PMID- 32780726 OWN - NLM STAT- MEDLINE DCOM- 20210521 LR - 20221106 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 5 IP - 17 DP - 2020 Sep 3 TI - PPT1 inhibition enhances the antitumor activity of anti-PD-1 antibody in melanoma. LID - 133225 [pii] LID - 10.1172/jci.insight.133225 [doi] LID - e133225 AB - New strategies are needed to enhance the efficacy of anti-programmed cell death protein antibody (anti-PD-1 Ab) in cancer. Here, we report that inhibiting palmitoyl-protein thioesterase 1 (PPT1), a target of chloroquine derivatives like hydroxychloroquine (HCQ), enhances the antitumor efficacy of anti-PD-1 Ab in melanoma. The combination resulted in tumor growth impairment and improved survival in mouse models. Genetic suppression of core autophagy genes, but not Ppt1, in cancer cells reduced priming and cytotoxic capacity of primed T cells. Exposure of antigen-primed T cells to macrophage-conditioned medium derived from macrophages treated with PPT1 inhibitors enhanced melanoma-specific killing. Genetic or chemical Ppt1 inhibition resulted in M2 to M1 phenotype switching in macrophages. The combination was associated with a reduction in myeloid-derived suppressor cells in the tumor. Ppt1 inhibition by HCQ, or DC661, induced cyclic GMP-AMP synthase/stimulator of interferon genes/TANK binding kinase 1 pathway activation and the secretion of interferon-beta in macrophages, the latter being a key component for augmented T cell-mediated cytotoxicity. Genetic Ppt1 inhibition produced similar findings. These data provide the rationale for this combination in melanoma clinical trials and further investigation in other cancers. FAU - Sharma, Gaurav AU - Sharma G AD - Abramson Cancer Center and Department of Medicine. FAU - Ojha, Rani AU - Ojha R AD - Abramson Cancer Center and Department of Medicine. FAU - Noguera-Ortega, Estela AU - Noguera-Ortega E AD - Abramson Cancer Center and Department of Medicine. FAU - Rebecca, Vito W AU - Rebecca VW AD - Abramson Cancer Center and Department of Medicine. FAU - Attanasio, John AU - Attanasio J AD - Department of Systems Pharmacology and Translational Therapeutics and Penn Institute for Immunology, and. FAU - Liu, Shujing AU - Liu S AD - Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Piao, Shengfu AU - Piao S AD - Abramson Cancer Center and Department of Medicine. FAU - Lee, Jennifer J AU - Lee JJ AD - Abramson Cancer Center and Department of Medicine. FAU - Nicastri, Michael C AU - Nicastri MC AD - Department of Chemistry, College of Arts & Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Harper, Sandra L AU - Harper SL AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Ronghe, Amruta AU - Ronghe A AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Jain, Vaibhav AU - Jain V AD - Abramson Cancer Center and Department of Medicine. FAU - Winkler, Jeffrey D AU - Winkler JD AD - Department of Chemistry, College of Arts & Sciences, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Speicher, David W AU - Speicher DW AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Mastio, Jerome AU - Mastio J AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Gimotty, Phyllis A AU - Gimotty PA AD - Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Xu, Xiaowei AU - Xu X AD - Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. FAU - Wherry, E John AU - Wherry EJ AD - Department of Systems Pharmacology and Translational Therapeutics and Penn Institute for Immunology, and. FAU - Gabrilovich, Dmitry I AU - Gabrilovich DI AD - Wistar Institute, Philadelphia, Pennsylvania, USA. FAU - Amaravadi, Ravi K AU - Amaravadi RK AD - Abramson Cancer Center and Department of Medicine. LA - eng GR - P01 CA165997/CA/NCI NIH HHS/United States GR - P30 CA010815/CA/NCI NIH HHS/United States GR - P01 CA114046/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - R01 CA198015/CA/NCI NIH HHS/United States GR - P50 CA174523/CA/NCI NIH HHS/United States GR - R01 CA169134/CA/NCI NIH HHS/United States GR - P30 CA016520/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200903 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (Antibodies) RN - 0 (Enzyme Inhibitors) RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Programmed Cell Death 1 Receptor) RN - 4QWG6N8QKH (Hydroxychloroquine) RN - 77238-31-4 (Interferon-beta) RN - EC 2.7.7.- (Nucleotidyltransferases) RN - EC 2.7.7.- (cGAS protein, mouse) RN - EC 3.1.2.- (Thiolester Hydrolases) RN - EC 3.1.2.22 (palmitoyl-protein thioesterase) SB - IM EIN - JCI Insight. 2022 Oct 24;7(20):. PMID: 36278493 MH - Animals MH - Antibodies/immunology MH - Antineoplastic Combined Chemotherapy Protocols MH - Enzyme Inhibitors/administration & dosage/*pharmacology/therapeutic use MH - Hydroxychloroquine/administration & dosage/*pharmacology/therapeutic use MH - Immune Checkpoint Inhibitors/administration & dosage/pharmacology/*therapeutic use MH - Interferon-beta/metabolism MH - Macrophages/drug effects/immunology MH - Melanoma/*drug therapy/immunology MH - Mice MH - Mice, Inbred C57BL MH - Nucleotidyltransferases/metabolism MH - Programmed Cell Death 1 Receptor/*antagonists & inhibitors/immunology MH - RAW 264.7 Cells MH - T-Lymphocytes/immunology MH - Thiolester Hydrolases/*antagonists & inhibitors/genetics/metabolism MH - Tumor Cells, Cultured PMC - PMC7526447 OTO - NOTNLM OT - Autophagy OT - Lysosomes OT - Melanoma OT - Oncology OT - Therapeutics COIS- Conflict of interest: RKA and JDW are cofounders of Pinpoint Therapeutics and inventors on patents covering dimeric chloroquine compounds (US Patent Numbers 61/480,64; 62/034,897; and 15/567,187). RKA is a consultant for Sprint Bioscience, Immunaccel, and Array BioPharma. EDAT- 2020/08/12 06:00 MHDA- 2021/05/22 06:00 PMCR- 2020/09/03 CRDT- 2020/08/12 06:00 PHST- 2019/09/04 00:00 [received] PHST- 2020/07/24 00:00 [accepted] PHST- 2020/08/12 06:00 [pubmed] PHST- 2021/05/22 06:00 [medline] PHST- 2020/08/12 06:00 [entrez] PHST- 2020/09/03 00:00 [pmc-release] AID - 133225 [pii] AID - 10.1172/jci.insight.133225 [doi] PST - epublish SO - JCI Insight. 2020 Sep 3;5(17):e133225. doi: 10.1172/jci.insight.133225.