PO.ET02.13 · 实验与分子治疗

LDHA-positive neutrophils drive Treg-mediated immune tolerance to promote resistance to pan-RAS inhibitors in pancreatic cancer

海报缩略图:LDHA-positive neutrophils drive Treg-mediated immune tolerance to promote resistance to pan-RAS inhibitors in pancreatic cancer
编号 4524 展板 15 🕑 4/21 09:00–12:00 📍 Section 15 主讲 Zuoyi Jiao, MD, Dr. PH
分会场 Hematologic Malignancies and Novel Therapeutic Modalities
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作者与单位 Authors & Affiliations

Xiangyan Jiang1, Xiaoe He1, Wen Wei1, Qichen He1, Lei Shi2, Zuoyi Jiao1

1Lanzhou University, Lanzhou, China,2Cancer Research UK Manchester Institute, Manchester

摘要 Abstract

KRAS is the most common and critical oncogenic mutation in pancreatic cancer, with a mutation rate exceeding 90%. The pan-RAS inhibitor RMC-6236 (Daraxonrasib) has shown promising progress in clinical trials and has been designated as a breakthrough therapy by the FDA. However, resistance to RAS-targeted drugs is inevitable. Here, we collected tumor tissues from KPC mice treated with the pan-RAS inhibitor RMC-6236, both at the time of tumor shrinkage and after the development of acquired resistance, and performed single-cell sequencing. We found that regulatory T cells (Tregs) decreased after treatment but increased after resistance. Similarly, myeloid immune cells exhibited similar subpopulation changes in both treated and acquired resistant states, with LDHA-positive tumor-associated neutrophils (TANs) significantly reduced after RMC-6236 treatment, but replenished after the development of acquired resistance. Mechanistically, LDHA-positive neutrophils upregulate PD-L1 expression via STAT3 signaling and NETs, and promote the immune suppressive effect of Tregs through PD-L1/PD-1 interactions. Additionally, the ablation of LDHA in neutrophils combined with RMC-6236 significantly inhibited tumor growth in KPC mice and restored pancreatic cancer sensitivity to RMC-6236. In conclusion, this study reveals the tumor microenvironment regulatory mechanisms underlying resistance to pan-RAS inhibitor RMC-6236 and proposes a promising strategy for overcoming RAS inhibitor resistance.
利益披露 Disclosure
X. Jiang, None.. X. He, None.. W. Wei, None.. Q. He, None.. Z. Jiao, None.

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