2019
DOI: 10.1038/s41467-019-11238-1
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NQO1 targeting prodrug triggers innate sensing to overcome checkpoint blockade resistance

Abstract: Lack of proper innate sensing inside tumor microenvironment (TME) limits T cell-targeted immunotherapy. NAD(P)H:quinone oxidoreductase 1 (NQO1) is highly enriched in multiple tumor types and has emerged as a promising target for direct tumor-killing. Here, we demonstrate that NQO1-targeting prodrug β-lapachone triggers tumor-selective innate sensing leading to T cell-dependent tumor control. β-Lapachone is catalyzed and bioactivated by NQO1 to generate ROS in NQO1 high tumor cells trigge… Show more

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Cited by 66 publications
(63 citation statements)
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“…Although immunotherapeutic approaches have been approved in several tumors, the anti-tumor efficacy appears to be modest in clinical therapy ( 42 ). This tumor resistance might be partly related to the highly immunosuppressive TME ( 43 ).…”
Section: Discussionmentioning
confidence: 99%
“…Although immunotherapeutic approaches have been approved in several tumors, the anti-tumor efficacy appears to be modest in clinical therapy ( 42 ). This tumor resistance might be partly related to the highly immunosuppressive TME ( 43 ).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, NQO1 also maintains the reduced form of CoQ 9 and CoQ 10 inside the unilamellar or multilamellar vesicles, thereby protecting the plasma membrane from lipid peroxidation and free radicals. Knockout of NQO1 is associated with high susceptibility to immune disorders [ 87 , 88 ]. Moreover, the double knockout of both NQO1 and NQO2 strongly enhances the infiltration of neutrophils and macrophages in bronchial-associated lymphoid tissue, leading to an increase in pro-inflammatory cytokines in lung macrophages [ 89 ].…”
Section: Nrf2 and Nf-ĸb Interplay In The Regulation Of Cellular Rementioning
confidence: 99%
“…What is the molecular mechanism of isoplumbagin-induced NQO1 action on suppression of cancer cell growth and invasion? β-lapachone, which is currently under multiple phase I/II clinical trials, is known to be bioactivated by NQO1 in NQO1 high tumors, leading to generation of reactive oxygen species [17][18][19]. Elevated oxidative stress is correlated with tumor initiation, metastasis, and therapeutic resistance.…”
Section: Isoplumbagin Does Not Increase Oxidative Stress or Dna Fragmmentioning
confidence: 99%