The ATR inhibitor ceralasertib potentiates cancer checkpoint immunotherapy by regulating the tumor microenvironment
Elizabeth L. Hardaker,
Emilio Sanseviero,
Ankur Karmokar,
Devon Taylor,
Marta Milo,
Chrysis Michaloglou,
Adina Hughes,
Mimi Mai,
Matthew King,
Anisha Solanki,
Lukasz Magiera,
Ricardo Miragaia,
Gozde Kar,
Nathan Standifer,
Michael Surace,
Shaan Gill,
Alison Peter,
Sara Talbot,
Sehmus Tohumeken,
Henderson Fryer,
Ali Mostafa,
Kathy Mulgrew,
Carolyn Lam,
Scott Hoffmann,
Daniel Sutton,
Larissa Carnevalli,
Fernando J. Calero-Nieto,
Gemma N. Jones,
Andrew J. Pierce,
Zena Wilson,
David Campbell,
Lynet Nyoni,
Carla P. Martins,
Tamara Baker,
Gilberto Serrano de Almeida,
Zainab Ramlaoui,
Abdel Bidar,
Benjamin Phillips,
Joseph Boland,
Sonia Iyer,
J. Carl Barrett,
Arsene-Bienvenu Loembé,
Serge Y. Fuchs,
Umamaheswar Duvvuri,
Pei-Jen Lou,
Melonie A. Nance,
Carlos Alberto Gomez Roca,
Elaine Cadogan,
Susan E. Critichlow,
Steven Fawell,
Mark Cobbold,
Emma Dean,
Viia Valge-Archer,
Alan Lau,
Dmitry I. Gabrilovich () and
Simon T. Barry ()
Additional contact information
Elizabeth L. Hardaker: Oncology R&D, AstraZeneca
Emilio Sanseviero: Oncology R&D, AstraZeneca
Ankur Karmokar: Oncology R&D, AstraZeneca
Devon Taylor: Oncology R&D, AstraZeneca
Marta Milo: Oncology R&D, AstraZeneca
Chrysis Michaloglou: Oncology R&D, AstraZeneca
Adina Hughes: Oncology R&D, AstraZeneca
Mimi Mai: Oncology R&D, AstraZeneca
Matthew King: Oncology R&D, AstraZeneca
Anisha Solanki: Oncology R&D, AstraZeneca
Lukasz Magiera: Oncology R&D, AstraZeneca
Ricardo Miragaia: Oncology R&D, AstraZeneca
Gozde Kar: Oncology R&D, AstraZeneca
Nathan Standifer: Oncology R&D, AstraZeneca
Michael Surace: Oncology R&D, AstraZeneca
Shaan Gill: Oncology R&D, AstraZeneca
Alison Peter: Oncology R&D, AstraZeneca
Sara Talbot: Oncology R&D, AstraZeneca
Sehmus Tohumeken: Oncology R&D, AstraZeneca
Henderson Fryer: Oncology R&D, AstraZeneca
Ali Mostafa: Oncology R&D, AstraZeneca
Kathy Mulgrew: Oncology R&D, AstraZeneca
Carolyn Lam: Oncology R&D, AstraZeneca
Scott Hoffmann: Imaging and Data Analytics, AstraZeneca
Daniel Sutton: Imaging and Data Analytics, AstraZeneca
Larissa Carnevalli: Oncology R&D, AstraZeneca
Fernando J. Calero-Nieto: Oncology R&D, AstraZeneca
Gemma N. Jones: Oncology R&D, AstraZeneca
Andrew J. Pierce: Oncology R&D, AstraZeneca
Zena Wilson: Oncology R&D, AstraZeneca
David Campbell: Oncology R&D, AstraZeneca
Lynet Nyoni: Oncology R&D, AstraZeneca
Carla P. Martins: Oncology R&D, AstraZeneca
Tamara Baker: CPSS AST, AstraZeneca
Gilberto Serrano de Almeida: CPSS AST, AstraZeneca
Zainab Ramlaoui: Oncology R&D, AstraZeneca
Abdel Bidar: CPSS, Imaging, AstraZeneca
Benjamin Phillips: Discovery Sciences, R&D, AstraZeneca
Joseph Boland: Oncology R&D, AstraZeneca
Sonia Iyer: Oncology R&D, AstraZeneca
J. Carl Barrett: Oncology R&D, AstraZeneca
Arsene-Bienvenu Loembé: Early Clinical Development, AstraZeneca
Serge Y. Fuchs: School of Veterinary Medicine University of Pennsylvania
Umamaheswar Duvvuri: UPMC Department of Otolaryngology and UPMC Hillman Cancer Center
Pei-Jen Lou: National Taiwan University Hospital
Melonie A. Nance: University Drive C
Carlos Alberto Gomez Roca: 1 Avenue Irene Joliot-Curie, IUCT-O
Elaine Cadogan: Oncology R&D, AstraZeneca
Susan E. Critichlow: Oncology R&D, AstraZeneca
Steven Fawell: Oncology R&D, AstraZeneca
Mark Cobbold: Oncology R&D, AstraZeneca
Emma Dean: Oncology R&D, AstraZeneca
Viia Valge-Archer: Oncology R&D, AstraZeneca
Alan Lau: Oncology R&D, AstraZeneca
Dmitry I. Gabrilovich: Oncology R&D, AstraZeneca
Simon T. Barry: Oncology R&D, AstraZeneca
Nature Communications, 2024, vol. 15, issue 1, 1-20
Abstract:
Abstract The Ataxia telangiectasia and Rad3-related (ATR) inhibitor ceralasertib in combination with the PD-L1 antibody durvalumab demonstrated encouraging clinical benefit in melanoma and lung cancer patients who progressed on immunotherapy. Here we show that modelling of intermittent ceralasertib treatment in mouse tumor models reveals CD8+ T-cell dependent antitumor activity, which is separate from the effects on tumor cells. Ceralasertib suppresses proliferating CD8+ T-cells on treatment which is rapidly reversed off-treatment. Ceralasertib causes up-regulation of type I interferon (IFNI) pathway in cancer patients and in tumor-bearing mice. IFNI is experimentally found to be a major mediator of antitumor activity of ceralasertib in combination with PD-L1 antibody. Improvement of T-cell function after ceralasertib treatment is linked to changes in myeloid cells in the tumor microenvironment. IFNI also promotes anti-proliferative effects of ceralasertib on tumor cells. Here, we report that broad immunomodulatory changes following intermittent ATR inhibition underpins the clinical therapeutic benefit and indicates its wider impact on antitumor immunity.
Date: 2024
References: View references in EconPapers View complete reference list from CitEc
Citations:
Downloads: (external link)
https://www.nature.com/articles/s41467-024-45996-4 Abstract (text/html)
Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
HTML/Text
Persistent link: https://EconPapers.repec.org/RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-45996-4
Ordering information: This journal article can be ordered from
https://www.nature.com/ncomms/
DOI: 10.1038/s41467-024-45996-4
Access Statistics for this article
Nature Communications is currently edited by Nathalie Le Bot, Enda Bergin and Fiona Gillespie
More articles in Nature Communications from Nature
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().