Glucose metabolism inhibitor PFK-015 combined with immune checkpoint inhibitor is an effective treatment regimen in cancer

JB Zheng, CW Wong, J Liu, XJ Luo, WY Zhou… - …, 2022 - Taylor & Francis
JB Zheng, CW Wong, J Liu, XJ Luo, WY Zhou, YX Chen, HY Luo, ZL Zeng, C Ren, XM Xie…
Oncoimmunology, 2022Taylor & Francis
Metabolic inhibition via PFKFB3 inhibition has demonstrated considerable tumor inhibitory
effects in various studies; however, PFKFB3 inhibition did not show satisfactory tumor
inhibition when used in clinical trials. PFKFB3 is a crucial metabolic enzyme that is highly
upregulated in cancer cells and directly affects tumor glycolysis. Here, we showed that
PFKFB3 inhibition suppresses tumors in vitro and in vivo in immune-deficient xenografts.
However, this inhibition induces the upregulation of PD-L1 levels, which inactivated …
Abstract
Metabolic inhibition via PFKFB3 inhibition has demonstrated considerable tumor inhibitory effects in various studies; however, PFKFB3 inhibition did not show satisfactory tumor inhibition when used in clinical trials. PFKFB3 is a crucial metabolic enzyme that is highly upregulated in cancer cells and directly affects tumor glycolysis. Here, we showed that PFKFB3 inhibition suppresses tumors in vitro and in vivo in immune-deficient xenografts. However, this inhibition induces the upregulation of PD-L1 levels, which inactivated cocultured T-cells in vitro, compromises anti-tumor immunity in vivo, and reduced anti-tumor efficacy in an immune-competent mouse model. Functionally, PD-1 mAb treatment enhances the efficacy of PFKFB3 inhibition in immunocompetent and hu-PBMC NOG mouse models. Mechanistically, PFKFB3 inhibition increases phosphorylation of PFKFB3 at residue Ser461, which increases interaction with HIF-1α, and their colocalization into the nucleus, where HIF-1α transcriptionally upregulate PD-L1 expression and causes subsequent tumor immune evasion. Higher phos-PFKFB3 correlated with higher PD-L1 expression, lower CD8 and GRZMB levels, and shorter survival time in ESCC patients.
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