PO.IM01.09 · 免疫学

Exploiting electron transport chain dynamics to sensitize OXPHOS-dependent cancers to immunotherapy

海报缩略图:Exploiting electron transport chain dynamics to sensitize OXPHOS-dependent cancers to immunotherapy
编号 5598 展板 17 🕑 4/21 02:00–05:00 📍 Section 8 主讲 Haojie Dong, MS;PhD
分会场 T Cell Engagers 2 / Antibody-Drug Conjugates 1
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作者与单位 Authors & Affiliations

Haojie Dong1, Guoyun Kao2, Umesh P. Yadav1, Lei Zhang2, Arshad J. Ansari2, Srinivasarao Singireddi2, Bei Jia3, Jianai Sun4, Guohua Wu1, Yini Wang1, Xin He1, Lei Zhang1, Zheng Li1, Ruiheng Wang1, Wei Chen1, Meng Liu1, Shuaishuai Ge1, Yang Li1, Whitaker Cohn2, Amandeep Salhotra5, David B. Sykes6, Jie Jin4, Jianjun Chen1, Guido Marcucci1, Shoubao Ma1, Hong Zheng3, Yong Zhang2, Ling Li1

1Beckman Research Institute of The City of Hope, Duarte, CA,2University of Southern California, Los Angeles, CA,3Penn State University, Hershey, PA,4Zhejiang University School of Medicine the First Affiliated Hospital, Hangzhou, China,5Department of Hematology and HCT, City of Hope Medical Center, Duarte, CA,6Massachusetts General Hospital, Boston, MA

摘要 Abstract

Primary or acquired resistance to immunotherapies, including immune checkpoint inhibitors (ICIs) and CAR-T cells, remains a major clinical challenge. This resistance is particularly prevalent in "immune-cold" tumors like acute myeloid leukemia (AML), which are characterized by low immunogenicity, an immunosuppressive microenvironment, and immune escape by leukemia stem cells (LSCs). Activating the tumor-intrinsic cGAS-STING pathway to induce Type I interferon (IFN-I) responses is a promising strategy to convert "cold" tumors to "hot". However, achieving this selectively in cancer cells while sparing normal tissues remains a critical, unsolved barrier. We sought to identify novel mechanisms controlling innate immune signaling in OXPHOS-heightened cancers like AML to develop a strategy for overcoming immunotherapy resistance.We employed an inducible CRISPR-KO screen to identify regulators of mitochondrial homeostasis and cGAS-induced innate immunity. The screen identified a subset of minor mitochondrial dehydrogenases (including DHODH, SDHs) as critical regulators of mitochondrial redox balance and mtDNA integrity. We demonstrate that genetic or pharmacologic inhibition of these enzymes reroutes metabolic flux toward the Electron Transport Chain (ETC) Complex I (C-I). This paradoxically hyperactivates C-I, amplifying mtROS, inducing mtDNA instability, and causing mtDNA leakage into the cytosol. The cytosolic mtDNA is sensed by cGAS, leading to robust STING activation and systemic IFN-I responses in vivo. Crucially, this immune-stimulatory mechanism is independent of the canonical metabolic roles of these enzymes; for instance, this response after DHODH inhibition was not rescued by uridine supplement. In immunocompetent murine AML models, we found that while tumor-selective DHODH ablation was curative, systemically pharmacologic inhibition of DHODH was profoundly immunosuppressive, as it blunted T-cell proliferation essential for an anti-leukemia response. To overcome this toxicity-efficacy barrier, we developed "DHODHi-ADC", a first-in-class, immune-boosting ADC that achieves leukemia-selective delivery of a potent DHODH inhibitor (DHODH-IN16). The ADC preserves systemic immune function while inducing potent, tumor-intrinsic innate immune activation, a clear distinction from purely cytotoxic ADCs. In humanized AML models, our ADC synergized remarkably with both ICIs and CAR-T cell therapy, resulting in highly effective, durable leukemia clearance, including the eradication of LSCs.Our findings define a novel, therapeutically exploitable immune-metabolic axis where ETC homeostasis controls innate immunity via mtDNA dynamics. Disrupting this homeostasis through C-I hyperactivation provides a powerful and highly translational strategy to sensitize OXPHOS-dependent cancers to immunotherapy.
利益披露 Disclosure
H. Dong, None.. G. Kao, None.. U. P. Yadav, None.. L. Zhang, None.. A. J. Ansari, None.. S. Singireddi, None.. B. Jia, None.. J. Sun, None.. G. Wu, None.. Y. Wang, None.. X. He, None.. L. Zhang, None.. Z. Li, None.. R. Wang, None.. W. Chen, None.. M. Liu, None.. S. Ge, None.. Y. Li, None.. W. Cohn, None.. A. Salhotra, None.. D. Sykes, None.. J. Jin, None.. J. Chen, None.. G. Marcucci, None.. S. Ma, None.. H. Zheng, None.. Y. Zhang, None.. L. Li, None.

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