STING Reactivation in Melanoma Cells for Stronger TIL Response
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Solution Overview
Problem
Existing cancer therapies utilizing STING activation in antigen presenting cells are limited, and there is a lack of understanding regarding its activation in tumor cells, particularly in subjects with deficient STING expression, which hampers effective antitumor T cell responses.
Innovation Solution
Administering a demethylating agent to demethylate STING proteins in tumor cells, followed by a STING agonist, to enhance STING expression and antigenicity, and administering HLA-matched tumor infiltrating lymphocytes (TILs) to enhance T cell responses.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If STING agonists are administered to activate STING signaling in antigen presenting cells, then antitumor T cell responses are enhanced, but the therapy is ineffective in subjects with deficient STING expression in tumor cells
Solution Approach 1:
The patent applies preliminary action by using demethylating agents to restore STING expression in tumor cells before administering STING agonists. This preparatory step ensures that the tumor cells have functional STING proteins available to respond to subsequent agonist treatment, thereby resolving the contradiction between enhancing antitumor responses and addressing deficient STING expression.
Solution Approach 2:
The patent changes the epigenetic state (methylation status) of the STING gene in tumor cells through demethylating agents. This parameter change restores STING expression from a deficient state to a functional state, enabling the tumor cells to respond to STING agonists and improving the reliability of the therapy in previously refractory subjects.
2Reliability
If demethylating agents are used to restore STING expression in tumor cells, then STING agonist therapy becomes effective, but the treatment complexity increases
Solution Approach 1:
The patent merges two therapeutic approaches into a single integrated protocol: demethylating agents that restore STING expression and STING agonists that activate the restored pathway. This combination is administered in a coordinated manner, where the demethylating agent prepares the tumor cells and the STING agonist activates the recovered signaling pathway, simplifying the overall treatment approach while maintaining effectiveness.
3Quantity of substance
If TIL expansion is performed ex vivo, then antitumor T cell responses are enhanced, but the trafficking of TILs into tumors is insufficient without adequate chemokine signals
Solution Approach 1:
The patent uses CXCR3-binding chemokines (such as CXCL9 and CXCL10) as intermediary signaling molecules. These chemokines are induced in tumor cells through STING activation and serve as mediators that guide the trafficking of expanded TILs from the bloodstream into the tumor microenvironment, thereby resolving the contradiction between having sufficient TILs and ensuring their effective delivery to tumor sites.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enhances T cell responses by increasing CXCR3-binding chemokines, recruiting T cells into tumors, improving immune checkpoint therapy efficacy, and enhancing TIL trafficking and function.
Implementation Method 1
administering to the subject a composition comprising a demethylating agent in an amount effective to demethylate STING proteins in the tumor cells
Implementation Method 2
administering to the subject a therapeutically effective amount of a STING agonist
Implementation Method 3
STING is an endoplasmic reticulum-resident signaling molecule. It is responsible for controlling the transcription of several host defense genes
Implementation Method 4
Downstream induction of CXCR3-binding chemokines such as CXCL10 and CXCL9 in melanoma cell lines following their stimulation with the STING agonist
Data Source
AI summary
Disclosed herein is a method for enhancing antitumor T cell responses in subjects. The method involves administering to the subject in need thereof a composition comprising a demethylating agent in an amount effective to demethylate STING proteins in the tumor cells. This method is particularly useful in subjects with deficient STING expression in the tumor cells. Therefore, also disclosed is a method for treating a tumor in a subject that involves detecting in a biopsy sample from the subject reduced STING expression, reduced cGAS expression, or a combination thereof; and then administering to the subject a demethylating agent in an amount effective to demethylate STING proteins in the tumor cells. The method can further involve administering to the subject a therapeutically effective amount of a STING agonist. The method can further involve administering to the subject tumor infiltrating lymphocytes (TILs), such as HLA-matched TILs.


