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Article

An In Vivo Inflammatory Loop Potentiates KRAS Blockade

by
Kristina A. M. Arendt
1,2,†,
Giannoula Ntaliarda
3,†,
Vasileios Armenis
3,
Danai Kati
3,
Christin Henning
1,2,
Georgia A. Giotopoulou
1,2,3,
Mario A. A. Pepe
1,2,
Laura V. Klotz
1,2,
Anne-Sophie Lamort
1,2,
Rudolf A. Hatz
2,4,5,
Sebastian Kobold
2,6,
Andrea C. Schamberger
1,2,*,‡ and
Georgios T. Stathopoulos
1,2,3,*,‡
1
Comprehensive Pneumology Center (CPC), Institute of Lung Health and Immunity (LHI), Helmholtz Zentrum München, 81377 Munich, Germany
2
Member of the German Center for Lung Research (DZL), 35392 Gießen, Germany
3
Laboratory for Molecular Respiratory Carcinogenesis, Department of Physiology, Faculty of Medicine, University of Patras, 26504 Rio, Greece
4
Center for Thoracic Surgery, University Hospital, Ludwig-Maximilians-Universität (LMU), 81377 Munich, Germany
5
Asklepios Medical Center, 82131 Gauting, Germany
6
Center of Integrated Protein Science Munich (CIPS-M), Division of Clinical Pharmacology, Department of Medicine IV, Klinikum der Universität München, Lindwurmstraße 2a, 80337 Munich, Germany
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this work.
These authors contributed equally to this work.
Biomedicines 2022, 10(3), 592; https://doi.org/10.3390/biomedicines10030592
Submission received: 28 January 2022 / Revised: 24 February 2022 / Accepted: 25 February 2022 / Published: 3 March 2022
(This article belongs to the Special Issue Resistance to Targeted Therapies in Human Cancer)

Abstract

KRAS (KRAS proto-oncogene, GTPase) inhibitors perform less well than other targeted drugs in vitro and fail clinical trials. To investigate a possible reason for this, we treated human and murine tumor cells with KRAS inhibitors deltarasin (targeting phosphodiesterase-δ), cysmethynil (targeting isoprenylcysteine carboxylmethyltransferase), and AA12 (targeting KRASG12C), and silenced/overexpressed mutant KRAS using custom-designed vectors. We showed that KRAS-mutant tumor cells exclusively respond to KRAS blockade in vivo, because the oncogene co-opts host myeloid cells via a C-C-motif chemokine ligand 2 (CCL2)/interleukin-1 beta (IL-1β)-mediated signaling loop for sustained tumorigenicity. Indeed, KRAS-mutant tumors did not respond to deltarasin in C-C motif chemokine receptor 2 (Ccr2) and Il1b gene-deficient mice, but were deltarasin-sensitive in wild-type and Ccr2-deficient mice adoptively transplanted with wild-type murine bone marrow. A KRAS-dependent pro-inflammatory transcriptome was prominent in human cancers with high KRAS mutation prevalence and poor predicted survival. Our findings support that in vitro cellular systems are suboptimal for anti-KRAS drug screens, as these drugs function to suppress interleukin-1 receptor 1 (IL1R1) expression and myeloid IL-1β-delivered pro-growth effects in vivo. Moreover, the findings support that IL-1β blockade might be suitable for therapy for KRAS-mutant cancers.
Keywords: deltarasin; IL-1β; IL1R1; KRAS; KRAS mutation; KRASG12C; inflammation; lung cancer deltarasin; IL-1β; IL1R1; KRAS; KRAS mutation; KRASG12C; inflammation; lung cancer
Graphical Abstract

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MDPI and ACS Style

Arendt, K.A.M.; Ntaliarda, G.; Armenis, V.; Kati, D.; Henning, C.; Giotopoulou, G.A.; Pepe, M.A.A.; Klotz, L.V.; Lamort, A.-S.; Hatz, R.A.; et al. An In Vivo Inflammatory Loop Potentiates KRAS Blockade. Biomedicines 2022, 10, 592. https://doi.org/10.3390/biomedicines10030592

AMA Style

Arendt KAM, Ntaliarda G, Armenis V, Kati D, Henning C, Giotopoulou GA, Pepe MAA, Klotz LV, Lamort A-S, Hatz RA, et al. An In Vivo Inflammatory Loop Potentiates KRAS Blockade. Biomedicines. 2022; 10(3):592. https://doi.org/10.3390/biomedicines10030592

Chicago/Turabian Style

Arendt, Kristina A. M., Giannoula Ntaliarda, Vasileios Armenis, Danai Kati, Christin Henning, Georgia A. Giotopoulou, Mario A. A. Pepe, Laura V. Klotz, Anne-Sophie Lamort, Rudolf A. Hatz, and et al. 2022. "An In Vivo Inflammatory Loop Potentiates KRAS Blockade" Biomedicines 10, no. 3: 592. https://doi.org/10.3390/biomedicines10030592

APA Style

Arendt, K. A. M., Ntaliarda, G., Armenis, V., Kati, D., Henning, C., Giotopoulou, G. A., Pepe, M. A. A., Klotz, L. V., Lamort, A.-S., Hatz, R. A., Kobold, S., Schamberger, A. C., & Stathopoulos, G. T. (2022). An In Vivo Inflammatory Loop Potentiates KRAS Blockade. Biomedicines, 10(3), 592. https://doi.org/10.3390/biomedicines10030592

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