Network analysis of immunotherapy-induced regressing tumours identifies novel synergistic drug combinations

Sci Rep. 2015 Jul 21:5:12298. doi: 10.1038/srep12298.

Abstract

Cancer immunotherapy has shown impressive results, but most patients do not respond. We hypothesized that the effector response in the tumour could be visualized as a complex network of interacting gene products and that by mapping this network we could predict effective pharmacological interventions. Here, we provide proof of concept for the validity of this approach in a murine mesothelioma model, which displays a dichotomous response to anti-CTLA4 immune checkpoint blockade. Network analysis of gene expression profiling data from responding versus non-responding tumours was employed to identify modules associated with response. Targeting the modules via selective modulation of hub genes or alternatively by using repurposed pharmaceuticals selected on the basis of their expression perturbation signatures dramatically enhanced the efficacy of CTLA4 blockade in this model. Our approach provides a powerful platform to repurpose drugs, and define contextually relevant novel therapeutic targets.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • CTLA-4 Antigen / immunology
  • Drug Combinations
  • Drug Repositioning
  • Drug Synergism
  • Gene Expression Profiling
  • Gene Expression Regulation, Neoplastic
  • Gene Regulatory Networks*
  • Immunotherapy*
  • Mesothelioma / drug therapy*
  • Mesothelioma / genetics
  • Mesothelioma / immunology*
  • Mice, Inbred BALB C
  • Remission Induction

Substances

  • Antineoplastic Agents
  • CTLA-4 Antigen
  • Drug Combinations