PMID- 32213921 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210327 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 12 IP - 3 DP - 2020 Mar 24 TI - Inhibiting WNT Ligand Production for Improved Immune Recognition in the Ovarian Tumor Microenvironment. LID - 10.3390/cancers12030766 [doi] LID - 766 AB - In ovarian cancer, upregulation of the Wnt/beta-catenin pathway leads to chemoresistance and correlates with T cell exclusion from the tumor microenvironment (TME). Our objectives were to validate these findings in an independent cohort of ovarian cancer subjects and determine whether inhibiting the Wnt pathway in a syngeneic ovarian cancer murine model could create a more T-cell-inflamed TME, which would lead to decreased tumor growth and improved survival. We preformed RNA sequencing in a cohort of human high grade serous ovarian carcinoma subjects. We used CGX1321, an inhibitor to the porcupine (PORCN) enzyme that is necessary for secretion of WNT ligand, in mice with established ID8 tumors, a murine ovarian cancer cell line. In order to investigate the effect of decreased Wnt/beta-catenin pathway activity in the dendritic cells (DCs), we injected ID8 cells in mice that lacked beta-catenin specifically in DCs. Furthermore, to understand how much the effects of blocking the Wnt/beta-catenin pathway are dependent on CD8(+) T cells, we injected ID8 cells into mice with CD8(+) T cell depletion. We confirmed a negative correlation between Wnt activity and T cell signature in our cohort. Decreasing WNT ligand production resulted in increases in T cell, macrophage and dendritic cell functions, decreased tumor burden and improved survival. Reduced tumor growth was found in mice that lacked beta-catenin specifically in DCs. When CD8(+) T cells were depleted, CGX1321 treatment did not have the same magnitude of effect on tumor growth. Our investigation confirmed an increase in Wnt activity correlated with a decreased T-cell-inflamed environment; a relationship that was further supported in our pre-clinical model that suggests inhibiting the Wnt/beta-catenin pathway was associated with decreased tumor growth and improved survival via a partial dependence on CD8(+) T cells. FAU - Goldsberry, Whitney N AU - Goldsberry WN AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Meza-Perez, Selene AU - Meza-Perez S AD - Division of Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Londono, Angelina I AU - Londono AI AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Katre, Ashwini A AU - Katre AA AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Mott, Bryan T AU - Mott BT AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Roane, Brandon M AU - Roane BM AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Goel, Nidhi AU - Goel N AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Wall, Jaclyn A AU - Wall JA AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Cooper, Sara J AU - Cooper SJ AUID- ORCID: 0000-0002-9627-0309 AD - HudsonAlpha Institute for Biotechnology, Huntsville, AL 35806, USA. FAU - Norian, Lyse A AU - Norian LA AD - Department of Nutrition Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USA. AD - O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Randall, Troy D AU - Randall TD AD - Division of Immunology & Rheumatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. AD - O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Birrer, Michael J AU - Birrer MJ AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. AD - O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35294, USA. FAU - Arend, Rebecca C AU - Arend RC AD - Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. AD - O'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL 35294, USA. LA - eng GR - P30 CA013148/CA/NCI NIH HHS/United States GR - R01 CA216234/CA/NCI NIH HHS/United States GR - R21 CA223126/NH/NIH HHS/United States GR - W81XWH-18-1-0231/U.S. Department of Defense/ PT - Journal Article DEP - 20200324 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7140065 OTO - NOTNLM OT - CGX1321 OT - ID8 cells OT - ID8p53-/- cells OT - PORCN inhibitor OT - Wnt OT - Wnt inhibition OT - murine ovarian cancer OT - ovarian cancer OT - tumor microenvironment COIS- Rebecca C. Arend is on the advisory board for Tesaro, Leap Therapeutics and Clovis. The remaining authors declare no conflict of interest. EDAT- 2020/03/28 06:00 MHDA- 2020/03/28 06:01 PMCR- 2020/03/24 CRDT- 2020/03/28 06:00 PHST- 2020/03/02 00:00 [received] PHST- 2020/03/18 00:00 [revised] PHST- 2020/03/19 00:00 [accepted] PHST- 2020/03/28 06:00 [entrez] PHST- 2020/03/28 06:00 [pubmed] PHST- 2020/03/28 06:01 [medline] PHST- 2020/03/24 00:00 [pmc-release] AID - cancers12030766 [pii] AID - cancers-12-00766 [pii] AID - 10.3390/cancers12030766 [doi] PST - epublish SO - Cancers (Basel). 2020 Mar 24;12(3):766. doi: 10.3390/cancers12030766.