PPT1 is a negative regulator of STING signaling in cancer cells and its inhibition reactivates immune surveillance in cold tumors
Chowdhury, Shreya R ; Parikh, Chaitanya N ; Kaur, Arshia N ; DeMarco, Kelly D ; Giwa, Hadiya K ; Mishra, Alok K ; Murphy, Katherine C ; Zhou, Lin ; Ma, Boyang ; Ye, Tianyi ... show 10 more
Authors
Parikh, Chaitanya N
Kaur, Arshia N
DeMarco, Kelly D
Giwa, Hadiya K
Mishra, Alok K
Murphy, Katherine C
Zhou, Lin
Ma, Boyang
Ye, Tianyi
Li, Junhui
Liu, Haibo
Bai, Shi
Johnson, Calvin
Simin, Karl
Pitarresi, Jason R
Zhu, Lihua Julie
Watson, Emma V
Kelliher, Michelle A
Green, Michael R
Fitzgerald, Katherine A
Ruscetti, Marcus
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Abstract
Immunotherapy modalities have revolutionized cancer treatment for a number of metastatic and treatment-refractory tumor types. Still, many malignancies that lack T cell infiltration and are termed immunologically "cold" fail to respond to these modalities. One approach to increase tumor immunogenicity has been to induce stimulator of interferon gene (STING) and downstream interferon signaling that is often dysregulated in cold tumors. Despite some early success of STING agonists in preclinical cancer models, these approaches have not been successful in the clinic due to poor tumor penetrance and systemic toxicities. Here, we performed a genome-wide CRISPR screen to uncover therapeutic targets to activate STING expression in human tumors. We identified the lysosomal hydrolase Palmitoyl Protein Thioesterase1 (PPT1) as a negative regulator of STING highly expressed in cold ovarian and prostate tumors. Genetic or pharmacological PPT1 suppression increased STING protein stability and its downstream activation of interferon and inflammatory cytokine signaling to enhance T cell migration. Treatment of preclinical prostate and ovarian cancer models expressing low levels of STING with the small molecule PPT1 inhibitor GNS561 enhanced STING expression and activation, leading to infiltration and activation of cytotoxic T cells that turned these tumors "hot" and reduced tumor growth, fibrosis, and dissemination without toxicity. Further analysis demonstrated that PPT1 is associated with reduced STING expression, CD8 T cell numbers, overall survival, and immunotherapy outcomes in ovarian and prostate cancer patients. Thus, PPT1 inhibition may be a promising approach to activate STING and potentiate the effects of immunotherapy in cold tumors.
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Chowdhury SR, Parikh CN, Kaur AN, DeMarco KD, Giwa HK, Mishra AK, Murphy KC, Zhou L, Ma B, Ye T, Li J, Liu H, Bai S, Johnson C, Simin K, Pitarresi JR, Zhu LJ, Watson EV, Kelliher MA, Green MR, Fitzgerald KA, Ruscetti M. PPT1 is a negative regulator of STING signaling in cancer cells and its inhibition reactivates immune surveillance in cold tumors. Proc Natl Acad Sci U S A. 2025 Sep 30;122(39):e2514948122. doi: 10.1073/pnas.2514948122. Epub 2025 Sep 22. PMID: 40982692.