Targeting TBK1 to overcome resistance to cancer immunotherapy

Y Sun, O Revach, S Anderson, EA Kessler, CH Wolfe… - Nature, 2023 - nature.com
Y Sun, O Revach, S Anderson, EA Kessler, CH Wolfe, A Jenney, CE Mills, EJ Robitschek…
Nature, 2023nature.com
Despite the success of PD-1 blockade in melanoma and other cancers, effective treatment
strategies to overcome resistance to cancer immunotherapy are lacking,. Here we identify
the innate immune kinase TANK-binding kinase 1 (TBK1) as a candidate immune-evasion
gene in a pooled genetic screen. Using a suite of genetic and pharmacological tools across
multiple experimental model systems, we confirm a role for TBK1 as an immune-evasion
gene. Targeting TBK1 enhances responses to PD-1 blockade by decreasing the cytotoxicity …
Abstract
Despite the success of PD-1 blockade in melanoma and other cancers, effective treatment strategies to overcome resistance to cancer immunotherapy are lacking,. Here we identify the innate immune kinase TANK-binding kinase 1 (TBK1) as a candidate immune-evasion gene in a pooled genetic screen. Using a suite of genetic and pharmacological tools across multiple experimental model systems, we confirm a role for TBK1 as an immune-evasion gene. Targeting TBK1 enhances responses to PD-1 blockade by decreasing the cytotoxicity threshold to effector cytokines (TNF and IFNγ). TBK1 inhibition in combination with PD-1 blockade also demonstrated efficacy using patient-derived tumour models, with concordant findings in matched patient-derived organotypic tumour spheroids and matched patient-derived organoids. Tumour cells lacking TBK1 are primed to undergo RIPK- and caspase-dependent cell death in response to TNF and IFNγ in a JAK–STAT-dependent manner. Taken together, our results demonstrate that targeting TBK1 is an effective strategy to overcome resistance to cancer immunotherapy.
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