Targeting TBK1 to overcome resistance to cancer immunotherapy

Nature. 2023 Mar;615(7950):158-167. doi: 10.1038/s41586-023-05704-6. Epub 2023 Jan 12.

Abstract

Despite the success of PD-1 blockade in melanoma and other cancers, effective treatment strategies to overcome resistance to cancer immunotherapy are lacking1,2. Here we identify the innate immune kinase TANK-binding kinase 1 (TBK1)3 as a candidate immune-evasion gene in a pooled genetic screen4. 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.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Caspases
  • Drug Resistance, Neoplasm*
  • Humans
  • Immune Evasion* / genetics
  • Immune Evasion* / immunology
  • Immunotherapy* / methods
  • Interferon-gamma / immunology
  • Janus Kinases
  • Organoids
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors
  • Protein Serine-Threonine Kinases* / antagonists & inhibitors
  • Protein Serine-Threonine Kinases* / genetics
  • STAT Transcription Factors
  • Spheroids, Cellular
  • Tumor Necrosis Factors / immunology

Substances

  • Programmed Cell Death 1 Receptor
  • Protein Serine-Threonine Kinases
  • TBK1 protein, human
  • PDCD1 protein, human
  • Tumor Necrosis Factors
  • Interferon-gamma
  • Caspases
  • Janus Kinases
  • STAT Transcription Factors