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CREB-binding protein/P300 bromodomain inhibition reduces neutrophil accumulation and activates antitumor immunity in triple-negative breast cancer
Xueying Yuan, … , Xiang H.F. Zhang, Jeffrey M. Rosen
Xueying Yuan, … , Xiang H.F. Zhang, Jeffrey M. Rosen
Published September 17, 2024
Citation Information: JCI Insight. 2024;9(20):e182621. https://doi.org/10.1172/jci.insight.182621.
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Research Article Immunology Oncology

CREB-binding protein/P300 bromodomain inhibition reduces neutrophil accumulation and activates antitumor immunity in triple-negative breast cancer

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Abstract

Tumor-associated neutrophils (TANs) have been shown to promote immunosuppression and tumor progression, and a high TAN frequency predicts poor prognosis in triple-negative breast cancer (TNBC). Dysregulation of CREB-binding protein (CBP)/P300 function has been observed with multiple cancer types. The bromodomain (BRD) of CBP/P300 has been shown to regulate its activity. In this study, we found that IACS-70654, a selective CBP/P300 BRD inhibitor, reduced TANs and inhibited the growth of neutrophil-enriched TNBC models. In the bone marrow, CBP/P300 BRD inhibition reduced the tumor-driven abnormal differentiation and proliferation of neutrophil progenitors. Inhibition of CBP/P300 BRD also stimulated the immune response by inducing an IFN response and MHCI expression in tumor cells and increasing tumor-infiltrated cytotoxic T cells. Moreover, IACS-70654 improved the response of a neutrophil-enriched TNBC model to docetaxel and immune checkpoint blockade. This provides a rationale for combining a CBP/P300 BRD inhibitor with standard-of-care therapies in future clinical trials for neutrophil-enriched TNBC.

Authors

Xueying Yuan, Xiaoxin Hao, Hilda L. Chan, Na Zhao, Diego A. Pedroza, Fengshuo Liu, Kang Le, Alex J. Smith, Sebastian J. Calderon, Nadia Lieu, Michael J. Soth, Philip Jones, Xiang H.F. Zhang, Jeffrey M. Rosen

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Figure 6

IACS-70654 induced a CTL-dependent response and improved response to ICB.

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IACS-70654 induced a CTL-dependent response and improved response to ICB...
(A) Flow cytometry analysis of CTLs in 2208L tumors treated for 7 days (n = 6). (B) Left: Representative images of CD8 immunostaining on sections of 2208L tumors treated for 7 days. Scale bar: 50 μm. Right: Quantification of CD8 staining (n = 12). For A and B, experiments were conducted 3 times. Data from 1 representative experiment are shown. (C) Log2(fold change) of 2208L tumor volume (mean ± SD). Anti-CD8 was administered 24 hours before starting IACS-70654 treatment. Two-way ANOVA and Šidák’s multiple-comparison test were used (n = 5). (D) Quantification of CXCL10 level in 2208L tumor homogenate by cytokine/chemokine array (n = 3). Tumors were treated for 7 days. (E) Flow cytometry analysis of Tregs in 2208L tumors treated for 18 days (n = 5). For A, B, D, and E, a 2-tailed, unpaired Student’s t test was used. (F) Treatment schemes of IACS-70654 in combination with anti–PD-1 and DTX. DTX was administered at half of the clinically equivalent dose. After 27 days of treatment, only anti–PD-1 treatment was administered until all tumors reached the ethical endpoint (≥1500mm3). (G) Kaplan-Meier survival curves of 2208L tumor–bearing mice (vehicle and DTX + anti–PD-1 arms, n = 4; IACS-70654 and combination arms, n = 5). Log-rank test with Bonferroni’s correction was used. *P < 0.05. The experiment was conducted twice. Data from 1 representative experiment are shown. (H) Quantification of S100A8 immunostaining. Ordinary 1-way ANOVA and Šidák’s multiple-comparison test were used (vehicle and DTX + anti–PD-1 arms, n = 9; IACS-70654 and combination arms, n = 12). *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001. For A–E and H, data are presented as mean ± SD.

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