50 168222090v1 Attorney Docket No.243734.000197 conditions of the source were: Capillary Voltage 3.8 kV, Cone Voltage 40 V, Desolvation Temp 550 o C, Desolvation Gas Flow 1,000 L/h, Cone Gas Flow 150 L/h, Nebuliser 7.0 Bar, Source Temp 150 o C.
- Authentic amino acids standards were purchased from Sigma-Aldrich (St. Louis, MO, USA) and employed to establish the MRM conditions and calibration curves.
- the acquired MRM data was processed using the software application Skyline 21.2 (MacCoss Lab Software).
- Sorted splenic cDC1 and cDC2 or sgNTC- and sgSlc38a2-transduced Cas9-expresing MC38 cells were washed once with PBS and were then plated into 6-well plates at 1 ⁇ 10 6 cells per well in RPMI 1640 medium containing 10% dialyzed FBS and 2 mM [ 13 C5]-glutamine for 10 min.
- the cells were subsequently washed once with ice-cold PBS, and the polar metabolites were extracted using 1 ml of methanol/acetonitrile/water (5:3:2, v/v/v) and the supernatant was dried by lyophilization.
- the dried extracts containing the hydrophilic metabolites were dissolved in 30 ⁇ l of water/acetonitrile (8:2, v/v) and 10 ⁇ l were used for the glutamine-derivatization procedure as described previously 69 with minor modifications. Briefly, the samples were placed into glass autosampler vials and then 35 ⁇ l of sodium borate buffer (100 mM, pH 9.0) was added, followed by mixing with pipetting.
- a Vanquish Horizon UHPLC (Thermo Fisher Scientific) was used for the LC separations, using a non-linear gradient conditions as follows: 0 ⁇ 1 min 3% B; 1 ⁇ 22 min 3 to 96% B (using Curve #8, Thermo Scientific SII for Xcalibur); 22 ⁇ 25 min 96% B; 25 ⁇ 26 min 96 to 3% B; 26 ⁇ 30 min 3% B.
- Mobile phase A was water supplemented with 0.15% acetic acid, and mobile phase B was acetonitrile with 0.15% acetic acid.
- the column used was an Accucore C30 (250 ⁇ 2.1 mm, 2.6 ⁇ m) (Thermo Fisher Scientific), operated at 50°C.
- the flow rate was 300 ⁇ l/min and the injection volume used was 15 ⁇ l. All LC/MS solvents and reagents were the highest purity available (water, acetonitrile, acetic acid, boric acid, sodium hydroxide) purchased from Thermo Fisher Scientific. A Q Exactive hybrid quadrupole-Orbitrap mass spectrometer (QE-MS) (Thermo Fisher Scientific) equipped with a HESI-II probe was employed as detector. The QE-MS was operated in the positive ion mode using targeted selected ions monitoring followed by a data-dependent MS/MS method (tSIM/dd-MS 2 ).
- QE-MS Q Exactive hybrid quadrupole-Orbitrap mass spectrometer
- the QE-MS was operated at a resolution of 140,000 (FWHM, at 200 m/z), AGC targeted of 1 ⁇ 10 6 , max injection time 100 msec.
- AGC targeted of 1 ⁇ 10 5 , max injection time 50 msec, loop count 8, MS 2 isolation width 0.4 m/z and NCE 35.
- the operating conditions of the source were: Sheath gas flow 45; aux gas flow 8; sweep gas 1; spray voltage 3.8 kV in positive ion mode; capillary temperature 325 o C; S-lenses RF level 55; aux gas heater at 325 o C.
- RNA isolation and gene expression profiling [00136] RNA was isolated and purified from various cell types using the RNeasy Micro Kit (74004, Qiagen) following the manufacturer’s instructions.
- cDNA synthesis was performed using the High Capacity cDNA Reverse Transcription Kit (4368813, Thermo Fisher Scientific) according to the manufacturer’s instructions.
- Real-time PCR was performed on the QuantStudio 7 Flex System (Applied Biosystems) using the PowerSYBR Green PCR Master Mix (4367659, Thermo Fisher Scientific).
- the sequences for mouse Flcn primers were previously described 44 .
- Slc1a5-F CATCAACGACTCTGTTGTAGACC (SEQ ID NO: 3), Slc1a5-R: CGCTGGATACAGGATTGCGG (SEQ ID NO: 4); Slc6a14-F: GACAGCTTCATCCGAGAACTTC (SEQ ID NO: 5), Slc6a14-R: ATTGCCCAATCCCACTGCAT (SEQ ID NO: ; Slc6a19-F: CAGGTGCTCAGGTCTTCTACT (SEQ ID NO: 7), Slc6a19-R: CGATCACAGAATCCATCTCACAA (SEQ ID NO: 8); Slc38a1-F: AGCAACGACTCTAATGACTTCAC (SEQ ID NO: 9), Slc38a1-R: CCTCCTACTCTCCCGATCTGA (SEQ ID NO: 10); Slc38a2-F: TAATCTGAGCAATGCGATTGTGG
- the gene expression probe signals were quantile normalized and summarized by the RMA algorithm by Affymetrix Expression Console (v1.4.1), then the differential gene expression analysis was performed by R package limma (v3.46.0). False discovery rate (FDR) was estimated by Benjamini–Hochberg method. Heatmaps were generated using ComplexHeatmap (v2.6.2) to show the average expression of genes from biological replicates of the same genotype.
- the optimal cycle of further amplification was determined by Real-time PCR (KAPA SYBRFast system; Kapa Biosystems).
- the final PCR products were purified using AMPure XP beads (Beckman Coulter).
- the fragment distribution of each library was checked by a TapeStation System (Agilent Technologies) and then sequenced on an Illumina NovaSeq with ⁇ 300 million reads per sample. Data analysis [00138] ATAC-seq analysis was performed as described previously 68 .
- the paired-end fastq files obtained from NovaSeq were trimmed for Nextera adaptor by trimmomatic (v0.36, 53 168222090v1 Attorney Docket No.243734.000197 paired-end mode, with parameter LEADING:10 TRAILING:10 SLIDINGWINDOW:4:18 MINLEN:25).
- BWA v0.7.16
- Resulting BAM files were filtered to remove duplicated reads (marked by Picard (v2.9.4)) and to remove mitochondrial reads.
- DCs CD45 + CD64 ⁇ CD11c + MHC-II +
- CD45 + non-macrophage immune cells CD45 + CD64 ⁇
- macrophages CD45 + CD64 +
- CD45 + cells and DCs (CD45 + CD64 ⁇ CD11c + MHC-II + ) in the tumor tissues were sorted at 15 d after tumor challenge and mixed at a 2:1 ratio.
- the cell mixture was centrifuged at 2,000 rpm for 5 min and then resuspended in 1 ⁇ PBS (Thermo Fisher Scientific) plus 0.04% BSA (Amresco) with a final concentration of 1 ⁇ 10 6 cells/ml.
- the single-cell suspensions were loaded onto a Chromium Controller and encapsulated into droplets.
- Chromium Next GEM Single Cell 5' (v2) or Next GEM Single Cell 3' (v3.1) and Gel Bead Kit (10x Genomics) were used for the library preparation following 54 168222090v1 Attorney Docket No.243734.000197 manufacture’s instruction.
- the final libraries were quality-checked by 2100 Bioanalyzer (Agilent Technologies) and quantified by Qubit Fluorometer (Invitrogen).
- the resulting libraries were sequenced on NovaSeq (Illumina) with paired-end reads of 26 (for Chromium Next GEM Single Cell 5' kit) or 28 (for Chromium Next GEM Single Cell 3' kit) cycles (for read 1, 90 cycles for read 2 and 10 cycles for index 1 and 2 separately).
- the top 15 principal components were used to build a Shared Nearest Neighbor (SNN) Graph, and cells were clustered using the Louvain algorithm as implemented in a FindClusters function from the Seurat package with resolution as 0.5.
- the cluster-specific differentially expressed genes were calculated by FindAllMarkers function from Seurat.
- the CD8 + T cell subset analysis the CD8 + T cells were subsetted by gating on the high expression of the CD3 subunit genes (Cd3e or Cd3d) and Cd8b gene and unsupervised clustering was performed using the same graph-based clustering method.
- the CD8 + T cell subsets were further characterized by the high expression of Tcf7 (encodes TCF1) or Havcr2 (encodes TIM-3).
- TCF1 encodes TCF1
- Havcr2 encodes TIM-3
- cDC cells with high expression of Ptprc and Flt3 were subsetted first.
- a second-round of dimensionality reduction and unsupervised clustering were then performed.
- cDC1 cell cluster 55 168222090v1 Attorney Docket No.243734.000197 was characterized by expression of Clec9a and Xcr1.
- Differential expression (DE) analysis of genes was performed by FindMarkers function from Seurat package. The activity score of gene signatures was calculated by the average normalized expression of all target genes in the gene set.
- GSEA pre-ranked gene set enrichment analysis
- the set of ‘putative TFEB target genes’ signature was derived from a public dataset, which identified TFEB targets by integrating TFEB ChIP-seq analysis and TFEB overexpression 52 .
- Public scRNA-seq dataset analysis [00143] To examine the expression of glutamine transporters in tumor cells, DCs and CD8 + T cells from tumor microenvironment, a human melanoma dataset 39 (GSE72056) and a mouse tumor scRNA-seq dataset 40 (GSE121861, profiling B16F10 melanoma, EMT6 breast mammary carcinoma, LL2 Lewis lung carcinoma, CT26 and MC38 colon carcinoma and Sa1N fibrosarcoma) were analyzed with Seurat (v4.0.2).
- Tumor cells and CD45 + immune cells from different mouse tumor models were pooled for analysis in GSE121861. Expression of glutamine transporters in the three cell types was visualized by DotPlot function.
- Statistical analysis for biological experiments [00144] For biological experiment (non-omics) analyses, data were analyzed using Prism 8 software (GraphPad) by two-tailed paired Student’s t-test, two-tailed unpaired Student’s t-test, or one-way ANOVA with Newman–Keuls’s test. Two-way ANOVA was performed for comparing tumor growth curves. The log-rank (Mantel–Cox) test was used for comparing mouse survival 56 168222090v1 Attorney Docket No.243734.000197 curves.
- TME tumor interstitial fluid
- B16-OVA OVA-expressing B16F10
- mice treated with glutamine plus anti-PD-1 combination therapy develop memory responses against tumors.
- an established assay 28 was adopted; specifically, mice were challenged with MC38 cells and treated with a combination of glutamine and anti-PD-1, and after 60 days, tumor-free mice were rechallenged with MC38 cells (and na ⁇ ve mice were challenged in parallel).
- scRNA- seq was performed to profile intratumoral CD45 + immune cells and CD45 – non-immune (predominantly tumor) cells from PBS or glutamine-treated MC38 tumors (see methods for details). Unsupervised cluster analysis identified several major immune cell populations, including CD8 + T cells, Foxp3 – CD4 + T cells, Treg cells, cDCs, and plasmacytoid dendritic cells (pDCs) (Fig.5G).
- CD8 + T cells were accumulated in the TME and their important role in anti- tumor immunity
- the functional state of intratumoral CD8 + T cells was further examined by calculating the activity of previously established gene signatures related to CD8 + T-cell early activation, memory precursor, memory, and effector/cytokine signaling 29 .
- Intratumoral CD8 + T cells from glutamine-treated mice showed a significantly increased activity score of these gene signatures (Fig.1I), indicating possibly enhanced functionality.
- T-cell activation and effector molecules including Gzmb (encodes the cytotoxic molecule granzyme B), Prf1, Cd44, Tbx21 and Tnf were upregulated in intratumoral CD8 + T cells based on scRNA-seq analysis (Figs. 5H, 5I).
- Flow cytometry analysis validated that glutamine supplementation 58 168222090v1 Attorney Docket No.243734.000197 increased the percentage and number of intratumoral CD8 + T cells that expressed IFN ⁇ , TNF ⁇ or granzyme B (Fig.1J), indicative of enhanced effector function.
- GSEA gene set enrichment analysis
- cDCs from glutamine-treated mice showed significantly increased activity score of antigen processing and presentation pathway compared to PBS-treated mice (Fig. 1L).
- An increased activity of previously established MHC-I antigen presentation signature 29 was also observed in intratumoral cDCs from glutamine-treated mice compared to PBS-treated controls (Fig.5L).
- cDCs are composed of cDC1 and cDC2 subsets with distinct phenotypic markers and functional roles 4, 5 , so flow cytometry analysis was performed next to profile the maturational status of cDC1 and cDC2.
- cDC1 or cDC2 were pulsed with OVA protein in medium lacking each of the 20 common amino acids for 2 h, the cells were washed, and then cocultured cDC1 and cDC2 with OT-I or OT-II (OVA-specific CD4 + ) T cells in amino acid-sufficient medium for 3 days to induce T-cell priming (using T-cell proliferation and IL-2 and IFN ⁇ production by OT-I or IL-2 production by OT-II T cells as DC functional readouts 35 ) (Fig.6A).
- cDC1 glutamine deprivation also lowered the priming capabilities of cDC2, although to a much lesser extent compared to its effect on cDC1 (i.e., a 40-fold versus a 2.8-fold reduction for priming OT-I T cells and a 15.7-fold versus 5-fold reduction for priming OT-II T cells) (Figs. 6D, 6E; compare with Figs. 2A, 2B).
- BMDCs bone marrow-derived dendritic cells
- cDC1 or cDC2 were incubated with OVA protein in amino acid-free medium supplemented with an individual amino acid, then cocultured cDC1 or cDC2 with OT-I and OT-II T cells (Fig.6G).
- Glutamine supplementation alone in amino acid-free medium was found to enable cDC1 (and to a lesser extent cDC2)-dependent T-cell proliferation, whereas other amino acids had essentially no effects (Figs. 6H, 6I).
- glutamine is both necessary and sufficient for supporting cDC function in mediating T-cell priming, with a preferential effect observed in cDC1 compared to cDC2.
- cDC1 cultured with such MC38 cell-derived supernatant had an impaired capacity to prime OT-I or OT-II T-cell proliferation; remarkably, these effects were rectified when we used supernatant derived from MC38 cells cultured in the presence of 2 mM glutamine (Fig. 2C, Fig.6K).
- Fig. 2C, Fig.6K supernatant derived from MC38 cells cultured in the presence of 2 mM glutamine
- glutamine supplementation rectified the defective priming effect of cDC1 cultured with MC38 culture supernatant (Fig. 2D, Fig. 6L).
- a transwell system was utilized wherein in vitro- derived immature DCs were added to the upper chamber in medium containing a physiological (0.6 mM) or supraphysiological (2 mM) concentration of glutamine, followed by coculture with MC38 cells applied to the lower chamber (such a system allowed for only soluble factors to influence DC maturation).
- a physiological concentration (0.6 mM) of glutamine was used (Fig. 2E).
- An impairment was observed for MHC-II expression, as well (Fig. 2E).
- SLC solute carrier
- the transcript for SLC38A2 (i.e., SLC38A2 in humans and Slc38a2 in mice) showed the highest expression level in both human and mouse tumor cells (Fig. 2F, Fig.7A). Also, tumor cells expressed higher transcript levels for SLC38A2 compared to DCs and CD8 + T cells (Fig.2F, Fig.7A). In line with this observation, real-time PCR analysis showed that Slc38a2 expression was approximately 10-fold higher in MC38 cells compared to cDC1 (Fig. 7B). Immunoblot analysis also revealed that tumor cells expressed much higher protein levels of SLC38A2 compared to intratumoral cDC1 and CD8 + T cells (Fig. 7C).
- SLC38A2 represents a putative intercellular metabolic checkpoint for dictating glutamine uptake and downstream functions between tumor cells and cDC1.
- SLC38A2-deficient B16-OVA tumor cells were also generated (Fig.7F) and found that they also showed slower growth than control tumors (Fig.7G).
- Analysis of intratumoral lymphocytes revealed that sgSlc38a2-transduced MC38-Cas9 tumors contained elevated frequency and number of CD8 + T cells and a modestly increased frequency (but not number) of CD4 + Foxp3 – T cells (Fig. 2I, Fig. 7H).
- intratumoral CD8 + T cells that expressed granzyme B, TNF ⁇ or IFN ⁇ in sgSlc38a2-transduced MC38-Cas9 tumors (Fig.2J), indicative of improved effector phenotypes.
- SLC38A2 acts in a tumor-intrinsic manner or requires the immune system for its in vivo effects, by examining the growth of sgSlc38a2-transduced MC38-Cas9 tumors in Batf3 –/–33 or Rag1 –/–27 hosts that are deficient in cDC1 or lymphocytes, respectively.
- the beneficial anti-tumor effect of SLC38A2 deficiency on MC38-Cas9 cell growth was blocked when inoculated into either Batf3 –/– or Rag1 –/– mice (Fig.2K, Fig.7I), revealing the importance of cDC1 and lymphocytes in such effects.
- mice bearing DC-specific deletion of SLC38A2 (Slc38a2 ⁇ DC ) were also generated by crossing CD11c-Cre transgenic mice with mice bearing floxed Slc38a2 alleles.
- the deletion efficiency of Slc38a2 was validated in cDC1 and cDC2 but not T or B cells (Fig.8A).
- Glutamine uptake in DCs was then examined and was found that cDC1 showed higher glutamine uptake than cDC2, while SLC38A2 deficiency resulted in a substantial decrease in glutamine uptake by both cDC1 and cDC2 (Fig. 8B), revealing SLC38A2 as an important glutamine transporter in DCs.
- Slc38a2 ⁇ DC mice Under steady state, Slc38a2 ⁇ DC mice exhibited normal homeostasis of DCs (Figs.8C, 8D) and T cells (Figs. 8E-8G).
- SLC38A2-deficient cDC1 pulsed with OVA had impaired ability to promote in vitro proliferation of OT-I or OT-II T cells (Fig.2L), whereas SLC38A2-deficient cDC2 had no defects (Fig.8H).
- IL-2 and IFN ⁇ production by OT- I and IL-2 production by OT-II T cells were decreased when cultured with OVA-pulsed SLC38A2- 63 168222090v1 Attorney Docket No.243734.000197 deficient cDC1 compared to WT cDC1 (Fig. 8I).
- OVA-pulsed SLC38A2-deficient cDC2 showed no defects in inducing IL-2 production by OT-I or OT-II T cells (Fig. 8J).
- the capacity of SLC38A2-deficient cDC1 to cross-present cell-associated antigens was also examined by incubating them with heat-killed OVA-expressing Listeria monocytogenes (HKLM-OVA) 41 .
- SLC38A2-deficient cDC1 were defective in promoting OT-I T-cell proliferation in response to HKLM-OVA, while very little cross-presentation of HKLM-OVA by cDC2 was observed, as expected 41 (Fig. 2M).
- Slc38a2 ⁇ DC mice showed decreased proportion and number of CD8 + T cells (but not conventional CD4 + Foxp3 – T cells or Foxp3 + Treg cells) in MC38 tumors (Fig. 9B), associated with decreased expression of granzyme B and IFN ⁇ from intratumoral CD8 + T cells (Fig. 9C).
- glutamine supplementation in tumors had little effect on MC38 tumor growth in Slc38a2 ⁇ DC mice (Fig. 2P), indicating a functional link between glutamine and SLC38A2 expressed by DCs in anti-tumor immunity.
- OVA-expressing MC38 cells (MC38-OVA) were inoculated into WT and Slc38a2 ⁇ DC mice, followed by OVA-tetramer staining.
- Reduced frequency and cellularity of intratumoral OVA-tetramer + CD8 + T cells in MC38-OVA-bearing Slc38a2 ⁇ DC was observed compared to WT mice (Fig.2Q).
- the production of IFN ⁇ and TNF ⁇ was decreased in intratumoral CD8 + T cells upon stimulation with OVA peptide (Fig.
- mice with T cell- specific deletion of SLC38A2 were generated by breeding Slc38a2 floxed mice with CD4-Cre 64 168222090v1 Attorney Docket No.243734.000197 mice (Cd4 Cre Slc38a2 fl/fl mice) and it was found that deletion of Slc38a2 in T cells had no effect on tumor growth (Fig. 9E). Together, these results show that DCs but not T cells may require SLC38A2 to orchestrate anti-tumor immunity, and suggest that SLC38A2 represents a competitive checkpoint between tumor cells and cDC1 for glutamine acquisition and tumor–immune interactions.
- GATOR1 containing DEPDC5, NPRL2 and NPRL3
- GATOR2 complex containing WDR24, WDR59, MIOS, SEH1L and SEC13
- Figs.10A, 10B the interaction between these two complexes was unaltered in the presence or absence of glutamine.
- the effects of glutamine on the FLCN–FNIP complex were assessed next by examining the interactions between FLCN and FNIP2 after deprivation or add-back of glutamine.
- the cross-presentation ability of FLCN-deficient cDC1 was also examined by using the HKLM-OVA system described 65 168222090v1 Attorney Docket No.243734.000197 above 41 , and found that FLCN-deficient cDC1 were markedly defective in mediating HKLM- OVA-induced T-cell proliferation (Fig.3D).
- Batf3 –/– :Flcn ⁇ DC mixed bone marrow (BM) chimaeras were generated by following an established strategy 35, 45 to selectively restrict FLCN deficiency to cDC1, because Batf3 –/– BM cells can give rise to all cell lineages except for cDC1 33 .
- WT or Flcn ⁇ DC BM cells were mixed with Batf3 –/– BM cells at a 1:1 ratio and used them to reconstitute C57BL/6 mice, with the resulting Batf3 –/– :Flcn ⁇ DC mixed BM chimaeras showing FLCN deficiency restricted to cDC1 but not other BM-derived cells (or in parallel, complete BM chimaeras were generated by reconstitution of either WT or Flcn ⁇ DC BM cells into C57BL/6 mice).
- OT-I T cells were then adoptively transferred into these chimaeras and immunized with OVA.
- XCR1-Cre mouse strain which expresses Cre-recombinase specifically in cDC1 46 , was crossed with Flcn fl/fl mice to generate mice with conditional deletion of FLCN in cDC1 (Xcr1 Cre/+ Flcn fl/fl ).
- Xcr1 Cre/+ Flcn fl/fl mice After challenge with MC38 cells, Xcr1 Cre/+ Flcn fl/fl mice also exhibited greatly increased tumor growth compared to WT mice (Fig.3G), indicating the selective requirement of FLCN in cDC1 for tumor control.
- MC38 culture supernatant suppressed WT cDC1-induced OT-I T-cell proliferation and glutamine supplementation reversed it, but neither MC38 culture supernatant alone nor glutamine supplementation had additional effects on the capacity of FLCN-deficient cDC1 to prime OT-I T-cell proliferation (Fig. 3I).
- WT and FLCN-deficient cDC2 treated with MC38 culture supernatant were able to respond to glutamine by mediating OT-II T-cell proliferation (Fig. 3J).
- FLCN is selectively required for glutamine to promote cDC1 functions but is dispensable for cDC2 effects, concomitant with its importance in vivo in mediating glutamine-dependent suppression of tumor growth.
- scRNA-seq was utilized to unbiasedly profile intratumoral CD45 + cells in WT and Flcn ⁇ DC mice challenged with MC38 tumor cells (Figs. 11H, 11I). Specifically, non-DC immune (CD45 + ) cells and DCs were sorted at day 15 after tumor challenge and mixed for analysis by scRNA-seq.
- Unsupervised clustering analysis revealed major immune cell populations in intratumoral CD45 + cells with a substantially decreased proportion of CD8 + T cells, whereas other cell populations were unaltered or showed only minor effects (e.g., slightly increased frequency of monocytes/macrophages) (Fig. 11J).
- Flow cytometry analysis validated the reduction of intratumoral CD8 + T cells from Flcn ⁇ DC mice (Fig.3K).
- a decreased ratio of CD8 + T cells to Treg cells in tumors from Flcn ⁇ DC mice was also observed (Fig. 3L), indicative of a more immunosuppressive TME.
- cDC1 were then scored for activation and functional state and it was found that cDC1 from Flcn ⁇ DC tumor-bearing mice had lower activity score of gene signatures related to DC activation 47 and MHC-I antigen presentation 29 (Figs. 3M, 3N).
- GSEA also revealed that antigen processing and presentation pathway was downregulated in intratumoral cDC1 from Flcn ⁇ DC mice (Fig.11K), in line with the 67 168222090v1 Attorney Docket No.243734.000197 defective cross-presentation capacity of FLCN-deficient cDC1 described above.
- loss of FLCN can lead to impaired DC functional fitness, associated with reduced accumulation of CD8 + T cells in the TME.
- TFEB co-deletion largely reversed the increased lysosomal mass and enhanced expression and maturation of cathepsin D in FLCN-deficient cDC1 (Fig.4E, Fig.13I).
- the cross-presentation ability of cDC1 was examined next and it was found that TFEB co-deletion restored the defect of FLCN-deficient 69 168222090v1 Attorney Docket No.243734.000197 cDC1 in mediating the proliferation of OT-I T cells (Fig.4F), as well as IL-2 and IFN ⁇ production by OT-I T cells in vitro (Fig.13J).
- OT-I T cells were adoptively transferred into mice lacking FLCN and TFEB alone or in combination, followed by OVA immunization.
- TFEB deficiency alone had no effect on the ability of DCs to induce OT-I T-cell proliferation; however, the defective OT-I T-cell proliferation in Flcn ⁇ DC mice was reversed by TFEB co-deletion (Fig. 4G).
- intratumoral glutamine supplementation substantially enhances anti-tumor immunity and immunotherapy efficacy by restoring the cross-presentation capacity of cDC1.
- the synergistic effects of glutamine supplementation plus ICB suggest that combining checkpoint blockade with glutamine supplementation represents a potential new therapeutic strategy to overcome treatment resistance in patients with poor response to ICB therapy.
- the present data further indicate that tumor cells and cDC1 both rely on the glutamine transporter SLC38A2 for glutamine uptake and downstream biological effects. Further, expression of SLC38A2 in tumor cells appears to restrict cDC1 access to glutamine, consistent with the notion that tumor cells have the highest uptake of glutamine in the TME 7 .
- glutamine As the most abundant amino acid found in the body, glutamine has received broad attention for its metabolic effects, including its role in supporting tumor cell-intrinsic metabolism 23 as well as serving as the substrate for glutaminolysis in T cells 32 and macrophages 61 .
- the signaling role of glutamine namely the impacts on intracellular signaling events or protein complexes, is incompletely defined.
- glutamine availability reciprocally impacts FLCN–FNIP complex (stimulating) and TFEB activity (inhibitory), and that FLCN and TFEB form an intracellular signaling axis to mediate the effect of glutamine at orchestrating cDC1 cross-presentation and activation of cytotoxic effector-like CD8 + T-cell responses (Fig. 14H).
- FLCN has been shown to act as a suppressor of TFEB activity 62, 63 , the inventors have established herein a previously unrecognized link between glutamine and FLCN–TFEB signaling pathway in cDC1 and anti-tumor immunity in vivo. Indeed, deletion of FLCN in DCs impairs tumor immunity and abrogates the beneficial anti-tumor effect of intratumoral glutamine supplementation, but co-deletion of TFEB reverses the impaired cDC1 function and anti-tumor immunity in Flcn ⁇ DC mice.
- SLC38A2 deficiency in DCs eliminates the anti-tumor effect of glutamine supplementation, thereby linking this glutamine transporter and FLCN signaling as important drivers of cDC1 function and tumor immunity.
- the present work provides important insights into the immunostimulatory effects of glutamine in DCs, which contrasts with the immunosuppressive or tolerogenic effects of lipids and indoleamine 2,3- dioxygenase 1 (IDO1)-mediated tryptophan catabolism in modulating DC functions in tumors or inflammatory settings 64-66 .
- IDO1 indoleamine 2,3- dioxygenase 1
- the present findings support the clinical application of targeting glutamine levels in tumors or glutamine-dependent signaling in cDC1 for cancer treatments, including the modulation of glutamine levels as means to enhance the efficacy of DC vaccines and ICB therapies to overcome tumor-mediated immunosuppression in the clinic.
- 72 168222090v1 Attorney Docket No.243734.000197 References [00170] 1. Kalbasi, A. & Ribas, A. Tumour-intrinsic resistance to immune checkpoint blockade. Nat Rev Immunol 20, 25-39 (2020). [00171] 2. Zou, W., Wolchok, J.D. & Chen, L.
- PD-L1 (B7-H1) and PD-1 pathway blockade for cancer therapy Mechanisms, response biomarkers, and combinations. Sci Transl Med 8, 328rv324 (2016).
- Kidney-targeted Birt-Hogg-Dube gene inactivation in a mouse model Erk1/2 and Akt-mTOR activation, cell hyperproliferation, and polycystic kidneys. J Natl Cancer Inst 100, 140-154 (2008).
- 45. Mashayekhi, M. et al. CD8alpha(+) dendritic cells are the critical source of interleukin-12 that controls acute infection by Toxoplasma gondii tachyzoites. Immunity 35, 249- 259 (2011).
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Pharmacology & Pharmacy (AREA)
- Medicinal Chemistry (AREA)
- Immunology (AREA)
- Epidemiology (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Organic Chemistry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Hematology (AREA)
- Zoology (AREA)
- Virology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Developmental Biology & Embryology (AREA)
- Cell Biology (AREA)
- Biotechnology (AREA)
- Biomedical Technology (AREA)
- Oncology (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Description
Claims
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US202363482616P | 2023-02-01 | 2023-02-01 | |
| PCT/US2024/013761 WO2024163605A1 (en) | 2023-02-01 | 2024-01-31 | Use of glutamine for the treatment of cancer and for enhancing the efficacy of an immunotherapy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP4658258A1 true EP4658258A1 (en) | 2025-12-10 |
Family
ID=92147609
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP24750936.7A Pending EP4658258A1 (en) | 2023-02-01 | 2024-01-31 | Use of glutamine for the treatment of cancer and for enhancing the efficacy of an immunotherapy |
Country Status (2)
| Country | Link |
|---|---|
| EP (1) | EP4658258A1 (en) |
| WO (1) | WO2024163605A1 (en) |
Family Cites Families (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| AU2009293476B2 (en) * | 2008-09-19 | 2013-01-24 | Institut Curie | Nutritional support to prevent and/or mitigate bone marrow toxicity from a cancerous tumor |
| CA2994165A1 (en) * | 2015-07-31 | 2017-02-09 | The Johns Hopkins University | Methods for cancer and immunotherapy using glutamine analogues, including don |
-
2024
- 2024-01-31 EP EP24750936.7A patent/EP4658258A1/en active Pending
- 2024-01-31 WO PCT/US2024/013761 patent/WO2024163605A1/en not_active Ceased
Also Published As
| Publication number | Publication date |
|---|---|
| WO2024163605A1 (en) | 2024-08-08 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Guo et al. | SLC38A2 and glutamine signalling in cDC1s dictate anti-tumour immunity | |
| Zhou et al. | Blockade of the phagocytic receptor MerTK on tumor-associated macrophages enhances P2X7R-dependent STING activation by tumor-derived cGAMP | |
| Ren et al. | P. gingivalis infection upregulates PD-L1 expression on dendritic cells, suppresses CD8+ T-cell responses, and aggravates oral cancer | |
| Hinshaw et al. | The tumor microenvironment innately modulates cancer progression | |
| Arroyo Hornero et al. | CD70 expression determines the therapeutic efficacy of expanded human regulatory T cells | |
| CN108289903B (en) | Cancer therapy using 2-deoxy-2-fluoro-L-fucose in combination with checkpoint inhibitors | |
| US12383575B2 (en) | Polyinosinic—polycytidylic acid compositions | |
| GB2626698A (en) | Engineered chimeric fusion protein compositions and methods of use thereof | |
| Gardner et al. | SIRT1 activation protects against autoimmune T cell-driven retinal disease in mice via inhibition of IL-2/Stat5 signaling | |
| Torrejon et al. | Antitumor immune responses in B2M-deficient cancers | |
| She et al. | Immune surveillance of brain metastatic cancer cells is mediated by IFITM1 | |
| Tan et al. | Composition and regulation of the immune microenvironment of salivary gland in Sjögren’s syndrome | |
| Ito et al. | Addressing tumor heterogeneity by sensitizing resistant cancer cells to T cell–secreted cytokines | |
| EP4313109A1 (en) | Thanotransmission polypeptides and their use in treating cancer | |
| Senent et al. | The C5a/C5aR1 axis promotes migration of tolerogenic dendritic cells to lymph nodes, impairing the anticancer immune response | |
| Caner | Immune escape mechanism of cancer | |
| Wang et al. | A novel role of the scaffolding protein JLP in tuning CD40-induced activation of dendritic cells | |
| Cao et al. | Dendritic cells in inflammatory sinonasal diseases | |
| WO2024163605A1 (en) | Use of glutamine for the treatment of cancer and for enhancing the efficacy of an immunotherapy | |
| US11873510B2 (en) | T-reg cell expansion | |
| Khan et al. | Role of USP7 in the regulation of tolerogenic dendritic cell function in type 1 diabetes | |
| Lee et al. | Venlafaxine inhibits the development and differentiation of dendritic cells through the regulation of P-glycoprotein | |
| US11883430B2 (en) | CD38-NAD+ regulated metabolic axis in anti-tumor immunotherapy | |
| CN107073079A (en) | Including the method for the treating cancer for giving PPAR gamma agonists | |
| Yao et al. | A CD4+ T lymphocyte–specific TCR/GSDMD/IL-2 axis facilitates antitumor immunity |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE |
|
| PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
| STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
|
| 17P | Request for examination filed |
Effective date: 20250821 |
|
| AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC ME MK MT NL NO PL PT RO RS SE SI SK SM TR |
|
| P01 | Opt-out of the competence of the unified patent court (upc) registered |
Free format text: CASE NUMBER: UPC_APP_0001766_4658258/2026 Effective date: 20260119 |
|
| DAV | Request for validation of the european patent (deleted) | ||
| DAX | Request for extension of the european patent (deleted) |